Prescribers aware: a cross-sectional study from New Zealand emergency departments on the substances used in intentional self-poisoning and their sources
| Autor: | Paul Quigley, Bruce Lambie, Eeva-Katri Kumpula, Shyamala Nada-Raja, Pauline Norris |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Native Hawaiian or Other Pacific Islander Prescription Drugs Intentional self poisoning Evening Adolescent Cross-sectional study MEDLINE Comorbidity risk management Young Adult 03 medical and health sciences Patient safety 0302 clinical medicine Interquartile range patient safety prescription medicines Humans Medicine 030212 general & internal medicine Medical prescription drug poisoning suicide Aged business.industry Mental Disorders Poisoning General Medicine Middle Aged medicine.disease Triage clinical practice Cross-Sectional Studies Socioeconomic Factors Female Medical emergency Public aspects of medicine RA1-1270 Emergency Service Hospital business Self-Injurious Behavior 030217 neurology & neurosurgery New Zealand |
| Zdroj: | Journal of Primary Health Care, Vol 12, Iss 3, Pp 235-243 (2020) |
| ISSN: | 1172-6156 |
| DOI: | 10.1071/hc20017 |
| Popis: | ABSTRACT INTRODUCTIONIntentional self-poisoning or self-harm through poisoning, is a common cause of presentations to emergency departments (EDs). National datasets do not allow identification of the substances most commonly used in hospital-treated intentional self-poisoning in New Zealand, nor do they capture sources of these substances. AIMTo investigate the specific substances used in intentional self-poisoning and the sources from which they are obtained. METHODSIn this cross-sectional study, information about the demographics and presentation particulars of intentional self-poisoning patients aged ≥16 years, presenting to three public EDs, as well as the substances they used in the self-poisoning event and the sources of these agents, were collected prospectively. RESULTSA total of 102 patients were recruited from the potentially eligible 1137 intentional self-poisoning patients presenting to the three EDs during the study period. Seventy per cent used their own prescription medications and 24% used medicines they purchased themselves. Paracetamol and ethanol were most commonly encountered substances. Patients presented a median of 1.9h after exposure (interquartile range 1.0–3.3h), 62% self-referred, 60% presented to the ED in the evening or at night and 66% were triaged into Australasian Triage Scale 3 (to be seen within 30min). Two-thirds were referred to emergency psychiatric services. DISCUSSIONCollecting specific substance information, such as from this study, can assist in planning specific activities to prevent intentional self-poisoning. As most people used their prescribed medicines, the findings can inform and assist doctors in their prescribing practices when they manage patients at risk of self-poisoning. |
| Databáze: | OpenAIRE |
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