@article{ref1,
title="Do we manage deliberate self-harm appropriately? Characteristics of general hospital patients who are offered psychiatric aftercare",
journal="International journal of psychiatry in clinical practice",
year="2003",
author="Blenkiron, P. and Milnes, D.",
volume="7",
number="1",
pages="27-32",
abstract="BACKGROUND The appropriateness of psychiatric management decisions following an episode of deliberate self-harm is under-researched. AIM To determine whether the offer of follow-up or psychiatric admission by psychiatric doctors is related to known predictors of repetition of self-harm or completed suicide, and recognition of a depressive disorder. <br><br>METHODS Prospective survey of 158 adult self-harm referrals from the general hospital. <br><br>RESULTS Offer of aftercare was significantly associated with a definite wish to die at the time of the attempt (P&lt;0.001), Beck's Suicide Intent score (P=0.001), Beck's Hopelessness score (P=0.001), age (P&lt;0.01) and an ICD-10 diagnosis of depression (P&lt;0.001). Psychiatric admission was more likely for men (P=0.01) and accommodation problems (P=0.04) and less likely for relationship problems (P=0.01). <br><br>CONCLUSIONS Psychiatrists are selectively admitting or following up patients from established high-risk groups. Given the limitations of suicide prevention and mental health resources, their management is appropriate.<p /><p>Language: en</p>",
language="en",
issn="1365-1501",
doi="10.1080/13651500310001031",
url="http://dx.doi.org/10.1080/13651500310001031"
}