ArticleChild and adolescent mental health2019
Adolescent self-harm prevention and intervention in secondary schools: a survey of staff in England and Wales.
Article in Child and adolescent mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Prevention and postvention guidance relating to self-harm and suicide for UK educational and youth organisations: a systematic review of grey literature.BMC public health · 2026Pooled it
- The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review.BMC public health · 2023Pooled it
- Professionals' attitudes towards people with intellectual disabilities who self-harm: A literature review.Journal of intellectual disabilities : JOID · 2022Pooled it
- School absenteeism as a risk factor for self-harm and suicidal ideation in children and adolescents: a systematic review and meta-analysis.European child & adolescent psychiatry · 2020Pooled it
- School experiences and self-harm in the OxWell study.JCPP advances · 2026Article
- How can school staff respond to student incidents of self-injurious thoughts and behaviours? A systematic scoping review.International journal of qualitative studies on health and well-being · 2025Article
- Principles of practice for a whole school approach to self-harm: a qualitative study.BMC public health · 2025Article
- Evaluation of dialectical behavior therapy - skills training for emotional problem solving for adolescents (DBT STEPS-A) in Aotearoa New Zealand: Protocol of a mixed-methods evaluation.BMC psychology · 2025Article
- A Self-Harm Awareness Training Module for School Staff: Co-Design and User Testing Study.JMIR formative research · 2025Article
- "Thrown in the deep end": a qualitative study of barriers secondary school staff encounter when addressing self-harm.BMC public health · 2025Article
- Suicide prevention program on suicidal behaviors and mental wellbeing among school aged adolescents: a scoping review.Frontiers in public health · 2025Article
- Non-Suicidal Self-Injury among Adolescents: Effect of Knowledge, Attitudes, Role Perceptions, and Barriers in Mental Health Care on Teachers' Responses.Behavioral sciences (Basel, Switzerland) · 2024Article
- A Web-Based Training Program for School Staff to Respond to Self-Harm: Design and Development of the Supportive Response to Self-Harm Program.JMIR formative research · 2024Article
- Exploring mechanisms and contexts in a Peer Education Project to improve mental health literacy in schools in England: a qualitative realist evaluation.Health education research · 2024Article
- Facilitators and barriers to implementation of suicide prevention interventions: Scoping review.Global mental health (Cambridge, England) · 2023Article
- Adolescents at risk of self-harm in Ghana: a qualitative interview study exploring the views and experiences of key adult informants.BMC psychiatry · 2020Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAdolescent self-harm is a major public health concern. To date there is a limited evidence-base for prevention or intervention, particularly within the school setting. To develop effective approaches, it is important to first understand the school context, including existing provision, barriers to implementation, and the acceptability of different approaches.
methodsA convenience sample of 222 secondary schools in England and Wales were invited to participate in a survey, with a 68.9% (
resultsAdolescent self-harm is an important concern for senior management and teachers. However, emotional health and well-being is the primary health priority for schools. Health services, such as Child and Adolescent Mental Health Services, and on-site counselling are the main approaches schools currently use to address adolescent self-harm, with counselling cited as the most useful provision. Fifty-two per cent of schools have received some staff training on adolescent self-harm, although only 22% rated the adequacy of this training as high. Where schools do not have existing provision, respondents stated that they would like staff training, specialist student training, external speakers, posters and assemblies, although the latter four options were infrequently ranked as the most useful approaches. Key barriers to addressing adolescent self-harm were: lack of time in the curriculum; lack of resources; lack of staff training and time; and fear of encouraging self-harm amongst adolescents.
conclusionsAdolescent self-harm is a priority for schools. Intervention might focus on increasing the availability of training to teaching staff.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.