TY - JOUR PY - 1991// TI - Self-poisoning patients discharged from accident and emergency: risk factors and outcome JO - Journal of the Royal College of Physicians of London A1 - Owens, David A1 - Dennis, Michael A1 - Jones, Shayne A1 - Dove, A. A1 - Dave, S. SP - 218 EP - 222 VL - 25 IS - 3 N2 - In a prospective audit of 1,096 consecutive attendances by deliberate self-poisoning patients at an accident and emergency department (A&E), such patients were discharged directly from A&E on 31% of occasions. Outcome and risk were compared for patients admitted to hospital and discharged directly from A&E. In the following year repetition of self-poisoning occurred in the same proportions of patients admitted to hospital and discharged from A&E (12%, relative risk 1.02). Suicide during the following three years occurred in 1.3% of patients admitted and 1.1% of those discharged (relative risk 1.2). Patients admitted to hospital from A&E were those likely to be at greater risk: they were older, reported more physical ill-health, expressed a threat or left a note more often, and had more frequently experienced psychiatric inpatient care. Thus, nearly one-third of deliberate self-poisoning attenders were discharged from A&E; outcomes were similar despite higher risk among admitted patients, suggesting that brief admission has some benefit.

Language: en

LA - en SN - 0035-8819 UR - http://dx.doi.org/ ID - ref1 ER -