scholarly journals Deliberate self-harm

2001 ◽  
Vol 25 (3) ◽  
pp. 98-101 ◽  
Author(s):  
Sean Whyte ◽  
Andrew Blewett
Keyword(s):  
Mental State ◽  
Psychiatric Care ◽  
Case Note ◽  
Clinical Implications ◽  
Deliberate Self Harm ◽  
Accident And Emergency ◽  
Self Harm ◽  
Medical Wards ◽  
The Impact

Aims and MethodA repetition after 5 years of a prospective case note audit, looking at the impact of a recently established deliberate self-harm (DSH) assessment team on the quality of DSH assessments at Kettering general hospital.ResultsAspecialist DSH team achieved improvement in the quality of psychiatric assessments for the majority of patients who harmed themselves. Assessments of mental state by accident and emergency (A & E) and medical staff before referral to the psychiatric team remain problematic.Clinical ImplicationsSetting up aspecialist team to assess patients who harm themselves can improve the quality of the psychiatric care they receive, but emphasis must still be placed on an adequate assessment of mental state by medical and nursing staff in A&E and on medical wards.

scholarly journals Patients repeatedly attending accident and emergency departments seeking psychiatric care

2011 ◽  
Vol 35 (2) ◽  
pp. 60-62 ◽  
Author(s):  
Eugene F. Okorie ◽  
Colm McDonald ◽  
Brendan Dineen
Keyword(s):  
Chart Review ◽  
Psychiatric Care ◽  
Clinical Implications ◽  
Psychiatric Admissions ◽  
Accident And Emergency ◽  
Distinctive Group ◽  
Effective Community ◽  
Using Data ◽  
The Cost

Aims and methodThis study was conducted to ascertain the clinical characteristics of patients who repeatedly attend accident and emergency (A&E) department seeking psychiatric assessment and care. We identified 24 individuals who attended frequently and compared them with 72 matched single attenders using data abstracted by chart review.ResultsIndividuals who attended frequently made up 5.3% of all patients who attended the A&E department for psychiatric care but accounted for 19% of all such presentations. Compared with controls, they were younger at first psychiatric contact and had higher rates of schizophrenia and psychiatric admissions.Clinical implicationsA small but distinctive group of patients repeatedly seek and obtain hospital-based psychiatric care. Early identification of these patients and targeting them with effective, community-oriented strategies, such as home treatment, could improve their quality of life and prognoses as well as reduce the cost of their care.

Deliberate Self-Harm: The Interplay Between Attachment and Stress

2010 ◽  
Vol 27 (2) ◽  
pp. 93-103 ◽  
Author(s):  
Lisa Hallab ◽  
Tanya Covic
Keyword(s):  
Stress Path ◽  
Coping Mechanism ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Risky Behaviours ◽  
The Impact ◽  
The Relationship ◽  
Attachment To Father ◽  
Attachment To Mother

AbstractThis study investigated the relationship between attachment, mood and deliberate self-harm (DSH) in a nonclinical population (n= 114). In addition to a range of risky behaviours, the most commonly reported DSH behaviours wereHead-banging(47%),Hitting(46%),Scratching(38%) andCutting(34%). Those who engaged in DSH had poorer quality of attachment to both parents but not peers, and higher levels of depression, anxiety and stress. Path analysis was then used to examine the interaction between attachment, mood and DSH. The impact of the quality of attachment on DSH was found to be mediated by stress, which suggests that DSH may be a maladaptive coping mechanism. Attachment to father and peers was found to be more influential than attachment to mother. Our findings suggest that DSH may be more prevalent in the community than previously recognised, and that attachment, which is currently neglected in DSH research, warrants further investigation in both clinical and nonclinical populations.

Effects of use of an eHealth platform e-Vita for COPD patients on disease specific quality of life domains

2020 ◽  
Keyword(s):  
Quality Of Life ◽  
Functional State ◽  
Mental State ◽  
Self Management ◽  
Copd Patients ◽  
Before And After ◽  
Ehealth Intervention ◽  
The Impact ◽  
Disease Specific

Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the eHealth intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0,20% before the intervention and 0,27% after the intervention; this difference was statistically significant (P=0.027). The decrease of CCQ-mental was 0,97% before the intervention and after the intervention there was an increase of 0,017%; this difference was statistically significant (P=0,01). No significant difference was found in the slopes of CCQ (P=0,12) and CCQ-function (P=0,11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. In conclusion, this study shows that after the introduction of the COPD platform, patients experienced fewer symptoms, but their mental state deteriorated slightly at the same time. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management.

