Self-neglect

This form of self-abuse is growing and is challenging to treat and manage. This covers a wide range of neglecting behaviours from care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. A decision on whether a response is required under safeguarding will depend on the adult’s ability to protect themselves (mental capacity) by controlling their own behaviour. There may come a point when they are no longer able to do this, without external support.

Signs of self-neglect might include:

• Poor personal hygiene
• Poor domestic hygiene
• Disregard to personal health issues
• Hoarding
• Obsessional behaviour

For many people, self-neglect becomes a lifestyle choice and careful attention is needed to avoid long-term harm.