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3 results on '"self-harm patients"'

1. Impact of mood disorders and personality disorders on suicide intent among self-harm patients.

Author

Yaqoob, Naila and Ahsan, Sadaf

Subjects
*PERSONALITY disorders, *AFFECTIVE disorders, *ANTISOCIAL personality disorders, *NARCISSISTIC personality disorder, *BORDERLINE personality disorder, *SUICIDE, *ATTEMPTED suicide
Abstract

Objectives: The present research examined the impact of mood disorder and personality disorders on suicide intent among self-harm patients using cross sectional research design. Methods: A clinical sample of 220 self-harm inpatients with age of 18 to 35 years was collected through purposive sampling technique from different mental health departments of Rawalpindi, Jhelum and Multan hospitals. Study was conducted from June 2019 till November, 2021. Data was compiled in three steps. In step-I, rapport was established with patients and identification of intent was carried out by administering Beck Suicide Intent Scale. In step-II, mental illness was identified by administering Mood Disorder Questionnaire, Personality Diagnostic Questionnaire and subscale of Depression from Depression Anxiety and Stress Scale. In step-III, in order to confirm his / her responses and diagnosis, a detailed semi-structured clinical interview was carried out with each participant who responded positively to Personality Diagnostic Questionnaire. Results: Results revealed that bipolar spectrum disorder, depression and antisocial personality disorder were significantly positive predictors of suicide intent among self-harm patients. On the other hand, narcissistic personality disorder and borderline personality disorder were found to be significantly negative predictors of suicide intent among self-harm patients. Conclusion: Results of current research highlighted those predisposing factors that discriminate self-harm from attempted suicide. The study has important implications for identification of intent of self-harm patients, which could help in devising a proper treatment plan for the management of such challenging patients. [ABSTRACT FROM AUTHOR]

Published
2023
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2. Impact of closure of the in-house psychiatric care unit on prehospital and emergency ward length of stay and disposition locations in patients who attempted suicide

Author

Ono, Yuko, Ono, Nozomi, Kakamu, Takeyasu, Ishida, Tokiya, Inoue, Shigeaki, Kotani, Joji, and Shinohara, Kazuaki

Subjects
Adult, Male, Mental Health Services, Emergency Medical Services, psychiatric bed, deinstitutionalization, Observational Study, Hospitals, Community, Suicide, Attempted, Psychiatric Department, Hospital, Health Facility Closure, Cohort Studies, Japan, Humans, self-harm patients, Referral and Consultation, Retrospective Studies, psychiatric consultation, Length of Stay, Middle Aged, psychiatric emergency, Patient Discharge, Hospitalization, Case-Control Studies, Female, Emergency Service, Hospital, Deinstitutionalization, Research Article
Abstract

Suicide is an increasingly serious public health care concern worldwide. The impact of decreased in-house psychiatric resources on emergency care for suicidal patients has not been thoroughly examined. We evaluated the effects of closing an in-hospital psychiatric ward on the prehospital and emergency ward length of stay (LOS) and disposition location in patients who attempted suicide. This was a retrospective before-and-after study at a community emergency department (ED) in Japan. On March 31, 2014, the hospital closed its 50 psychiatric ward beds and outpatient consultation days were decreased from 5 to 2 days per week. Electronic health record data of suicidal patients who were brought to the ED were collected for 5 years before the decrease in in-hospital psychiatric services (April 1, 2009–March 31, 2014) and 5 years after the decrease (April 1, 2014–March 31, 2019). One-to-one propensity score matching was performed to compare prehospital and emergency ward LOS, and discharge location between the 2 groups. Of the 1083 eligible patients, 449 (41.5%) were brought to the ED after the closure of the psychiatric ward. Patients with older age, burns, and higher comorbidity index values, and those requiring endotracheal intubation, surgery, and emergency ward admission, were more likely to receive ED care after the psychiatric ward closure. In the propensity matched analysis with 418 pairs, the after-closure group showed a significant increase in median prehospital LOS (44.0 minutes vs 51.0 minutes, P

Published
2021

3. Impact of closure of the in-house psychiatric care unit on prehospital and emergency ward length of stay and disposition locations in patients who attempted suicide: A retrospective before-and-after cohort study at a community hospital in Japan

Author

Kazuaki Shinohara, Yuko Ono, Takeyasu Kakamu, Tokiya Ishida, Shigeaki Inoue, Joji Kotani, and Nozomi Ono

Subjects
medicine.medical_specialty, business.industry, psychiatric consultation, psychiatric bed, MEDLINE, deinstitutionalization, General Medicine, Odds ratio, Emergency department, Mental health, Confidence interval, Community hospital, psychiatric emergency, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Propensity score matching, Medicine, 030212 general & internal medicine, self-harm patients, business, Psychiatry, Cohort study
Abstract

Suicide is an increasingly serious public health care concern worldwide. The impact of decreased in-house psychiatric resources on emergency care for suicidal patients has not been thoroughly examined. We evaluated the effects of closing an in-hospital psychiatric ward on the prehospital and emergency ward length of stay (LOS) and disposition location in patients who attempted suicide. This was a retrospective before-and-after study at a community emergency department (ED) in Japan. On March 31, 2014, the hospital closed its 50 psychiatric ward beds and outpatient consultation days were decreased from 5 to 2 days per week. Electronic health record data of suicidal patients who were brought to the ED were collected for 5 years before the decrease in in-hospital psychiatric services (April 1, 2009–March 31, 2014) and 5 years after the decrease (April 1, 2014–March 31, 2019). One-to-one propensity score matching was performed to compare prehospital and emergency ward LOS, and discharge location between the 2 groups. Of the 1083 eligible patients, 449 (41.5%) were brought to the ED after the closure of the psychiatric ward. Patients with older age, burns, and higher comorbidity index values, and those requiring endotracheal intubation, surgery, and emergency ward admission, were more likely to receive ED care after the psychiatric ward closure. In the propensity matched analysis with 418 pairs, the after-closure group showed a significant increase in median prehospital LOS (44.0 minutes vs 51.0 minutes, P

Published
2021

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