Self-harm and suicide in residential childcare

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O'Donnell, Ellie (2025) Self-harm and suicide in residential childcare. Scottish Journal of Residential Child Care, 24 (2). pp. 47-71. ISSN 1478-1840

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Abstract

Self-harm and suicide behaviours in residential childcare require effective interventions, practices, and policies that ensure the safety and wellbeing of young people. This literature review examines current research on prevalence, risk factors and interventions, identifying inconsistencies in definitions and risk management. Trauma-informed care, dialectical behaviour therapy, staff training, supporting relationships, and adaptive coping strategies are highlighted as key approaches. The review highlights the need for developmentally appropriate and individualised care and safety planning, particularly for younger children and autistic children. Research gaps are noted, and policy recommendations include improved risk assessment, safety and care planning, and enhanced staff support.

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