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Incidents of self-harm are common on psychiatric wards. There are a wide variety of therapeutic, social and environmental interventions that have shown some promise in reducing self-harm in in-patient settings, but there is no consensus on the most appropriate means of reducing and managing self-harm during in-patient admissions. To review interventions used to reduce self-harm and suicide attempts on adolescent and adult psychiatric in-patient wards. A systematic literature search was conducted between 14 March 2019 and 25 January 2021