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- W1993963030 abstract "BACKGROUND The appropriateness of psychiatric management decisions following an episode of deliberate self-harm is under-researched. AIM To determine whether the offer of follow-up or psychiatric admission by psychiatric doctors is related to known predictors of repetition of self-harm or completed suicide, and recognition of a depressive disorder. METHODS Prospective survey of 158 adult self-harm referrals from the general hospital. RESULTS Offer of aftercare was significantly associated with a definite wish to die at the time of the attempt (P<0.001), Beck's Suicide Intent score (P=0.001), Beck's Hopelessness score (P=0.001), age (P<0.01) and an ICD-10 diagnosis of depression (P<0.001). Psychiatric admission was more likely for men (P=0.01) and accommodation problems (P=0.04) and less likely for relationship problems (P=0.01). CONCLUSIONS Psychiatrists are selectively admitting or following up patients from established high-risk groups. Given the limitations of suicide prevention and mental health resources, their management is appropriate." @default.
- W1993963030 created "2016-06-24" @default.
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- W1993963030 date "2003-01-01" @default.
- W1993963030 modified "2023-09-23" @default.
- W1993963030 title "Do we manage deliberate self-harm appropriately? Characteristics of general hospital patients who are offered psychiatric aftercare" @default.
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- W1993963030 doi "https://doi.org/10.1080/13651500310001031" @default.
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