Effects of chronic opioid antagonism on gonadotrophin and ovarian sex steroid secretion during the luteal phase

Rossmanith, W. G.; Monn, Marcel; Benz, R.

doi:10.1046/j.1365-2265.1998.00474.x

Cited by 10 publications

(1 citation statement)

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“…I 2018 ønsket vi å foreta en kvalitetssikring av tilbudet og spørre de som selv hadde avtale, hvordan de så på tilbudet. Basert på tilbakemeldinger fra brukere og ansatte, og et økende antall publikasjoner fra andre land (Koekkoek et al, 2010;Mortimer-Jones et al, 2016Rossmanith et al, 1998;Westling et al, 2019), forventet vi at brukerne ville vaere positive til muligheten til selv å kontrollere innleggelse, og nøytrale eller negative til begrensningene i avtalen som inkluderte liggetid, karantenetid mellom innleggelser og begrenset ressurstilgang under innleggelsen.…”

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Kortvarige brukerstyrte innleggelser som alternativ til tvangsinnleggelse hos pasienter med alvorlig selvskading

Kunøe¹,

Antonsen²,

Ebeling³

et al. 2022

TNPF

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Background: Treatment guidelines recommend that patients with extreme self-harm behavior avoid admission to psychiatric wards. Some patients may escalate their self-harm until admission is granted for safety reasons. The resulting admissions often result in escalating self-harm that is managed with coercive measures. To prevent negative, repeated episodes of acute admissions with escalating self-harm and coercion before discharge, Lovisenberg Diaconal Hospital in 2013 developed a service providing brief acute ward admissions by self-referral. This article presents the first survey of users’ satisfaction with this targeted self-referral service and reflections on further development and evaluation of the service. Material and methods: In 2018, a total of 32 patients were enrolled in the self-referral service and were asked to respond to a survey on service satisfaction that included both multiple-choice and free-text responses. Twenty-three patients consented to participate. Group-based descriptive statistics of real-life service use was conducted to control for survey bias. Results: The majority had been diagnosed with borderline personality disorder. A total of 16 respondents were satisfied or very satisfied with the self-referral service. About 40% of the respondents had no new admissions following their enrolment in the self-referral service. Most respondents reported that the option of self-referral increased their everyday sense of safety and control, and emphasized the absence of emergency-room evaluation as a major advantage. Conclusion: Users’ responses indicate that a self-referral service tailored to this small group of patients may enhance their sense of self-control and everyday safety and reduce the need to escalate the level of self-harm necessary to qualify for regular acute psychiatric admission. This is consistent with studies of similar services in other countries. Keywords: long-term suicidal behavior, self-referral, brief hospital admissions, patient satisfaction

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