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Psychosocial assessment following self-harm: repetition of nonfatal self-harm after assessment by psychiatrists or mental health nurses.
- Source :
-
Crisis [Crisis] 2010; Vol. 31 (4), pp. 211-6. - Publication Year :
- 2010
-
Abstract
- Background: Patients admitted to hospital because of self-harm should receive psychosocial assessment before discharge. In practice many of these assessments in the United Kingdom and elsewhere are undertaken by trainee rather than specialist psychiatrists.<br />Aims: To compare psychosocial assessments, aftercare, and the pattern of non-fatal repetition for patients admitted to general hospital after self-harm: comparing assessments carried out by trainee psychiatrists, allocated to the task alongside other duties on a roster, or by mental health nurses with a designated role in self-harm services.<br />Methods: Arrangements for aftercare and rates of non-fatal repetition of self-harm in 787 consecutive psychosocial assessments in a large UK city were compared, according to whether the assessments were carried out by trainee psychiatrists or mental health nurses.<br />Results: Compared with nurses, psychiatrists were much more likely to arrange psychiatric admission or outpatient follow-up. Nurses more often pointed people towards voluntary sector help - such as drug, alcohol or relationship counselling. Repetition of self-harm was equally common among those assessed by nurses or psychiatrists (33%; hazard ratio 0.93, 95% confidence interval 0.71 to 1.2).<br />Conclusions: Despite making fewer aftercare arrangements that involved statutory mental health care services, psychosocial assessment by mental health nurses showed no sign of detrimental effects on repetition of self-harm.
- Subjects :
- Adolescent
Adult
Aftercare psychology
Aftercare statistics & numerical data
Aged
Aged, 80 and over
Chi-Square Distribution
Emergency Service, Hospital
England
Female
Humans
Kaplan-Meier Estimate
Male
Mental Disorders diagnosis
Middle Aged
Odds Ratio
Psychiatric Nursing
Psychiatry
Risk Assessment
Secondary Prevention
Self-Injurious Behavior prevention & control
Suicide, Attempted prevention & control
Suicide, Attempted psychology
Young Adult
Self-Injurious Behavior psychology
Subjects
Details
- Language :
- English
- ISSN :
- 2151-2396
- Volume :
- 31
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Crisis
- Publication Type :
- Academic Journal
- Accession number :
- 20801751
- Full Text :
- https://doi.org/10.1027/0027-5910/a000022