Objectives: To explore healthcare practitioners' views on management practices of self-harm in older adults. Methods: Semi-structured interviews were conducted with healthcare practitioners, including consultant psychiatrists, general practitioners, clinical psychologists, psychotherapists, clinical nurse specialists and social workers from mental health services. Purposive sampling was used to recruit participants in the Republic of Ireland ensuring diverse perspectives of healthcare professionals were included. Healthcare practitioners were recruited by advertising the study via professional and clinical research networks, social media, and snowballing methods. Interviews were audio-recorded, transcribed verbatim, and thematic analysis conducted. Results: We conducted interviews with 20 healthcare practitioners from April to July 2023. Three main themes were generated. First, supporting older adults after self-harm: complex and challenging. Second, multiple barriers to the management of self-harm: i) strained resources and unclear referral pathways, ii) limited awareness/health promotion, iii) unsuitable environments, iv) stigma and shame, and v) complexity of self-harm. Third, risk assessment in older adults: increased risk and the importance of safety planning. Relevant quotes from participants are provided to support these themes. Conclusions: Healthcare practitioners viewed self-harm in older adults as complex, challenging, and at high-risk of suicide, approaching patients with care and caution. The need for integrated support was identified. Suggestions were made of primary care having a lead role in identifying and managing older adults after self-harm. Increased mental health promotion and awareness of mental health and suicidal behaviour in this age group would help address current stigma and shame.