Recurring concern
Failure to reliably report self-harm and suicide risks to people able to help
First reported 2 Dec 2013•Latest report 18 Jun 2024
What this concern includes
Includes failures to establish, encourage, require, make or follow up reports of observed or disclosed self-harm or suicide risk to appropriate teachers, health professionals, safeguarding functions, carers or other people able to provide protective assistance.
Not included
- Excludes general mental-health communication or information-sharing failures where self-harm or suicide risk is not the material concern.
- Excludes failures to assess, treat, observe or protect a person after relevant self-harm or suicide-risk information has been reliably reported.
- Excludes generic incident-reporting or safeguarding failures without a specific self-harm or suicide-risk reporting condition.
- Excludes routine disclosure of non-safety information and failures involving only the availability of support services without a deficient risk-reporting process.
- Reports
- 7
- Individual concerns
- 8
- Date range
- 2013–2024
- Stated actions
- 6
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
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Concerns raised1
Failure to pass on suicidal ideation information to foster carers or other relevant people
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Deliver comprehensive safeguarding, confidentiality, disclosure, welfare and mental-health training to Independent Visitor volunteers.
Stated by Calderdale Borough Council -
Action
Require Independent Visitor volunteers to follow a safeguarding code and health-and-safety procedure specifying when concerns must be reported or disclosed.
Stated by Calderdale Borough Council
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
Relevant information was promptly passed to the Pathways Team, and no imminent risk justified sharing it with the foster carer.
Stated by Calderdale Borough Council
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Concerns raised1
Lack of requirements for counsellors to report disclosed risks of self-harm, suicide or harm to others
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
-
Position
Training standards and practice requirements set by independent counselling organisations are outside Government oversight.
Stated by Department of Health and Social Care
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Position
Independent counselling organisations and their members are responsible for decisions about training standards and practice requirements.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to flag or reference current self-harm or suicide information to relevant decision-makers
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
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Action
Develop guidance for referral meetings to assess suicide risk, existing support and self-referral status, recommend crisis-support steps, and record its consideration.
Stated by Leeds and York Partnership NHS Foundation Trust
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Concerns raised1
Failure to provide teachers with relevant information about a pupil's self-harm history and vulnerability
This report raised 14 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to make statutory Rule 35 reports for detainees with suicidal tendencies
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
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Action
Conduct an internal review of Rule 35(2) reporting effectiveness and use its findings to inform wider policy work.
Stated by Home Office -
Action
Finalise and introduce new Removal Centre Rules, including updated Rule 35 reporting arrangements.
Stated by Home Office -
Action
Seek healthcare-provider assurances on correct Rule 35 processes and consult the assurance forum about broader implementation.
Stated by Home Office
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Home Office training does not direct doctors to substitute ACDT monitoring for Rule 35(2) reporting; the apparent issue was local misunderstanding.
Stated by Home Office
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Position
Only an IRC doctor may submit a Rule 35(2) report, and the decision rests solely with that doctor's clinical judgment.
Stated by Home Office
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Concerns raised1
Lack of a system encouraging young people to report another young person’s self-harm to those able to help
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised2
Failure by Healthcare to read and disseminate important Risk of Self-Harm / Suicide documents
Failure to ensure that Risk of Self-Harm / Suicide information is read and considered by Senior Wing Officers after prisoner moves
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026