caa a22 4500 38807289X CHVBK 20180307125153.0 cr unu---uuuuu 161130e199906 xx s 000 0 eng 10.1017/S079096670000519X doi S079096670000519X pii (NATIONALLICENCE)cambridge-10.1017/S079096670000519X Deliberate self-harm: how feasible are the current guidelines? [Elektronische Daten] [Alan Currie, Richard Blennerhassett] Objectives: To examine the operation of a deliberate self-harm service at a large general hospital with reference to standards outlined by the Royal College of Psychiatrists. To examine the characteristics of referrals and to make recommendations for improvements to the service. Method: Data on referral and assessment characteristics were collected for 96 consecutive referrals over a three month period. Results: The services achieved the college standards in relation to the time period for assessments. Most referrals were made routinely at a predictable time but assessments were conducted on an ad hoc basis. Only a minority of those referred had a mental illness or complex problems. A significant number of patients were discharged from the A&E department without a psychiatric assessment. Assessors underemphasised the role of previous deliberate self-harm and/or the presence of mental illness in forming a judgment on the risk of suicide. After-care arrangements were predominantly medical (general practitioners or psychiatrists) with little multidisciplinary input. Conclusions: The deliberate self-harm service at the hospital could be improved by the establishment of a self-harm services planning group to oversee the delivery of the service throughout the hospital and address the deficits identified. Given the number of referrals seen within the service and the fact that deliberate self-harm is only one element of a comprehensive liaison service, consideration should be given to the establishment of a separate multi-disciplinary liaison team. Once again importance is drawn to the need for all assessors to be aware of the risk factors in relation to the future risk of suicide rather than placing undue emphasis on whether the most recent attempt was planned or impulsive in nature. Copyright © Cambridge University Press 1999 Deliberate self-harm nationallicence Guidelines nationallicence Multi-disciplinary liaison team nationallicence Currie Alan Hadrian Clinic, Newcastle General Hospital, Westgate Road, Newcastle-upon-Tyne, NE4 6BE, England aut Blennerhassett Richard St. Ita's Hospital, Portrane, Donabate, Co Dublin, Ireland aut Irish Journal of Psychological Medicine Cambridge University Press 16/2(1999-06), 61-63 0790-9667 16:2<61 1999 16 IPM https://doi.org/10.1017/S079096670000519X text/html Onlinezugriff via DOI 1 conference jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S079096670000519X text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Currie Alan Hadrian Clinic, Newcastle General Hospital, Westgate Road, Newcastle-upon-Tyne, NE4 6BE, England aut NATIONALLICENCE 700 1- Blennerhassett Richard St. Ita's Hospital, Portrane, Donabate, Co Dublin, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Psychological Medicine Cambridge University Press 16/2(1999-06), 61-63 0790-9667 16:2<61 1999 16 IPM CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge