Self-Harm

Self-harm is a common phenomenon worldwide with many precipitating factors. Perceptions of what is considered self-harm may be influenced by cultural, societal and religious beliefs. There are many types of self-harm. Self-harm leading to death is a common presentation for forensic pathologists. Forensic physicians and allied forensic healthcare professionals may often see patients who present with self-harm or who have a history of self-harm. Management of those who have self-harmed in custody may be challenging as actual or threatened self-harm may be used for secondary gain. The issue of self-harm is discussed in general with emphasis on the diagnostic challenges. Features relating to the presentation that may assist in suggesting the diagnosis of self-harm are reviewed.