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We provide assessments and interventions for children and young people who show self-injurious behaviours in education, home and community settings.

Our services for self-harm are not suitable in the case of an emergency. If an individual is at immediate and serious risk of harm due to their injuries then please phone 999.

What is self-harm?

Self-harm can also be called non-suicidal self-injury and self-injurious behaviour. Self-harm refers to intentional personal harm or injury which can take many forms. Self-harm is not the same as suicidal behaviour. There are many reasons why an individual would self-harm.

Ways of self-harming can include:

  • Cutting yourself
  • Poisoning yourself
  • Over-eating or under-eating
  • Biting yourself
  • Picking or scratching at your skin
  • Burning your skin
  • Inserting objects into your body
  • Hitting yourself or walls
  • Overdosing
  • Exercising excessively
  • Pulling your hair
  • Getting into fights where you know you will get hurt

Mind (2016)

... the incidence of self-harm has continued to rise in the UK over the past 20 years and, for young people at least, is said to be among the highest in Europe. …

Self-harm, suicide and risk: helping people who self-harm (2015)

What can make a child or young person self-harm?

A child or young person can start and continue to self-harm for a variety of reasons which are personal to them. Individuals may find situations or feelings more overwhelming than their peers which can lead to self-harming behaviour. Common situations which may be associated with self-harm include:

If an individual has confided that they are self-harming then they may benefit from specialist support.

About 1 in 10 young people will self-harm at some point, but it can happen at any age.

Royal college of psychiatrists

What services do we offer in relation to self-harm?

Our psychologists assess risks, address needs and create management plans. As self-harm is an individual experience, our input may vary and adapt depending on the circumstances, examples of services we can offer include:

Following a referral, our specialist psychologist will be able to provide more information about available services which could support a child or young person.

Our process

At HSR Psychology we ensure that we meet the needs of children and young people. To achieve this we ensure that any specific assessments, intervention, or direct work, is only carried out following an initial discussion.

An initial discussion allows us to understand the background and your expectations of our involvement. Having an initial discussion ensures any services we provide appropriately identify or address needs.

Our process for any specific assessments, intervention, or direct work is as follows:

Step 1: Contact us

We will usually be contacted by the child or young person, parent or carer, or another professional (eg education or health).

You can contact us or complete a referral

Step 2: Arrange an initial discussion

An initial discussion allows us to understand the background and your expectations of our involvement. Arrange an initial discussion

Step 3: Review our recommendations

Following an initial discussion we will send you an email that includes:

  • Next steps recommendations - to provide a bespoke package of support. For example:
    • Assessments
    • Reports
    • Information gathering
    • Meeting
    • Interventions
    • Consultancy
    • Reviews
  • Costing - we will provide costings for any services recommended.

Step 4: Let's get started

On receipt of the next steps recommendations and costing you can decide how to proceed. Once you have decided contact us to arrange the chosen services.

Which assessments do we use for self-harm?

When assessing within the area of self-harm, we would usually assess children and young people in relation to their social, emotional and mental health (SEMH). Examples of the assessments we may use include:

  • Family relations test: children's version - This assessment is very useful in understanding how a child perceives specific members of their family, including information about relationships which may not be appropriate
  • BECK youth inventories - We may use one or more of the following inventories; depression, anxiety, anger, disruptive behaviour, self-concept
  • Resiliency scales - Measuring a child or young person’s capacity for resiliency helps to guide interventions and other follow up work
  • SIP-C - Self-image profiles for children help us to understand how the child feels about themself
  • SIP-A - Self-image profiles for adults provides a useful insight into how a young person perceives themself to be
  • BASC-3 - Behaviour assessment system for children helps to understand the behaviours and emotions of children and young people
  • BASC-3 BESS - Behavioural and emotional screening system identifies emotional strengths and challenges in children and young people

During the Initial Discussion we will talk about accurately assessing the needs of a child or young person, as there are a variety of approaches we can take.

Where do our services in relation to self-harm take place?

Our services for young adults and children who are self-harming can take place in the home, education setting, our clinic or a community setting. It is important that the child or young person is in a place where they can feel as safe as possible. Our psychologists will share and recommend support strategies.

Children and young people can self-harm for a variety of reasons and our psychologists provide services to identify and address the underlying causes. If you are worried, or are aware, that a child or young person is self-harming then please contact us to see how we can help.

Arrange an Initial Discussion

Arrange an Initial Discussion to find out how we can help. The initial discussion lasts 1-1.5 hours, comes with a written recommendation summary and is a starting point to identify needs. The cost is £300.

  • No waiting lists
  • Experienced psychologists
  • Includes recommendation summary

Find out more



What makes us different

Access to a named psychologist

Focus on mental health and wellbeing

Joined-up approach

Bespoke services to meet needs

Multidisciplinary team

Holistic approach

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Flexible, consistent, and competitively priced

We provide bespoke solutions to suit all budgets and requirements for children and young people aged 0-25 in homes, education settings and the community. Our clinical, educational and child psychology services are cost effective.

See our prices

Make a referral

To make a referral and arrange an initial discussion please complete our referral form.

Make a referral

Contact us

Ready to get started? The next step is to speak to our team to find out more about the services we provide and how we can help. Call us on 0161 820 9229 or email

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