Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 4 of 4
Comparison of the assessment by doctors and nurses of deliberate self-harm
- Author:
- WESTON Sian Nerys
- Journal article citation:
- Psychiatric Bulletin, 27(2), February 2003, pp.57-60.
- Publisher:
- Royal College of Psychiatrists
The aim of this article was to compare the assessment by community psychiatric nurses and junior psychiatric doctors of individuals following deliberate self-harm (DSH) and, in particular, to elicit differences in referral practices and perceptions of mental illness. The health professionals involved completed questionnaires after carrying out DSH assessment. There was a significant difference in referral patterns between doctors and nurses after DSH assessment. Doctors were significantly more likely to refer individuals for psychiatric follow-up which involved direct contact with other doctors (51 of 72 (71%) compared with 60 of 175 (34%)). Doctors were also significantly more likely than nurses to perceive individuals as having a mental illness (57 of 72 (79%) compared with 86 of 175 (49%)). Further research is warranted to establish the precise reasons for these differences, and to determine whether the widespread introduction of nurse-led services is an effective and efficient use of resources.
The care programme approach and risk assessment of borderline personality disorder: clinical validation of the CORE risk sub-scale
- Authors:
- WHEWELL P., BONANNO D.
- Journal article citation:
- Psychiatric Bulletin, 24(10), October 2000, pp.381-384.
- Publisher:
- Royal College of Psychiatrists
Article describes the validation of self-report of risk by patients with borderline personality disorder (BPD) as compared with the judgement of experienced psychotherapists in regular contact with them. The aim was to validate the Clinical Outcomes in Routine Evaluation System (CORE) self-report in order to be able to use it monitor risk change for patients with BPD in psychotherapy and general psychiatric settings. There was significant separation correlation between CORE risk sub-scales for self-harm, suicide and risk to others and therapists' estimation of significant risk v. no significant risk.
Clinical management of women who self-wound: a survey of mental health professionals' preferred strategies
- Authors:
- HUBAND Nick, TANTAM Digby
- Journal article citation:
- Journal of Mental Health, 8(5), October 1999, pp.473-487.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study aimed to evaluate professional opinion on various strategies for the clinical management of self-wounding in female patients. The strategies of maintaining regular discussion amongst involved staff and of encouraging the client to ventilate unexpressed feelings were seen as the most helpful, with medication and hospital admission regarded as unhelpful.
How predictable is violence and suicide in community psychiatric practice?
- Authors:
- SHERGILL Sukhwinder S., SZMUKLER George
- Journal article citation:
- Journal of Mental Health, 7(4), August 1998, pp.393-401.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Reports on research assessing the level of risk of violence and suicide in patients seen routinely by a community mental health team. Risk assessment questionnaires were completed by community mental health team professionals for all contacts with all patients seen by the team over a one-month period. The variables best identifying those judged at risk of suicide were previous violence to person or property, specific threats towards another, expression of emotions related to violence in the mental state examination and absence of previous depressive illness. Results indicate a large number of patients seen by the community teams are at risk of suicide and violence; yet suicide or incidents of serious violence are rare. This highlights the difficulty in accurate prediction and the limits of risk management strategies recommended by inquiries following such events.