scholarly journals Methods used and reasons for deliberate self harm: A cross-sectional study in acute care setting of Eastern Nepal

2017 ◽  
Vol 13 (2) ◽  
pp. 92-104
Author(s):  
Ajay Kumar Yadav ◽  
B K Rai ◽  
R Bhandari ◽  
DR Shakya ◽  
PP Gupta ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cross Sectional Study ◽  
Limited Information ◽  
Sectional Study ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Depth Interview ◽  
The Social ◽  
Self Harm ◽  
Agricultural Use

Background: Deliberate self-harm (DSH) is a widespread yet often hidden problem in adolescents and young adults though most DSH can be classified as “non-suicidal self-cutting”, some do go on to commit suicide. DSH present in acute settings of hospitals while limited information are found on reasons and methods for DSH in eastern Nepal. This study aimed at exploring the reasons and methods for deliberate self harm among patients presenting in acute setting of BPKIHS.Objective: To study the methods used and reasons for deliberate self harm in the patients presenting in emergency department and psychiatry outpatient clinics of BPKIHS.Method: Mix method (quantitative and qualitative) was used to conduct cross-sectional study using a pretested semi-structured questionnaire among 400 patients presenting in emergency department and out-patient clinic of Psychiatry department. In-depth interview was conducted among 12 respondents. Result: Four fifth of the patients, used poison as the method for DSH followed by hanging among less than a tenth of the patients. Majority (88%) of the patients did not have any planning before committing act of DSH. Interpersonal conflict (48%), financial reasons (20%) and broken love affairs (16%) are common events triggering DSH. Two-third of patients who presented with DSH were impulsive and almost two-fifth of them had depression.Conclusion: DSH was more common among the younger population. Advocacy to regulate the availability of pesticides for agricultural use may be needed to prevent the at risk population for accessing and using it for self harm. More community based studies to further explore the social aspects for the act of DSH and further researches is needed to design interventions to prevent the act of DSH at community level.Health Renaissance 2015;13(2): 92-104

scholarly journals Prevalence and correlates of domestic violence among people seeking treatment for self-harm: data from a regional self-harm register

2019 ◽  
pp. emermed-2018-207561
Author(s):  
Tom Rollo Dalton ◽  
Duleeka Knipe ◽  
Gene Feder ◽  
Salena Williams ◽  
David Gunnell ◽  
...  
Keyword(s):  
Emergency Department ◽  
Domestic Violence ◽  
General Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Self Harm ◽  
The Uk ◽  
Previous Occurrence

BackgroundPrevious research suggests that there is an association between domestic violence (DV) and self-harm (SH). Yet, the prevalence and clinical significance of DV among individuals presenting acutely to hospital with SH in the UK is unknown.ObjectiveTo measure the prevalence and correlates of DV among patients presenting to hospital with SH.MethodsWe conducted a cross-sectional study using registry data in order to describe the prevalence of DV within a UK population of people presenting to the emergency department (ED) with SH (n=1142).Results11.1% (95% CI 9.4% to 13.1%) of the sample reported DV. Those reporting DV were more likely to be female and separated from a partner. DV was associated with self-poisoning and with previous occurrence of SH.ConclusionOur findings suggest that DV victimisation is more prevalent among those presenting to ED with self-harm than among the general population of ED attenders, and that the presence of DV may signify increased risk among those presenting to ED with SH.

Coping Style as a Mediator of the Relationship Between Depressive Symptoms and Deliberate Self-Harm

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe
Keyword(s):  
Depressive Symptoms ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Blame ◽  
Self Harm ◽  
The Relationship

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.

scholarly journals Knowledge, attitudes, and practices of Cameroonian physicians with regards to acute pain management in the emergency department: a multicenter cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Paul Owono Etoundi ◽  
Junette Arlette Metogo Mbengono ◽  
Ferdinand Ndom Ntock ◽  
Joel Noutakdie Tochie ◽  
Dominique Christelle Anaba Ndom ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Acute Pain ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Acute Pain Management ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

scholarly journals A cross-sectional study reporting concussion exposure, assessment and management in Western Australian general practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Elizabeth Thomas ◽  
HuiJun Chih ◽  
Belinda Gabbe ◽  
Melinda Fitzgerald ◽  
Gill Cowen
Keyword(s):  
General Practice ◽  
Cross Sectional Study ◽  
Limited Information ◽  
Sectional Study ◽  
Cross Sectional ◽  
Usual Practice ◽  
Exact Test ◽  
Concussion Management ◽  
Practice Knowledge ◽  
Western Australian

Abstract Background General Practitioners (GPs) may be called upon to assess patients who have sustained a concussion despite limited information being available at this assessment. Information relating to how concussion is actually being assessed and managed in General Practice is scarce. This study aimed to identify characteristics of current Western Australian (WA) GP exposure to patients with concussion, factors associated with GPs’ knowledge of concussion, confidence of GPs in diagnosing and managing patients with concussion, typical referral practices and familiarity of GPs with guidelines. Methods In this cross-sectional study, GPs in WA were recruited via the RACGP WA newsletter and shareGP and the consented GPs completed an electronic survey. Associations were performed using Chi-squared tests or Fisher’s Exact test. Results Sixty-six GPs in WA responded to the survey (response rate = 1.7%). Demographics, usual practice, knowledge, confidence, identification of prolonged recovery as well as guideline and resource awareness of GPs who practised in regional and metropolitan areas were comparable (p > 0.05). Characteristics of GPs were similar between those who identified all symptoms of concussion and distractors correctly and those who did not (p > 0.05). However, 84% of the respondents who had never heard of concussion guidelines were less likely to answer all symptoms and distractors correctly (p = 0.039). Whilst 78% of the GPs who were confident in their diagnoses had heard of guidelines (p = 0.029), confidence in managing concussion was not significantly associated with GPs exposure to guidelines. It should be noted that none of the respondents correctly identified signs of concussion and excluded the distractors. Conclusions Knowledge surrounding concussion guidelines, diagnosis and management varied across GPs in WA. Promotion of available concussion guidelines may assist GPs who lack confidence in making a diagnosis. The lack of association between GPs exposure to guidelines and confidence managing concussion highlights that concussion management may be an area where GPs could benefit from additional education and support.

The effects of temperature and outcomes of patients presenting to the emergency department with heat-related illness: A retrospective cross-sectional study

2021 ◽  
Vol 7 (4) ◽  
pp. 220
Author(s):  
KundavaramPaul Prabhakar Abhilash ◽  
Feema Raju ◽  
AlbinC Biju ◽  
Karthik Gunasekaran ◽  
PavithraRatnam Mannam ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Effects Of Temperature
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