Compliance with NICE guidelines in the management of self-harm
2010
Aims and method To identify the provision of psychosocial
assessments for all people attending an accident and emergency department in
Ireland with a presentation indicative of self-harm over 12 months and to
investigate whether the National Institute for Health and Clinical Excellence
(NICE) guidelines for self-harm were met. Results A total of 834 attendances for self-harm were recorded. A
psychosocial assessment was undertaken by a member of the liaison psychiatry
team in 59% of attendances. Single male patients under 45 years of age
represented 39% of those who did not receive a psychosocial assessment. Clinical implications Single men under the age of 45 years represent
a vulnerable group in which levels of psychosocial assessment need to be
optimised in order to meet the NICE guidelines for standards of care.
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