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National clinical programme for the assessment and management of patients presenting to Emergency Departments following self-harm.

Creator:

Health Service Executive; College of Psychiatrists

Catalogue: Research and Evaluation
Report
Type: Report
Region: Republic of Ireland
Northern Ireland
Description:

In 2014, more than 11,000 people came to Irish general hospital Emergency Departments following self-harm. From the National Self-Harm Registry Ireland, we know that up to 15% of patients who present following self-harm will leave the Emergency Department (ED) without a bio-psycho-social (BPS) assessment of risk and need, and that 17% of patients will repeat their self-harm act within 3 months (Griffin et al, 2015).

Self-harm is the single biggest risk factor for completed suicide, increasing the risk of suicide 40-fold, as compared to the general population (Owen et al, 2002; Carroll et al, 2014). Suicide is now the commonest cause of death for young men (aged 15-24 years) and middle aged men (45-54 years). Alcohol consumption is implicated in more than 37% of cases of self-harm (Griffin et al, 2015) and half of those who die by suicide have had a history of alcohol abuse in the final year of their lives (Arensman et al, 2013).

Diversity with regard to assessment procedures and management in health settings, as well as feedback from families bereaved by suicide, have led to repeated calls for the development and resourcing of an effective response for people who present to health services having engaged in self-harm.

The aim of this National Clinical Care Programme (NCP) for the Assessment and Management of Patients Presenting to Emergency Departments Following Self-harm is to develop a standardised and effective process for the assessment and management of individuals of all age ranges, including children, adolescents, adults and older adults, who present with self-harm to ED.

Date:

01/03/2016

DOI:

10.14655/6841-980542

Rights: Public
Suggested citation:

Health Service Executive; College of Psychiatrists. (2016) National clinical programme for the assessment and management of patients presenting to Emergency Departments following self-harm. [Online]. Available from: http://publichealthwell.ie/node/980542 [Accessed: 20th November 2019].

  

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National Drugs Library
 
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