| Back so soon: rapid re-presentations to the emergency department following intentional self-harm. | |
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MedLine Citation:
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PMID: 23321885 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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AIM: To describe the number, characteristics and management of patients who presented to an emergency department (ED) with intentional self-harm and then re-presented for any reason within 1 week, over a 1-year period. METHOD: A retrospective records review from one New Zealand ED over 12 months. RESULTS: Of the 120 patients who attended the ED more than once with intentional self-harm, 48 re-presented on 73 occasions within 7 days of the index presentation. Of the re-presentations, 55% occurred within 1 day. Mental health assessments by emergency department staff were minimal; challenging incidents occurred in 40% of presentations; and there was an increase in the inpatient admission rate for second presentations. CONCLUSION: We identified a small group of patients who rapidly re-present to the ED following intentional self-harm. The reasons behind those re-presentations could include limited mental health assessments in ED and inadequate follow-up on discharge. System improvements in the ED including better collaboration with mental health services could improve how services address the needs of patients who present with intentional self-harm and reduce costs. |
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Authors:
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Silke Kuehl; Katherine Nelson; Sunny Collings |
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Publication Detail:
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Type: Journal Article Date: 2012-12-14 |
Journal Detail:
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Title: The New Zealand medical journal Volume: 125 ISSN: 1175-8716 ISO Abbreviation: N. Z. Med. J. Publication Date: 2012 |
Date Detail:
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Created Date: 2013-01-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: New Zealand |
Other Details:
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Languages: eng Pagination: 70-9 Citation Subset: IM |
Affiliation:
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Social Psychiatry and Population Mental Health Research Unit, University of Otago Wellington, PO Box 7343, Wellington South, Wellington 6024, New Zealand. silke.kuehl@otago.ac.nz. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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