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These guidelines use evidence plus expert clinical consensus to advise psychiatrists, other health professionals, and service organizations that care for patients who engage in deliberate self-harm (DSH), including nonsuicidal self-injury, “parasuicide,” and self-injurious behavior, as well as acts with lethal intent.
Services intended to reduce repetitions of DSH should use psychological or psychosocial interventions, including cognitive-behavioral therapy (CBT), psychodynamic interpersonal therapy, and outreach combined with psychological therapy.
To address depressive symptoms in DSH patients, do not use CBT alone.
Do not init…