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Journal Article

Citation

Phillips G, Gerdtz MF, Elsom SJ, Weiland TJ, Castle D. Perspect. Psychiatr. Care 2014; 51(2): 148-153.

Affiliation

St. Vincent's Mental Health, Melbourne, Victoria, Australia.

Copyright

(Copyright © 2014, John Wiley and Sons)

DOI

10.1111/ppc.12086

PMID

25327156

Abstract

BACKGROUND: There is no clear treatment pathway for people presenting to Australian emergency departments with deliberate self-harm.

PURPOSE: To explore variations in mental health nurses' disposition decisions for patients following risk assessment for deliberate self-harm. DESIGN AND METHOD: A survey was distributed to mental health nurses. This survey comprised demographic items and questions in response to nine vignettes describing episodes of deliberate self-harm. Dispositional decision and reasoning were also sought for each vignette.

FINDINGS: Poor levels of agreement for disposition were found. PRACTICE IMPLICATIONS: There was a lack of consensus regarding dispositional outcomes. This suggests a high level of subjectivity in decision-making which needs to be taken into account within clinical governance.


Language: en

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