ABSTRACT
This chapter provides a case of a 16-year-old girl who presents after being in a car accident where a car drove into the back of the car that her mother was driving. This happened on a motorway slip road the previous day. She thinks she may have knocked it on the dashboard. She attends the general practitioner (GP) surgery and you examine her. On examination she has no evidence of any fractures, no neurological symptoms or signs on history or examination. Good risk-assessment tools consider risks of self-harm, suicide, exploitation, abuse, neglect, and harm to others. This young woman should be referred to a child mental health team who can more formally assess what is going on and what interventions to offer. The treatment will depend on the reasons for the self-harm, and will range from no 'treatment' to group, family or individual therapy.
