| Patient characteristics and behaviours associated with self-harm and attempted suicide in acute psychiatric wards. | |
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MedLine Citation:
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PMID: 22512008 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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AIMS AND OBJECTIVES: The study examined events before and after incidents of self-harm and attempted suicide and the characteristics of patients who engage in these behaviours. BACKGROUND: Psychiatric inpatient populations have an elevated risk of self-harm and suicide, but relatively little is known about the circumstances of these events during an admission. DESIGN: Retrospective case note analysis. METHOD: Data were collected on conflict (aggression, rule breaking, etc.) and containment (coerced medication, restraint, etc.) during the first two weeks of admission for a sample of 522 acute psychiatric inpatients. RESULTS: One in 10 patients self-harmed, and 4% attempted suicide. Aggression, attempting to leave the ward without permission and medication refusal were frequent precursors to incidents. Pro re nata medication and de-escalation were the most frequent interventions to follow an incident. Self-harm and attempted suicides during the current admission were significantly associated with younger age and a history of self-harm. CONCLUSIONS: A minority of the sample were involved in these behaviours, but incidents occurred soon after admission and sometimes repeatedly during the course of a day. Assessment of risk should be completed as early as possible. RELEVANCE TO CLINICAL PRACTICE: At-risk patients should be monitored for signs of withdrawal from ward activity, wanting to leave the ward without permission or non-compliance with medication to enable early intervention. |
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Authors:
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Duncan Stewart; Jamie Ross; Charlotte Watson; Karen James; Len Bowers |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of clinical nursing Volume: 21 ISSN: 1365-2702 ISO Abbreviation: J Clin Nurs Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-04-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207302 Medline TA: J Clin Nurs Country: England |
Other Details:
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Languages: eng Pagination: 1004-13 Citation Subset: N |
Affiliation:
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Health Service and Population Research, Institute of Psychiatry, Kings College London, London, UK. duncan.stewart@kcl.ac.uk |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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