Hipoterapia w usprawnianiu dziecka z mózgowym porażeniem dziecięcym

2018 ◽  
Vol 21 (2A) ◽  
Author(s):  
Bartek Czokało ◽  
Joanna Chojnowska ◽  
Wioletta Pogroszewska
Keyword(s):  
Upper Limb ◽  
Mental State ◽  
Lower Limb ◽  
Rehabilitation Process ◽  
Self Confidence ◽  
Horse Riding ◽  
Time Stage ◽  
Block Test ◽  
The Impact

Introduction. Hippotherapy is diversified therapeutic treatment using a horse. Horse riding is a final and at the same time one of the most stretched in time stage of improving athleticism. It is a replenishment of the rehabilitation process and it gives an opportunity to acquire new skills. Aim. 1. Evaluating the impact of hippotherapy on prehensile functions of an upper limb. 2. Evaluating the impact of hippotherapy on lower limb range of motion. 3. Evaluating the impact of hippotherapy on a mental state of a child with CP. Material and methods. The author of the thesis conducted a study of a 6-year-old child with CP based on: a questionnaire, Lovett’s test, Box and Block Test and the measurement of the limbs circuits. Results. The exercises conducted improved the balance and attentiveness. Marginally the quality of the exercises was improved, as well. Conclusions. Hippotherapy gives an opportunity to overcome the discouragement and the lack of self-confidence in personal movement capabilities. It has an impact on a cognitive and emotional sphere of a child.

Psychiatry

2012 ◽  
pp. 601-629
Author(s):  
Jonathan P. Wyatt ◽  
Robin N. Illingworth ◽  
Colin A. Graham ◽  
Kerstin Hogg ◽  
Michael J. Clancy ◽  
...  
Keyword(s):  
Mental State ◽  
Suicide Risk ◽  
Psychiatric Interview ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
State Examination ◽  
Psychiatric Problems

Approach to psychiatric problems 602 Glossary of psychiatric terms 603 The psychiatric interview 604 Mental state examination 606 The aggressive patient: background 608 Safe consultations with potentially violent patients 609 Managing aggression 610 Emergency sedation of a violent patient 611 Deliberate self-harm 612 Assessment of suicide risk ...

Concordance of clinical estimation of suicidal intent

2002 ◽  
Vol 19 (3) ◽  
pp. 84-85 ◽  
Author(s):  
Helen S Keeley ◽  
Carmel McAuliffe ◽  
Paul Corcoran ◽  
Ivan J Perry
Keyword(s):  
Multicentre Study ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
Statistical Comparison ◽  
Accident And Emergency ◽  
Psychometric Instruments ◽  
Suicide Intent ◽  
Self Harm ◽  
Clinical Records ◽  
Level Of Agreement

AbstractObjective: The aim of this paper is to assess the level of agreement between clinical estimates of suicidal intent based entirely on information recorded in the Accident and Emergency acute assessment and Beck's Suicide Intent Scale (SIS) scores.Method: As part of the WHO/EURO Multicentre Study of Parasuicide, cases of deliberate self-harm (DSH) in Cork city hospitals were monitored. Over the period 1995-1997, the information recorded in the Accident and Emergency acute assessment was examined by a psychiatrist and, if possible on the available evidence, clinical estimates were made at three levels of suicidal intent: minimal, moderate and definite. Seventy-nine of these cases had fully completed Beck's SIS. Statistical comparison was made between the results of the SIS and the clinical estimate of suicide intent.Results: The agreement (Kappa = 0.146, p = 0.046) and concordance (Lin's concordance coefficient = 0.330, p = 0.001) between the two ratings are statistically significant but both are low. The overlap between those identified as high or low intent is low.Conclusions: These findings indicate low agreement between a clinician's rating of suicide intent based on clinical records and Beck's SIS. This is especially relevant given the increasing reliance on psychometric instruments in assessment in psychiatry. However, further investigation is necessary to clarify which is the more valid method.

scholarly journals Effects of education on attitudes to deliberate self-harm

1997 ◽  
Vol 21 (6) ◽  
pp. 334-335 ◽  
Author(s):  
Gill Turnbull ◽  
Trudie Chalder
Keyword(s):  
General Knowledge ◽  
Attitude Questionnaire ◽  
Specialist Service ◽  
Deliberate Self Harm ◽  
Accident And Emergency ◽  
Number Of Patients ◽  
Before And After ◽  
Teaching Package ◽  
Self Harm ◽  
Knowledge And Attitude

Accident and emergency (A&E) staff completed a general knowledge and attitude questionnaire related to suicide and deliberate self-harm (DSH) before and after a teaching package. The results showed an increase in general knowledge while attitudes remained the same. Following the teaching package there was an increase in the number of patients who contacted the Specialist Service for DSH.

scholarly journals Triage in mental health – a new model for acute in-patient psychiatry

2005 ◽  
Vol 29 (7) ◽  
pp. 255-258 ◽  
Author(s):  
Gary Inglis ◽  
Martin Baggaley
Keyword(s):  
Psychiatric Care ◽  
Systems Approach ◽  
Psychiatric Service ◽  
Clinical Implications ◽  
Bed Occupancy ◽  
Care Needs ◽  
London Borough ◽  
New Model ◽  
The Impact ◽  
Whole Systems

Aims and MethodIn-patient psychiatric care needs urgent improvement and development. A new model of psychiatric care (triage) has been used for 6 months across an adult psychiatric service covering a London borough.ResultsPreliminary results show that the new model has reduced bed occupancy, leading to more-efficient throughput, with positive feedback from patients and staff. Important factors contributing to these positive changes include a whole-systems approach, senior medical input 6 days a week, creative use of information technology and a highly skilled multidisciplinary team.Clinical ImplicationsThe introduction of the new model has resulted in a more-efficient use of beds. Further evaluation will enable us to assess the impact on other parts of the service. As with all innovations, the improvements must be sustained once the initial enthusiasm has passed.

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