Deliberate Self-Harm Patients Who Discharge Themselves from the General Hospital Without Adequate Psychosocial Assessment
| Autor: | Rachel Crowder, Rohan Van Der Putt, Ceri-Anne Ashby, Andrew Blewett |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Poison control Suicide prevention Occupational safety and health Treatment Refusal Injury prevention Humans Medicine Prospective Studies Psychiatry Aged Psychological Tests business.industry Poisoning Psychiatric assessment Human factors and ergonomics Middle Aged Mental health Patient Discharge Psychiatry and Mental health England Female Emergency Service Hospital business Self-Injurious Behavior Psychosocial |
| Zdroj: | Crisis. 25:183-186 |
| ISSN: | 2151-2396 0227-5910 |
| Popis: | Deliberate self-harm patients who leave the acute hospital environment before the completion of psychiatric assessment have an increased risk of subsequent self-harm. We considered the available data on 50 premature self-discharges identified prospectively in a general hospital with a well-developed integrated-care pathway for self-harm patients, and compared them to a control group. The self-discharge group was found to be more likely to have attempted self-poisoning without alcohol intoxication or other forms or combinations of self-harm, and an absence of identifiable previous self-harm or prior contact with local specialist psychiatric services. The two groups showed no difference in age, sex, or area of residence based on community mental health team sectors. It is proposed that these findings indicate hypotheses for further studies of why people leave the hospital without adequate assessment, and how service design could be improved in order to help them. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|