Self-inflicted burn injuries represent a subset of burns that require special care and consideration for the biopsychosocial needs of the patient, even more so than the holistic care required for all burns patients. These patients are highly vulnerable, at risk of stigmatisation and inequitable medical care due to assumptions about their treatment outcomes. In burns surgery, the decision to recommend operative or non-operative management is a nuanced and multifaceted consideration. This presentation will review the available evidence to describe the epidemiology, clinical characteristics and clinician perspectives of self-inflicted burns, highlighting the value of multidisciplinary team contributions to management, and discuss our unit’s experience managing self-inflicted burns in the paediatric population.