Improving Care in Self-Harm HIT

The Improving Care in Self-Harm Health Integration Team (HIT) is working to reduce the number of suicides in the Bristol area, by transforming understanding of self-harm across the health service and improving treatment and support for self-harm patients. They aim to ensure self-harm treatment and care is equitable, fully evidence based and non-stigmatising for all self-harmers, and to reduce suicides in Bristol.

Self-harm is a growing problem for the NHS in Bristol and across the rest of the UK, with around 200,000 hospital emergency department cases reported nationally every year. The number of people who self-harm in Bristol alone is estimated at around 25,000. The condition is the highest predictor of suicide, with self-harm patients 35 times more likely to end their own lives.

Latest news and events

Launch of the distrACT app: an app to help people who self-harm

Launch of the distrACT app: an app to help people who self-harm

30 November 2017

The distrACT app is aimed at people who are considering or already self-harm, offering them quick access to advice and support. It has been created by practising medical doctors together with young adults and experts in self-harm and suicide prevention.

Suicide and self-harm prevention app launches in Bristol

Suicide and self-harm prevention app launches in Bristol

20 November 2017

A new app to help people who are considering self-harm or having suicidal thoughts is launching in Bristol on 30 November. The distrACT app is designed to give easy, quick and discreet access to general health information and advice about self-harm.

The winners of the Bristol Health and Care Awards 2017

The winners of the Bristol Health and Care Awards 2017

31 October 2017

The city’s heroes of healthcare were recognised at a sparkling event hosted by the Bristol Post on Wednesday 25 October 2017.

Extending liaison psychiatry service at the Bristol Royal Infirmary improves care and reduces costs for self-harm patients

Extending liaison psychiatry service at the Bristol Royal Infirmary improves care and reduces costs for self-harm patients

23 August 2017

Extending the operating hours of the liaison psychiatry service at the Bristol Royal Infirmary’s (BRI) Emergency Department has led to improved care and outcomes for patients who have self-harmed, NIHR-funded research has found.

Improving Care in Self-Harm HIT's successes in 2016-17

Improving Care in Self-Harm HIT's successes in 2016-17

9 May 2017

Salena Williams and Sue Dursley, Co- Directors of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) give an update on the HIT's activities in 2016-17. STITCH HIT is working to reduce the number of suicides in the Bristol area.

NHS England pledges £750k to Bristol Royal Infirmary for 24 hour psychiatric liaison service

NHS England pledges £750k to Bristol Royal Infirmary for 24 hour psychiatric liaison service

5 April 2017

NHS England has awarded University Hospitals Bristol NHS Foundation Trust £750k to extend psychiatric liaison services in the emergency department at the Bristol Royal Infirmary. This means they will be available 24 hours a day, seven days a week.

Two Health Integration Teams responsible for £340,000 savings annually

Two Health Integration Teams responsible for £340,000 savings annually

28 March 2017

Two Health Integration Teams (HITs), Bristol Bones and Joints and STITCH, are responsible for £340,000 annual savings in the city’s two acute trusts, through changes to services and care pathways.

In numbers: STITCH HIT's successes

In numbers: STITCH HIT's successes

6 February 2017

The Improving Care in Self-Harm Health Integration Team (STITCH HIT) have had some spectacular successes over the last few years. The team have been working hard to make improvements to take self-harm care towards parity of esteem with physical illness, i...

Mental Health HIT seminar proves a hit with commissioners

Mental Health HIT seminar proves a hit with commissioners

26 January 2017

Commissioners, researchers and people from voluntary organisations heard from Bristol Health Partners HITs seminar on 23 January. The theme of the seminar was 'Improving mental health care pathways across the STP footprint.

STITCH HIT's work highlighted in National Suicide Prevention Strategy progress report

STITCH HIT's work highlighted in National Suicide Prevention Strategy progress report

10 January 2017

The work of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) has been recognised in the Department of Health's third National Suicide Prevention Strategy progress report.

Listen out for HITs on Bristol Community Radio

Listen out for HITs on Bristol Community Radio

23 November 2016

Bristol Health Partners and our Health Integration Teams will be the focus of a special edition of Healthwatch's monthly Bristol Community Radio (BCFM) wellbeing show on 13 December.

STITCH work on zero suicide presented at international quality and safety forum

STITCH work on zero suicide presented at international quality and safety forum

29 September 2016

The work of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) was presented in a poster at the International Forum on Quality and Safety in Healthcare conference in Singapore on 26-28 September.

Healthwatch Bristol publishes guide for public involvement in mental health services

Healthwatch Bristol publishes guide for public involvement in mental health services

9 September 2016

Healthwatch Bristol has published a guide for patients and the public, to help them find out how they can make their voices heard on local mental health services.

