Request form

Please use the form below to access specific information from the National Self-Harm Registry Ireland. Before you complete this form, please check our Statistics page to see if the information you require is detailed there.

Please provide sufficient detail of the data you are looking for. Please note that we cannot provide any data which would allow for any individual to be identified, either directly or indirectly.

If the information or data you require is more detailed than what is routinely available, we would ask that you contact the Registry directly and speak to a member of staff.

Section 2: Intended use of data. Please provide a short description of your intended use of the data. If applicable, please provide the name of the research study.
How will the data be stored? Please list all users who will have access to the data.
Section 3: Description of data required. Please give a detailed description of the data required (e.g. years required, local/national data, specific methods).