Suicidal behavior and self-harm

In this chapter we first address the issue of operational definitions of suicidal and self-harm phenomena in research and clinical practice, followed by consideration of the variety of motives and intentions associated with acts of self-harm in young people and a conceptual model of self-harm and suicide. The rates of suicidal behaviors are presented, in conjunction with a summary of research on risk and protective factors. Clinical assessment issues and possible outcomes following an episode of self-harm are described. Treatment options, including psychological interventions and medication, are reviewed, with particular consideration of the issue of engagement in treatment with young people and their families. Finally, we consider factors that influence help-seeking and describe prevention initiatives.