Health Integration Teams projects being taken forward by CLAHRC West

Health Integration Teams projects being taken forward by CLAHRC West

11 July 2016

Six projects relating to the work of Bristol Health Partners Health Integration Teams (HITs) are being taken forward by NIHR CLAHRC West from their 2016 project call.

Health Integration Team model evaluation paper published

Health Integration Team model evaluation paper published

1 July 2016

The results of NIHR CLAHRC West's preliminary evaluation of the ‘Health Integration Team’ model have been published in BMC Health Services Research.

Our 2015-16 annual review is out now

Our 2015-16 annual review is out now

27 June 2016

Our 2015-16 annual review was launched at our annual Health Integration Team (HIT) conference on 17 June. The Bristol Health Partners annual review showcases the work of the partnership and includes updates from most of our 20 HITs and a round-up of the...

Improving Care in Self-Harm HIT review of 2015-16

Improving Care in Self-Harm HIT review of 2015-16

12 May 2016

​Salena Williams, Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) gives an update on the HIT's activities in 2015-16.

Health Integration Teams well represented in Bristol Health and Care Awards shortlist

Health Integration Teams well represented in Bristol Health and Care Awards shortlist

4 March 2016

Bristol Health Partners Health Integration Teams (HITs) are well represented in the shortlist for the inaugural Bristol Health and Care Awards. HITs are a pioneering way of working on health issues in Bristol.

Bristol Health Partners at the NHS Innovation Expo

Bristol Health Partners at the NHS Innovation Expo

22 September 2015

Bristol Health Partners had a stand and ran a prestigious pop-up university session at this year's NHS Health and Care Innovation Expo, which took place in Manchester on 2-3 September.

Improving Care in Self-Harm HIT review of 2014-15

Improving Care in Self-Harm HIT review of 2014-15

4 May 2015

Salena Williams, Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) gives an update on the HIT's activities in 2014-15.

NIHR CLAHRC West research projects announced

NIHR CLAHRC West research projects announced

29 January 2015

The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) has announced the first round of research projects that it will be working on in the first part of 2015.

GPC prescribing investigation following STITCH call

GPC prescribing investigation following STITCH call

12 November 2014

The General Practitioners Committee (GPC) of the British Medical Association is undertaking an investigation into prescribing, following the Improving Care in Self-Harm Health Integration Team (STITCH HIT) called for medicines that are lethal in overdose...

Improving Care in Self-Harm HIT review of 2013-14

Improving Care in Self-Harm HIT review of 2013-14

22 August 2014

Salena Williams, Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT), looks back at the team's work in 2013-14.

STITCH HIT's Salena Williams on BBC Radio Bristol

STITCH HIT's Salena Williams on BBC Radio Bristol

7 July 2014

Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT), Salena Williams appeared on BBC Radio Bristol on Saturday 5 July, talking about the new extended Liaison Psychiatry service at the city's A&E departments.

Kerry McCarthy raises STITCH's work in Parliament

Kerry McCarthy raises STITCH's work in Parliament

11 June 2014

Kerry McCarthy, MP for Bristol East, has raised STITCH HIT's recommendation to allow prescriptions to be dispensed in instalments for at risk patients, in Parliament.

STITCH HIT shortlisted for Patient Safety and Care Awards

STITCH HIT shortlisted for Patient Safety and Care Awards

7 May 2014

The Improving Care in Self-Harm Health Integration Team (STITCH HIT) has been shortlisted in the Mental Health category of the 2014 Patient Safety & Care Awards.

Focus on the Improving Care in Self-Harm (STITCH) HIT

Focus on the Improving Care in Self-Harm (STITCH) HIT

12 March 2014

STITCH HIT is working to reduce the number of suicides in the Bristol area, by transforming understanding of self-harm across the health service and improving treatment and support for self-harm patients.

Project to investigate the internet's impact on suicide

Project to investigate the internet's impact on suicide

18 February 2014

Researchers at the University of Bristol are joining forces with Samaritans to carry out groundbreaking research into the role the internet plays for those with suicidal thoughts.

Improving the A&E experience of self-harm patients

Improving the A&E experience of self-harm patients

5 December 2013

The Improving Care in Self-Harm (STITCH) Health Integration Team held a ground-breaking 'shared voices' conference in October where Bristol Royal Infirmary Emergency Department (ED) staff and self-harm patients came together for the first time.

Self-Harm HIT's Salena Williams on Woman's Hour

Self-Harm HIT's Salena Williams on Woman's Hour

29 November 2013

Improving Care in Self-Harm HIT Director Salena Williams appeared on Radio 4's Woman's Hour on 29 November, talking about her work on improving the experience of self-harm patients in A&E.

