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Self-poisoning patients in the general hospital: the frequency and nature of their consultations with the general practitioner

Published online by Cambridge University Press:  13 June 2014

S Masood-ul Hasan  and
David Owens
S Masood-ul Hasan
Affiliation:
Northern Birmingham Mental Health Trust, Highcroft Hospital, Erdington, Birmingham, B23 6AL, England
David Owens
Affiliation:
Academic Unit of Psychiatry and Behavioural Sciences, University of Leeds, 15 Hyde Terrace, Leeds LS2 9LT, England
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Abstract

Objectives: To update the 20 year-old maxim that the majority of patients who undertake self-poisoning have recently seen their general practitioner, and to determine the patients' expressed reasons for consulting the doctor.

Methods: Two-stage cross-sectional survey: first, to find out from all self-poisoning patients whether they had recently attended their general practitioner; second, to determine, in a sub-sample of those who had attended, why they made their most recent consultation. The subjects were consecutive adult patients who were admitted to the general hospital in the City of Bradford as a consequence of self-poisoning.

Results: Overall 125/237 (53%) patients reported a consultation with their general practitioner in the previous month, and 61 of the 237 (26%) were within the last week. Patients recounted that their main expectations when consulting were to do with prescriptions, sick-notes and physical check-ups.

Conclusions: Although many of those who undertake self-poisoning consult their general practitioner shortly beforehand, a preponderance of physical complaints may render anticipation of the self-poisoning a difficult task.

Keywords

SuicideSelf-injurious behaviourOverdosePhysiciansPrimary health care
Type
Brief report
Information
Irish Journal of Psychological Medicine , Volume 20 , Issue 1 , March 2003 , pp. 15 - 17
Copyright
Copyright © Cambridge University Press 2000

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References

1.NHS Centre for Reviews and Dissemination. Deliberate self-harm. Effective Health Care 1998; 4; 1–12.Google Scholar
2.Owens, D, House, A. General hospital services for deliberate self-harm. J Roy Coll Physicians Lond 1994; 28; 370–1.Google ScholarPubMed
3.Kapur, N, House, A, Creed, F, Feldman, E, Friedman, T, Guthrie, E. Management of deliberate self poisoning in adults in four teaching hospitals; descriptive study. BMJ 1998;316:831–2.CrossRefGoogle ScholarPubMed
4.Currie, A, Blennerhassett, R. Deliberate self-harm: how feasible are the current guidelines? Irish Journal of Psychological Medicine 1999; 16: 61–3.CrossRefGoogle Scholar
5.Hawton, K, Blackstock, E. General practice aspects of self-poisoning and self-injury. Psychol Med 1976; 6:571–5.CrossRefGoogle ScholarPubMed
6.Gorman, D, Masterton, G. General practice consultation patterns before and after intentional overdose: a matched control study. Br J Gen Pract 1990; 40: 102–5.Google ScholarPubMed
7.Bancroft, J, Skrimshire, A, Casson, J, Harvard-Watts, O, Reynolds, F. People who deliberately poison or injure themselves: their problems and their contacts with helping agencies. Psychol Med 1977; 7: 289–303.CrossRefGoogle ScholarPubMed
8.Hawton, K, Fagg, J. Suicide, and other causes of death, following attempted suicide. Br J Psychiatry 1988; 152: 359–66.CrossRefGoogle ScholarPubMed