When do patients presenting with self harm but no suicidal ideation in an outpatient setting require a higher level of care?  

This will be highly specific to the individual patient, and like all treatment decisions, hinges on a comprehensive evaluation of risks vs. benefits. Considerations include the underlying psychiatric diagnoses, the degree of self harm (severity, timing, etc.), participation in/response to treatment ...

The level of care necessary to treat non-suicidal self-injurious behavior (NSSI) depends on several factors, including actual suicide risk, family and social support, and the patient’s psychosocial functioning. NSSI is a strong predictor of suicidal behavior, so it is important that you ask th...