Improving Care in Self-Harm HIT

The Improving Care in Self-Harm Health Integration Team (HIT) is working to reduce the number of suicides in the Bristol area, by transforming understanding of self-harm across the health service and improving treatment and support for self-harm patients. They aim to ensure self-harm treatment and care is equitable, fully evidence based and non-stigmatising for all self-harmers, and to reduce suicides in Bristol.

Self-harm is a growing problem for the NHS in Bristol and across the rest of the UK, with around 200,000 hospital emergency department cases reported nationally every year. The number of people who self-harm in Bristol alone is estimated at around 25,000. The condition is the highest predictor of suicide, with self-harm patients 35 times more likely to end their own lives.

Latest news and events

Launch of the distrACT app: an app to help people who self-harm

Launch of the distrACT app: an app to help people who self-harm

30 November 2017

The distrACT app is aimed at people who are considering or already self-harm, offering them quick access to advice and support. It has been created by practising medical doctors together with young adults and experts in self-harm and suicide prevention.

Suicide and self-harm prevention app launches in Bristol

Suicide and self-harm prevention app launches in Bristol

20 November 2017

A new app to help people who are considering self-harm or having suicidal thoughts is launching in Bristol on 30 November. The distrACT app is designed to give easy, quick and discreet access to general health information and advice about self-harm.

The winners of the Bristol Health and Care Awards 2017

The winners of the Bristol Health and Care Awards 2017

31 October 2017

The city’s heroes of healthcare were recognised at a sparkling event hosted by the Bristol Post on Wednesday 25 October 2017.

Extending liaison psychiatry service at the Bristol Royal Infirmary improves care and reduces costs for self-harm patients

Extending liaison psychiatry service at the Bristol Royal Infirmary improves care and reduces costs for self-harm patients

23 August 2017

Extending the operating hours of the liaison psychiatry service at the Bristol Royal Infirmary’s (BRI) Emergency Department has led to improved care and outcomes for patients who have self-harmed, NIHR-funded research has found.

Improving Care in Self-Harm HIT's successes in 2016-17

Improving Care in Self-Harm HIT's successes in 2016-17

9 May 2017

Salena Williams and Sue Dursley, Co- Directors of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) give an update on the HIT's activities in 2016-17. STITCH HIT is working to reduce the number of suicides in the Bristol area.

NHS England pledges £750k to Bristol Royal Infirmary for 24 hour psychiatric liaison service

NHS England pledges £750k to Bristol Royal Infirmary for 24 hour psychiatric liaison service

5 April 2017

NHS England has awarded University Hospitals Bristol NHS Foundation Trust £750k to extend psychiatric liaison services in the emergency department at the Bristol Royal Infirmary. This means they will be available 24 hours a day, seven days a week.

Two Health Integration Teams responsible for £340,000 savings annually

Two Health Integration Teams responsible for £340,000 savings annually

28 March 2017

Two Health Integration Teams (HITs), Bristol Bones and Joints and STITCH, are responsible for £340,000 annual savings in the city’s two acute trusts, through changes to services and care pathways.

In numbers: STITCH HIT's successes

In numbers: STITCH HIT's successes

6 February 2017

The Improving Care in Self-Harm Health Integration Team (STITCH HIT) have had some spectacular successes over the last few years. The team have been working hard to make improvements to take self-harm care towards parity of esteem with physical illness, i...

Mental Health HIT seminar proves a hit with commissioners

Mental Health HIT seminar proves a hit with commissioners

26 January 2017

Commissioners, researchers and people from voluntary organisations heard from Bristol Health Partners HITs seminar on 23 January. The theme of the seminar was 'Improving mental health care pathways across the STP footprint.

STITCH HIT's work highlighted in National Suicide Prevention Strategy progress report

STITCH HIT's work highlighted in National Suicide Prevention Strategy progress report

10 January 2017

The work of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) has been recognised in the Department of Health's third National Suicide Prevention Strategy progress report.

Listen out for HITs on Bristol Community Radio

Listen out for HITs on Bristol Community Radio

23 November 2016

Bristol Health Partners and our Health Integration Teams will be the focus of a special edition of Healthwatch's monthly Bristol Community Radio (BCFM) wellbeing show on 13 December.

STITCH work on zero suicide presented at international quality and safety forum

STITCH work on zero suicide presented at international quality and safety forum

29 September 2016

The work of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) was presented in a poster at the International Forum on Quality and Safety in Healthcare conference in Singapore on 26-28 September.

Healthwatch Bristol publishes guide for public involvement in mental health services

Healthwatch Bristol publishes guide for public involvement in mental health services

9 September 2016

Healthwatch Bristol has published a guide for patients and the public, to help them find out how they can make their voices heard on local mental health services.

