“…However, a literature search of CINAHL, EMBASE and Web of Science since 1984, using the terms 'self-harm', 'self-injury', 'selfmutilation', 'self-poisoning', 'attempted suicide ' and 'parasuicide' combined with 'attitude', 'impact', 'effect', 'stress', 'burnout', 'staff', 'nurse', 'mental health' and 'health professional', revealed very few studies relating to experience of health-care professionals generally and even less to nursing staff (e.g. Anderson 1997;Elliot et al 1992;Gough & Hawkins 2000;Hemmings 1999;Hopkins 2002;Huband & Tantam 2000;McAllister et al 2002;McKinlay et al 2001;Platt & Salter 1987;Sidley & Renton 1996;Smith 2002), and none to CPNs specifically. As such, the extant literature has, tended to concentrate on Accident and Emergency staff and those working in general medical settings, such as on admission wards to the exclusion of key psychiatric personnel who regularly intervene with DSH.…”