Bradford Children’s Services This protocol was commissioned by the Mental Health in Schools Strategy and should be used in conjunction with the Protocol For Responding to Self Harm in Schools – and existing safeguarding policies. Self Harm Record Biographical information School ______________________________ Child’s name__________________________ Male/ Female Year group __________ Ethnicity______________________________ Is this the first incident for this student? Yes/ No If so do you know how long the student has been self harming? _________________________ Assessing the student’s vulnerability Do you feel you can address this student’s needs in school or do you feel you Is the student able to talk to you about the reasons for their self harming behaviour and what they hope will happen as a result of this self harming behaviour? Yes/ No Were you able to explore some of the alternatives to self harm, as explored in the Minds leaflet? Yes/ No Has the student talked of wanting to end their life? Yes/ No If yes have you referred to the CAMHS helpline/ GP/ A&E Seeking support for the student Have you explored with the student ways of involving parents and carers to share concerns and plan support? Yes/ No
Bradford Children’s Services This protocol was commissioned by the Mental Health in Schools Strategy and should be used in conjunction with the Protocol For Responding to Self – Harm in Schools and existing safeguarding policies. Self Harm Record Biographical information School ______________________________ Child’s name__________________________ Male/ Female Year group __________ Ethnicity______________________________ Is this the first incident for this student? Yes/ No If so do you know how long the student has been self harming? _________________________ Assessing the student’s vulnerability Do you feel you can address this student’s needs in school or do you feel you Is the student able to talk to you about the reasons for their self harming behaviour and what they hope will happen as a result of this self harming behaviour? Yes/ No Were you able to explore some of the alternatives to self harm, as explored in the Minds leaflet? Yes/ No Has the student talked of wanting to end their life? Yes/ No If yes have you referred to the CAMHS helpline/ GP/ A&E Seeking support for the student Have you explored with the student ways of involving parents and carers to share concerns and plan support? Yes/ No
Branded%20Self%20harm%20Record%20CBMDC%20NHS.docx