Self Harm in Children

From a medical point of view, it is worth remembering that especially in toddlers who have a low mass, one pill can kill. Especially:
- Cardiac drugs
- Antidiabetics
- Antidepressents
- Iron, vicks, pepto - bismul (contains salicylates)

One pill killers: Do you know which common drugs are potentially fatal for a small child with ONE pill?https://t.co/OehAgPqmb7#MedEd #toxicology #FOAMed pic.twitter.com/cPdiHUhnXj

— Paediatric FOAMed (@PaediatricFOAM) August 22, 2018

From a mental health point of view - remember to complete all safeguarding paperwork, and encourage talking and communication.

Children’s mental health is a hugely increasing problem of our times. We see it in ED at its worst but remember all parents & carers have to consider their own & their kid’s mental health. Put this poster up in your ED - if it helps 1 family you’ve won #MentalHealthAwarnessWeek pic.twitter.com/boe6ufklSY

— ED Doc (@4hrEmergencyDoc) May 15, 2019

Your thorough HEADSSS assessment will help make sure all important points are covered.

References
https://pemgeek.com/2016/10/27/one-pill-killers/
https://www.nice.org.uk/guidance/cg133/resources/selfharm-in-over-8s-longterm-management-pdf-35109508689349
https://www.nice.org.uk/guidance/cg16/resources/selfharm-in-over-8s-shortterm-management-and-prevention-of-recurrence-pdf-975268985029
https://www.health.gov.au/internet/publications/publishing.nsf/Content/triageqrg~triageqrg-mh
https://www.rcemlearning.co.uk/curriculum/paeds-acute/pap2/
https://www.rcemlearning.co.uk/modules/paediatric-toxicology-considerations/
https://youngminds.org.uk/find-help/for-parents/parents-guide-to-support-a-z/parents-guide-to-support-self-harm/
https://www.nspcc.org.uk/preventing-abuse/keeping-children-safe/self-harm/
https://www.rcemlearning.co.uk/foamed/the-3cs-of-paediatrics/