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Article History

Received: 23 January 2018

Accepted: 16 April 2018

First Online: 25 April 2018

Ethics approval and consent to participate

: The self-harm monitoring system in Oxford was approved by South Central – Berkshire National Research Ethics Service and Derbyshire Research Ethics Committee approved the study in Derby. Both were granted ethical approval to collect data for both local and multicentre projects. South Manchester Research Ethics Committee reviewed the project in Manchester. The project was deemed not to require approval as the monitoring is conducted as part of a clinical audit system. The Bristol Self-Harm Surveillance Centre received ethical approval from University Hospitals Bristol NHS Foundation Trust and Southmead Research Ethics Committee approved the research database. All centres have approval under section 251 of the NHS Act (2006) to collect patient identifiable data without patient consent and Oxford, Derby and Manchester have consent to send patient details to the Data Linkage Service.

: D.G., K.H. and N.K. are members of the Department of Health’s (England) National Suicide Prevention Advisory Group. N.K. chaired the NICE guideline development group for the longer-term management of self-harm and the NICE Topic Expert Group (which developed the quality standards for self-harm services). He is currently chair of the updated NICE guideline for depression. R.O.C. was a member of the NICE guideline development group for the longer-term management of self-harm and is a member of the Scottish Government’s suicide prevention implementation and monitoring group. All other authors declare no conflict of interest.

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