Document Detail


Service provision and outcome for deliberate self-poisoning in adults--results from a six centre descriptive study.
MedLine Citation:
PMID:  12861446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of the study was to compare the hospital management and direct costs of self-poisoning in six United Kingdom hospitals and to investigate whether hospital management influences outcome. METHOD: This was a prospective descriptive study carried out at three teaching hospitals and three district general hospitals in North West England on adults (aged 16 or over) presenting to the study centres with deliberate self-poisoning over a 5-month period. Data were based on demographic and clinical characteristics, management of the current episode, direct costs and repetition of self-poisoning within 12 weeks of index episode. RESULTS: There were 1778 episodes of self-poisoning during the study period. There were marked differences in management between centres. There was a fivefold difference in the rate of admission to a medical bed (16.5%-81.3%), and a twofold difference in the rate of psychosocial assessment (28.5%-57.7%). These differences remained after adjustment for demographic and clinical factors. Hospital costs per episode varied from pound 228 to pound 422 and repetition rate ranged from 10% to 16%. Psychosocial assessment was associated with a twofold reduction in the risk of repetition. CONCLUSIONS: The marked variability of services for self-poisoning continue. It seems likely that this is having a detrimental effect on patient outcomes. Large scale intervention studies are required to inform both clinical practice and service provision.
Authors:
Navneet Kapur; Allan House; Chris May; Francis Creed
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  Social psychiatry and psychiatric epidemiology     Volume:  38     ISSN:  0933-7954     ISO Abbreviation:  Soc Psychiatry Psychiatr Epidemiol     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-15     Completed Date:  2003-08-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8804358     Medline TA:  Soc Psychiatry Psychiatr Epidemiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  390-5     Citation Subset:  IM    
Affiliation:
Centre for Suicide Prevention, Dept. of Psychiatry & Behavioural Sciences, 7th Floor Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK. nav.kapur@man.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cohort Studies
Cost of Illness
Data Collection
England / epidemiology
Female
Hospital Costs
Hospitals, District / economics,  utilization*
Hospitals, General / economics,  utilization*
Hospitals, Teaching / economics,  utilization*
Humans
Male
Poisoning / economics,  epidemiology*,  psychology
Prospective Studies
Psychological Tests
State Medicine
Suicide, Attempted / economics,  statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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