Health Integration Teams projects being taken forward by CLAHRC West

Health Integration Teams projects being taken forward by CLAHRC West

11 July 2016

Six projects relating to the work of Bristol Health Partners Health Integration Teams (HITs) are being taken forward by NIHR CLAHRC West from their 2016 project call.

Health Integration Team model evaluation paper published

Health Integration Team model evaluation paper published

1 July 2016

The results of NIHR CLAHRC West's preliminary evaluation of the ‘Health Integration Team’ model have been published in BMC Health Services Research.

Our 2015-16 annual review is out now

Our 2015-16 annual review is out now

27 June 2016

Our 2015-16 annual review was launched at our annual Health Integration Team (HIT) conference on 17 June. The Bristol Health Partners annual review showcases the work of the partnership and includes updates from most of our 20 HITs and a round-up of the...

Improving Care in Self-Harm HIT review of 2015-16

Improving Care in Self-Harm HIT review of 2015-16

12 May 2016

​Salena Williams, Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) gives an update on the HIT's activities in 2015-16.

Health Integration Teams well represented in Bristol Health and Care Awards shortlist

Health Integration Teams well represented in Bristol Health and Care Awards shortlist

4 March 2016

Bristol Health Partners Health Integration Teams (HITs) are well represented in the shortlist for the inaugural Bristol Health and Care Awards. HITs are a pioneering way of working on health issues in Bristol.

Bristol Health Partners at the NHS Innovation Expo

Bristol Health Partners at the NHS Innovation Expo

22 September 2015

Bristol Health Partners had a stand and ran a prestigious pop-up university session at this year's NHS Health and Care Innovation Expo, which took place in Manchester on 2-3 September.

Improving Care in Self-Harm HIT review of 2014-15

Improving Care in Self-Harm HIT review of 2014-15

4 May 2015

Salena Williams, Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT) gives an update on the HIT's activities in 2014-15.

NIHR CLAHRC West research projects announced

NIHR CLAHRC West research projects announced

29 January 2015

The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) has announced the first round of research projects that it will be working on in the first part of 2015.

GPC prescribing investigation following STITCH call

GPC prescribing investigation following STITCH call

12 November 2014

The General Practitioners Committee (GPC) of the British Medical Association is undertaking an investigation into prescribing, following the Improving Care in Self-Harm Health Integration Team (STITCH HIT) called for medicines that are lethal in overdose...

Improving Care in Self-Harm HIT review of 2013-14

Improving Care in Self-Harm HIT review of 2013-14

22 August 2014

Salena Williams, Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT), looks back at the team's work in 2013-14.

STITCH HIT's Salena Williams on BBC Radio Bristol

STITCH HIT's Salena Williams on BBC Radio Bristol

7 July 2014

Director of the Improving Care in Self-Harm Health Integration Team (STITCH HIT), Salena Williams appeared on BBC Radio Bristol on Saturday 5 July, talking about the new extended Liaison Psychiatry service at the city's A&E departments.

Kerry McCarthy raises STITCH's work in Parliament

Kerry McCarthy raises STITCH's work in Parliament

11 June 2014

Kerry McCarthy, MP for Bristol East, has raised STITCH HIT's recommendation to allow prescriptions to be dispensed in instalments for at risk patients, in Parliament.

STITCH HIT shortlisted for Patient Safety and Care Awards

STITCH HIT shortlisted for Patient Safety and Care Awards

7 May 2014

The Improving Care in Self-Harm Health Integration Team (STITCH HIT) has been shortlisted in the Mental Health category of the 2014 Patient Safety & Care Awards.

Focus on the Improving Care in Self-Harm (STITCH) HIT

Focus on the Improving Care in Self-Harm (STITCH) HIT

12 March 2014

STITCH HIT is working to reduce the number of suicides in the Bristol area, by transforming understanding of self-harm across the health service and improving treatment and support for self-harm patients.

Project to investigate the internet's impact on suicide

Project to investigate the internet's impact on suicide

18 February 2014

Researchers at the University of Bristol are joining forces with Samaritans to carry out groundbreaking research into the role the internet plays for those with suicidal thoughts.

Improving the A&E experience of self-harm patients

Improving the A&E experience of self-harm patients

5 December 2013

The Improving Care in Self-Harm (STITCH) Health Integration Team held a ground-breaking 'shared voices' conference in October where Bristol Royal Infirmary Emergency Department (ED) staff and self-harm patients came together for the first time.

Self-Harm HIT's Salena Williams on Woman's Hour

Self-Harm HIT's Salena Williams on Woman's Hour

29 November 2013

Improving Care in Self-Harm HIT Director Salena Williams appeared on Radio 4's Woman's Hour on 29 November, talking about her work on improving the experience of self-harm patients in A&E.

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