Young people who self-harm have substantially increased risk of adverse non-fatal and fatal outcomes, including suicide, compared with those who do not self-harm.1,  2 The frequency of young people presenting to general practices and emergency departments after self-harm has increased in the past 20 years in England3 and Australia.4 However, people who present to medical services after self-harm differ from those who do not,5 and most people who self-harm do not seek medical attention.5 Thus, whether this increase in presentation reflects a true rise in the prevalence of self-harm remains unclear.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3