Australia Launches First Clinical Guideline for Youth Acute Mental Health

Australia Launches First Clinical Guideline for Youth Acute Mental Health

08 Apr 2026

The guidelines offer practical advice on risk assessments, follow-up care, and evidence-based treatments for patients up to 19 years old, including those with suicidal thoughts or non-suicidal self-injury (NSSI).

Developed with the Murdoch Children’s Research Institute (MCRI) and the University of Melbourne Department of Paediatrics, the resource equips healthcare providers to identify, assess, and respond to acute mental health symptoms.

The guidelines are recognised by the Royal Australian College of General Practitioners as an Accepted Clinical Resource. They are designed for use across healthcare, education, and community settings to ensure young people receive safe and timely care.

Key recommendations cover:

  • Risk assessment based on the young person’s circumstances and support network.
  • Evidence-based treatment in both specialist and primary care settings.
  • Support for suicidal distress and NSSI in non-hospital settings, such as schools and community spaces.
  • Follow-up care and person-centred, culturally safe approaches.
  • Safer prescribing practices, including guidance against using medications specifically to treat suicidal ideation or NSSI without a comprehensive individual assessment.

Dr Tim Jones, Chair of RACGP Specific Interests Child and Young Person’s Health, said the guidelines provide a best-practice framework for GPs dealing with young people at high risk.

“They reinforce that GPs are a safe, non-judgemental space for young people struggling with mental health, supporting both the individual and their families,” Dr Jones said.

The guideline also applies to patients up to 25 years old, reflecting the importance of continuity of care.

Research has shown a gap in clinical guidance for young people presenting with NSSI. These new guidelines were developed in collaboration with healthcare providers, researchers, young people, and carers, with input from those with lived experience of suicidal ideation or self-harm.

Sydney Stevens, MCRI researcher and Chair of the guidelines, said listening to young people was key to bridging the gap between evidence and real-world care.

“These guidelines highlight where the system has fallen short and how services must change to better support vulnerable young people,” Ms Stevens said.

The guidelines are intended to be used alongside policymakers, healthcare providers, and families to improve Australia’s mental health system and reduce hospitalisations for intentional self-harm.

https://www1.racgp.org.au/

Source: Murdoch Children’s Research Institute, University of Melbourne, RACGP