@article{ref1,
title="Psychiatric treatment of deliberate self-harm in the out-of-hours services",
journal="Tidsskrift for den Norske Laegeforening",
year="2009",
author="Walby, Fredrik A. and Ness, Ewa",
volume="129",
number="9",
pages="885-887",
abstract="BACKGROUND: Patients who harm themselves are often considered difficult to treat. There are no evidence-based approaches available for the emergency setting. General practitioners should nevertheless be able to offer interventions directed towards emotional needs in self-harm patients. In this article we suggest how to intervene in such situations. MATERIAL AND METHOD: Based on experience from Oslo psychiatric out-of-hours service and with elements from Dialectic Behavioural Therapy, we present a five-step model for treatment of these patients in an out-of-hours service within the primary health care services. RESULTS: The aim of this model is to bring the patient out of the acute crisis and to arrange for further treatment. Assessment, validation or confirmation, problem-solving, avoiding unnecessary hospitalisation, and focus on continuing established treatment, are important elements in the proposed intervention. This can all be carried out in 60 - 90 min. INTERPRETATION: The model may be suitable for training general practitioners to meet and care for patients with self-harm behaviour in the out-hours-services. We have positive experience with the intervention, but systematic research is necessary to assess the effect of the model.<p /> <p>Language: no</p>",
language="no",
issn="0029-2001",
doi="10.4045/tidsskr.08.0417",
url="http://dx.doi.org/10.4045/tidsskr.08.0417"
}