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Patient characteristics and behaviours associated with self-harm and attempted suicide in acute psychiatric wards.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Apr2012, Vol. 21 Issue 7-8, p1004-1013, 10p, 3 Charts
- Publication Year :
- 2012
-
Abstract
- Aims and objectives. The study examined events before and after incidents of self-harm and attempted suicide and the characteristics of patients who engage in these behaviours. Background. Psychiatric inpatient populations have an elevated risk of self-harm and suicide, but relatively little is known about the circumstances of these events during an admission. Design. Retrospective case note analysis. Method. Data were collected on conflict (aggression, rule breaking, etc.) and containment (coerced medication, restraint, etc.) during the first two weeks of admission for a sample of 522 acute psychiatric inpatients. Results. One in 10 patients self-harmed, and 4% attempted suicide. Aggression, attempting to leave the ward without permission and medication refusal were frequent precursors to incidents. Pro re nata medication and de-escalation were the most frequent interventions to follow an incident. Self-harm and attempted suicides during the current admission were significantly associated with younger age and a history of self-harm. Conclusions. A minority of the sample were involved in these behaviours, but incidents occurred soon after admission and sometimes repeatedly during the course of a day. Assessment of risk should be completed as early as possible. Relevance to clinical practice. At-risk patients should be monitored for signs of withdrawal from ward activity, wanting to leave the ward without permission or non-compliance with medication to enable early intervention. [ABSTRACT FROM AUTHOR]
- Subjects :
- SUICIDE risk factors
RISK factors of self-injurious behavior
AGE distribution
CHI-squared test
CONFIDENCE intervals
CONFLICT (Psychology)
EPIDEMIOLOGY
RESEARCH methodology
MEDICAL cooperation
MEDICAL records
PSYCHIATRIC nursing
PSYCHOTHERAPY patients
RESEARCH
RESEARCH funding
SELF-injurious behavior
SEX distribution
STATISTICS
SUICIDAL behavior
T-test (Statistics)
LOGISTIC regression analysis
JUDGMENT sampling
DATA analysis
PATIENT refusal of treatment
RETROSPECTIVE studies
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 21
- Issue :
- 7-8
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 73176154
- Full Text :
- https://doi.org/10.1111/j.1365-2702.2011.03832.x