Document Detail


Back so soon: rapid re-presentations to the emergency department following intentional self-harm.
MedLine Citation:
PMID:  23321885     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Silke Kuehl; Katherine Nelson; Sunny Collings
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Publication Detail:
Type:  Journal Article     Date:  2012-12-14
Journal Detail:
Title:  The New Zealand medical journal     Volume:  125     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2012  
Date Detail:
Created Date:  2013-01-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  70-9     Citation Subset:  IM    
Affiliation:
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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