There is good evidence to suggest that certain outpatient psychological treatments, and particularly cognitive behavioural therapy (CBT), are effective in reducing repetition of self-harm and, to a lesser extent, suicide.4 Because of resourcing limitations, however, patients often face delays of up to several weeks before their first appointment; even in countries with well-resourced psychiatric services.5 Yet almost half of all patients who repeat self-harm will do so in this period.6 Please contact the library to request a copy of this article - http://bit.ly/1Xyazai