one, no matter what the tablets are, how many you took or whether you feel perfectly well or not, get medical help. Most people regret their overdose very quickly afterwards, and if there are no immediate effects from the overdose, they try to forget about it. What they dont realise is that damage takes time to become clear, days, or weeks in some cases, with liver damage being a major problem. Get medical help as soon as possible. Your safety Useful Numbers Thorneywood, Self-harm Team: 0115 8440505 NHS Direct: 0845 46 47 Childline 08001111 Samaritans 0845 7909090 Text Samaritans 07725 90 90 90 E-mail Samaritans jo@samaritans.org www.nottinghamshirehealthcare.nhs.uk If you have any concerns about any aspect of your or your relatives care here you can raise this in the frst instance with a member of the team. If you feel that your concern has not been resolved you can contact the Patient Advice and Liaison Service (PALS). PALS work with the staff to ensure you and your relatives and carers have information and a way of resolving issues and concerns you may have. You can call PALS Useful Websites www.there4me.com www.base51.org.uk www.samaritans.org www.youngminds.org.uk www.kidscape.org.uk www.frstsigns.org.uk www.harmless.org.uk www.thehideout.org.uk on: 0800 015 3367 or email: pals@nottshc.nhs.uk The PALS service will deal with your concerns as soon as possible. If you would like to make a complaint, please address this to: Service Liaison Manager Duncan Macmillan House Porchester Road Nottingham NG3 6AA Patient Advice and Liaison Service (PALS) Making a Complaint Cutting Using old, used blades and/or sharing them can increase risk of infection and even diseases such as H.I.V. Some people have even cut in parts of their body causing damage to tendons or blood vessels. What many people dont realise is that cutting with a clean, sharp blade causes less damage than using other implements, in that it helps avoid scarring and infection. These incidents do not necessarily cause death, but can affect the rest of peoples lives. People who cut dont usually want to kill themselves, so damage limitation is important. If you have cut please try to clean it well, put a clean dressing on and keep it dry. If it is a bad cut get medical help as soon as possible. Please remember to always put your safety rst. Self-Harm a Young Persons Guide Highly Specialist Specialist & Self-harm is the symptom of a problem, not the problem in itself. Positive about mental health and learning disability These are only examples. Many people self-harm for many different reasons. If you self-harm, you probably know why. Even if you dont, you know what it does for you, and how it makes you feel. Lets be honest, if it didnt do anything - you wouldnt do it, would you? If self-harm is simply an attempt to problem solve, then alternatives can be found. Self-harm What it is: A release A way to control feelings Expressing distress What its not: Mad Bad Attention seeking Try to look at the problem calmly and rationally and think of ways to solve the problem. Taking a few minutes to think about alternatives before acting impulsively can make all the difference. People often regret an overdose almost immediately afterwards, and may cause themselves long-term damage as a result of taking tablets. It is surely better to give yourself the chance to do something else instead than it is to have to deal with the consequences of acting on the spur of the moment. Cutting Cutting is a different issue to taking an overdose. It can become a longer term problem in that people may become dependant upon it as a way of managing diffcult feelings. Cutting works, for the person doing it, in a number of different ways. On one level cutting can represent emotions that cant be expressed ie a way of punishing or releasing feelings held inside. Take fve minutes to clear your head Talk to a friend if you cant talk to your family. Listen to some music Exercise is a good way to relieve pressure, for example go for a run, a swim or do some exercises in the house Try to write your feelings down. On another level cutting has a chemical effect. Certain chemicals in the brain are released which act like the bodys natural painkillers. These chemicals, known as endorphins also have a relaxing, calming and mellowing infuence. People cut in response to high levels of diffcult feelings, stress and anxiety. They are upset, cut, and can feel a sense of release and calm afterwards. However the same effect can be produced in other, less damaging ways. Cutting can cause scarring, infection and cause permanent damage to tendons. As an alternative, holding an ice cube in each hand until it melts is painful, and will cause the same chemical reaction as cutting without any permanent damage. Exercise will also have the same effect. Getting to the root of the problem The thing to remember with self-harm is that it is the symptom of a problem, not the problem in itself. If you break a leg, you can ease the symptom, i.e. the pain, by taking painkillers, but the problem, i.e. the broken bone still remains. Self-harm is about managing feelings caused by underlying problems. Some of the addresses on the back can offer you confdential guidance to fnd the help you need to start working on that problem. Solve the problem, and the symptom will go away. Here are some coping strategies that have helped many young people. What can you do to help yourself? This leaet isnt about trying to stop people from harming themselves. It is about nding alternatives to self-harm, and about making it as safe as possible if no alternatives can be found at the moment. Whether people cut themselves, or take overdoses, it is often because they cant think of anything else to do. Overdoses often occur as an impulsive decision when under lots of pressure. Some people say that they wanted to die, but they may mean that they were trying to deal with a problem or change the situation and thought that being dead would make the problem go away. People often regret an overdose almost immediately afterwards, and may cause themselves long-term damage as a result of taking tablets. Holding an ice cube in each hand will cause the same chemical reaction as cutting without any permanent damage.