Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-08T10:13:41.810Z Has data issue: false hasContentIssue false
  • English
  • Français

General hospital services for those who carry out deliberate self-harm

Published online by Cambridge University Press:  02 January 2018

Tom Hughes ,
Susan Hampshaw ,
Edward Renvoize  and
David Storer
Tom Hughes*
Affiliation:
Level 5, Clinical Sciences Building, St James's University Hospital, Leeds LS9 7TF
Susan Hampshaw
Affiliation:
Department of Clinical Audit
Edward Renvoize
Affiliation:
Department of Clinical Audit
David Storer
Affiliation:
Department of Liaison Psychiatry, Leeds General Infirmary, Great George Street, Leeds LS1 3EX
*
∗Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The Royal College of Psychiatrists has published national guidelines for services for those who carry out deliberate self-harm. This study aimed to discover whether these recommendations are being followed. We conducted a semi-structured interview with a professional from the accident and emergency service and one from the specialist service at each of 16 hospitals in the former Yorkshire Regional Health Authority. The findings are that services are not adhering to the guidelines. The production of guidelines without an adequate implementation strategy is ineffective. The Department of Health should endorse the College guidelines, and produce an implementation strategy to secure the involvement of purchasers and providers.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 2 , February 1998 , pp. 88 - 91
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Department of Health and Social Security (1984) The Management of Deliberate Self-harm (Health Notice HN (84)25). Heywood: Department of Health and Social Security.Google Scholar
Hawton, K. & Fagg, J. (1992) Trends in deliberate self-poisoning and self-injury in Oxford, 1976–1990. British Medical Journal 304, 1409–1411.Google Scholar
Hawton, K. & Fagg, J. & James, R. (1995) General hospital services for attempted suicide patients: a survey in one region. Health Trends, 27, 18–21.Google Scholar
Hawton, K. & Fagg, J., McKeown, S., Day, A., et al (1987) Evaluation of outpatient counselling compared with general practitioner care following overdoses. Psychological Medicine, 17, 751–761.Google Scholar
McLeavy, B. C., Daly, R. J., Ludgate, J. W., et al (1994) Interpersonal problem-solving skills training in the treatment of self-poisoning patients. Suicide and Life-Threatening Behaviour, 24, 382–394.Google Scholar
Owens, D. (1990) Self-harm patients not admitted to hospital. Journal of the Royal College of Physicians of London, 24, 281–283.Google Scholar
Royal College of Psychiatrists (1994) The General Hospital Management of Adult Deliberate Self-Harm. A Consensus Statement on Standards for Service Provision (Council Report CR32). London: Royal College of Psychiatrists.Google Scholar
Salkovskis, P., Atha, C. & Storer, D. (1990) Cognitive–behavioural problem solving in the treatment of patients who repeatedly attempt suicide: a controlled trial. British Journal of Psychiatry, 157, 871–876.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.