Abstract
The outcome in 115 consecutive patients with mild self-poisoning seen by junior medical staff and discharged from the accident department was compared with that of 98 similar patients admitted to the medical wards. Psychiatrists saw only four patients in the accident department and 25 admissions. In making their assessments the junior medical staff considered psychosocial factors as well as the patients' physical condition. Most patients recommended for further care, and discharged from the accident department, subsequently received it. Repetition rates were similar in the two groups and there had been no suicides when patients were followed up at one year. It is feasible for junior staff in an accident department to decide whether patients with self-poisoning need admission or may be discharged with or without subsequent referral for psychiatric or social work help.
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Selected References
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- Black D., Pond D. Management of patients after self-poisoning. Br Med J. 1980 Oct 25;281(6248):1141–1141. doi: 10.1136/bmj.281.6248.1141-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Buglass D., Horton J. The repetition of parasuicide: a comparison of three cohorts. Br J Psychiatry. 1974 Aug;125(0):168–174. doi: 10.1192/bjp.125.2.168. [DOI] [PubMed] [Google Scholar]
- Gardner R., Hanka R., Evison B., Mountford P. M., O'Brien V. C., Roberts S. J. Consultation-liaison scheme for self-poisoned patients in a general hospital. Br Med J. 1978 Nov 18;2(6149):1392–1394. doi: 10.1136/bmj.2.6149.1392. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gardner R., Hanka R., O'Brien V. C., Page A. J., Rees R. Psychological and social evaluation in cases of deliberate self-poisoning admitted to a general hospital. Br Med J. 1977 Dec 17;2(6102):1567–1570. doi: 10.1136/bmj.2.6102.1567. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Greer S., Bagley C. Effect of psychiatric intervention in attempted suicide: a controlled study. Br Med J. 1971 Feb 6;1(5744):310–312. doi: 10.1136/bmj.1.5744.310. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holding T. A., Buglass D., Duffy J. C., Kreitman N. Parasuicide in Edinburgh--a seven-year review 1968-74. Br J Psychiatry. 1977 Jun;130:534–543. doi: 10.1192/bjp.130.6.534. [DOI] [PubMed] [Google Scholar]
- Kennedy P. Efficacy of a regional poisoning treatment centre in preventing further suicidal behaviour. Br Med J. 1972 Nov 4;4(5835):255–257. doi: 10.1136/bmj.4.5835.255. [DOI] [PMC free article] [PubMed] [Google Scholar]