Management of deliberate self poisoning

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7155.415a (Published 08 August 1998) Cite this as: BMJ 1998;317:415

Liaison psychiatric nurses can be used to increase psychosocial assessments

  1. Edwina Williams, Specialist registrar in psychiatry,
  2. Carole Mitchell, Specialist registrar in psychiatry,
  3. Joanie Preston, Senior liaison psychiatric nurse,
  4. Kate Augarde, Liaison psychiatric nurse,
  5. Rachelle Barber, Liaison psychiatric nurse,
  6. Jose Catal´n, Reader in psychiatry, Imperial College School of Medicine,
  7. Barbara Jones, Coordinator
  1. Psychological Medicine, South Kensington and Chelsea Mental Health Centre, London SW10 9NG
  2. Carlyle Unit, Chelsea and Westminster Hospital, London SW10 9NH
  3. Department of Psychiatry, Hairmyres Hospital, East Kilbride G75 8RG

    EDITOR—Kapur et al express concern about the management of episodes of deliberate self harm in different centres.1 They found that 46% of patients referred to hospital after deliberate self harm did not receive psychosocial assessment, contrary to guidelines issued by the Department of Health and by the Royal College of Psychiatrists.2

    Chelsea and Westminster Hospital has for some years had a team of social workers and psychiatrists who are involved in the psychosocial assessment of patients after deliberate self harm. The hospital experienced a 69% increase in the annual number of episodes of deliberate self harm for which patients were referred between 1992 (n=374) and 1997 (n=632). Despite the team having close links with the casualty department and medical inpatient wards, the proportion …

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