Evidence map›Paper›PMID 40829837›Full record

ReviewBMJ open2025

Health and social care professionals' awareness and implementation of NICE guidelines on self-harm: a rapid review of the literature.

Gill Lever, Dawn Dowding, Dharman Jeyasingham, Christopher J Armitage

Abstract readReview
In one paragraph

Review in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Gill LeverNIHR Greater Manchester Patient Safety Research Collaboration, University of Manchester, London, England, UK gill.lever@postgrad.manchester.ac.uk.ORCID http://orcid.org/0009-0000-0977-9039
Dawn DowdingUniversity of Manchester, Manchester, England, UK.
Dharman JeyasinghamUniversity of Manchester, Manchester, England, UK.
Christopher J ArmitageManchester Centre for Health Psychology, Coupland 1 Building, University of Manchester and NIHR Greater Manchester Patient Safety Research Collaboration, Manchester, England, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify the factors influencing professionals' implementation of the National Institute for Health and Care Excellence (NICE) guidelines on self-harm.

designA rapid review evidence synthesis DATA SOURCES: Five electronic databases (ASSIA, CINAHL, EMBASE, MEDLINE, PsycINFO) and five indexing databases (Science Citation Index Expanded (SCIE), Social Sciences Citation Index (SSCI), Arts and Humanities Citation Index (AHCI), Emerging Sources Citation Index (ESCI) and Conference Proceedings Citation Index (CPCI)), using the Web of Science platform, were searched in December 2023 and repeated in July 2024. ELIGIBILITY CRITERIA: We included quantitative and qualitative studies that investigated professionals' knowledge and implementation of NICE guidelines on self-harm, that were in English language and published between 2004 and July 2024. DATA EXTRACTION AND SYNTHESIS: One reviewer used standardised methods to search, screen, select, quality assess and synthesise the included studies, to accelerate the review. Quality assessment was conducted using the Mixed Methods Appraisal Tool. Data were extracted and synthesised thematically using NICE guidance implementation priorities.

resultsThe review included 10 studies. Six were conducted in accident and emergency (A&E) settings, two in general practice, one in a burns and plastic surgery hospital department and one involved cross-sectoral health professionals. Key findings indicate that awareness and implementation of self-harm guidelines is low among health professionals. Systemic barriers include lack of staff training, negative staff attitudes towards people who self-harm and lack of resources.

conclusionsThere is a need to develop and implement regular training on self-harm, incorporating NICE guidance and measures, to integrate knowledge and mobilise practice changes. Further research into the implementation of NICE guidelines in children who self-harm is needed, and in a wider variety of health and social care settings. The absence of studies from the social care sector into professionals' awareness and implementation of NICE guidelines on self-harm is a key limitation.

Indexed as

Guideline AdherenceHealth Knowledge, Attitudes, PracticeHealth PersonnelPractice Guidelines as TopicSelf-Injurious BehaviorSocial WorkersHumansUnited KingdomImplementation SciencePUBLIC HEALTHSuicide & self-harm

Identifiers

PMID40829837
PMCPMC12366585

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.