RT Article T1 Sometimes, not always, not never: a response to Pickard and Pearce JF Journal of medical ethics VO 44 IS 3 SP 209 OP 210 A1 Sullivan, J. LA English PB BMJ Publ. YR 2018 UL https://ixtheo.de/Record/1816102644 AB This paper provides a response to Hanna Pickard and Stephen Pearce’s paper ‘Balancing costs and benefits: a clinical perspective does not support a harm minimisation approach for self-injury outside of community settings.’ This paper responded to my article ‘Should healthcare professionals sometimes allow harm? The case of self-injury.’ There is much in the paper that I would agree with, but I feel it is important to respond to a number of the criticisms of my paper in order to clarify my position and to facilitate ongoing debate in relation to this important issue. DO 10.1136/medethics-2017-104343