Deliberate self-harm and substance dependence: The management of patients seen in the general hospital

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TitleDeliberate self-harm and substance dependence: The management of patients seen in the general hospital
Publication TypeJournal Article
Year of Publication1996
AuthorsWylie, K, House, A, Storer, D, Raistrick, D, Henderson, M
JournalJournal of Mental Health Administration
Volume23
Pagination246-252
Date PublishedSpring
Publication Languageeng
ISBN Number0092-8623 (Print)0092-8623 (Linking)
Accession Number10172623
KeywordsAdult, Decision Making, Female, Great Britain, Hospitals, General/*organization & administration, Humans, Male, Mental Health Services/*utilization, Referral and Consultation/*statistics & numerical data, Risk Factors, Self-Injurious Behavior/*therapy, Substance-Related Disorders/*therapy, Suicide
Abstract

The aim of this study was to examine management decisions made at the time of assessment of an episode of deliberate self-harm seen in the general hospital and examine the extent of referral to a specialized addiction unit. Factors involved in making a clinical decision regarding the appropriate management of self-harm cases when alcohol factors were identified are reviewed. Simply referring to a specialized addiction unit was found to be an unsatisfactory method of providing a comprehensive response to the problem of substance misuse and deliberate self-harm. It is suggested that services should be developed using active posthospital discharge community follow-up. Motivational interviewing used in such a setting may increase the number of patients who will go on to accept specialist care.
URLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=10172623
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