Emergency department management and outcome for self-poisoning: a cohort study

Kapur, Navneet; Cooper, Jayne; Hiroeh, Urara; May, Chris; Appleby, Louis; House, Allan

doi:10.1016/j.genhosppsych.2003.06.002

Cited by 65 publications

(49 citation statements)

References 21 publications

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“…Previous studies in Manchester have suggested that about one-third of individuals in this population have psychiatric follow-up (1). A more detailed account of service provision in the study area is discussed elsewhere (14). The project covers a predominantly economically deprived urban population of about 600,000 people.…”

Section: Methodsmentioning

confidence: 99%

Suicide After Deliberate Self-Harm: A 4-Year Cohort Study

Cooper¹,

Kapur²,

Webb³

et al. 2005

AJP

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579

399

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Section: Methodsmentioning

confidence: 99%

Suicide After Deliberate Self-Harm: A 4-Year Cohort Study

Cooper¹,

Kapur²,

Webb³

et al. 2005

AJP

Self Cite

579

399

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“…At present, the effects of reducing adolescent depression on suicidality, deliberate self-harm, and their associated emergency department presentations are speculative. Although referral for specialist follow-up may reduce repetition after emergency department presentation for deliberate self-poisoning [41], it is unclear whether this applies to adolescents and what treatments in particular, for depression or otherwise, may have this effect. Intervention studies and studies of the effect of follow-up that can stratify reporting of suicidality and deliberate self-harm outcomes by depression status will help to inform this issue.…”

Section: Clarifying the Associations Between Depression Suicidalitymentioning

confidence: 99%

Adolescent depression and emergency department use: The roles of suicidality and deliberate self-harm

Bethell¹,

Rhodes²

2008

Curr Psychiatry Rep

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Depression is associated with increased health service use; clarifying the processes involved may offer strategies to reduce the disorder's individual and societal burdens. This review hypothesizes roles for suicidality and deliberate self-harm to partially explain a relationship between adolescent depression and increased emergency department use. Briefly, depression is associated with suicidality and deliberate self-harm, both of which are likely common among emergency department presentations in this age group. The overlap of depression with suicidality and deliberate self-harm has implications for suicide prevention strategies that emphasize diagnosing and treating adolescent depression. First, identifying and referring depression among these emergency department presentations is promising, but limitations must be addressed. Second, interventions for adolescent depression also may affect the health conditions associated with increased emergency department use, including suicidality and deliberate self-harm. However, much more research is needed on the pathways involved before such benefits, including cost offset, can be reasonably anticipated.

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“…UK (Bergen et al, 2010b), Ireland (Perry et al, 2012), East Asia (Chen et al, 2010) and internationally (Owens et al, 2002); or when restricted to only DSP populations in e.g. Australia (Carter et al, 1999) and UK (Kapur et al, 2004). The repetition rate for hospital treated self harm after one year is 15% and the suicide rate 0.5-2.0% after one year (Owens et al, 2002); with one in 4 suicides preceded by hospital treated self harm in the previous year (Owens & House, 1994), making this one of the important populations for the development of effective intervention or prevention strategies in order to reduce suicidal behaviours and suicide Gunnell & Frankel, 1994).…”

Section: Introductionmentioning

confidence: 99%

Postcards in Persia: A Twelve to Twenty-four Month Follow-up of a Randomized Controlled Trial for Hospital-Treated Deliberate Self-Poisoning

Hassanian‐Moghaddam

Sarjami²,

Kolahi

et al. 2015

Archives of Suicide Research

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This study reports the outcomes, during follow-up, of a low-cost postcard intervention in a Randomized Control Trial of hospital-treated self-poisoning (n = 2300). The intervention was 9 postcards over 12 months (plus usual treatment) versus usual treatment. Three binary endpoints at 12-24 months (n = 2001) were: any suicidal ideation, suicide attempt, or self-cutting. There was a significant reduction in any suicidal ideation (RRR 0.20 CI 95% 0.13-0.27), (NNT 8, 6-13), and any suicide attempt (RRR 0.31, 0.06-0.50), (NNT 35, 19-195), in this non-western population. However, there was no effect on self-cutting (RRR -0.01, -1.05-0.51). Sustained, brief contact by mail may reduce some forms of suicidal behavior in self-poisoning patients during the post intervention phase.

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Emergency department management and outcome for self-poisoning: a cohort study

Cited by 65 publications

References 21 publications

Suicide After Deliberate Self-Harm: A 4-Year Cohort Study

Suicide After Deliberate Self-Harm: A 4-Year Cohort Study

Adolescent depression and emergency department use: The roles of suicidality and deliberate self-harm

Postcards in Persia: A Twelve to Twenty-four Month Follow-up of a Randomized Controlled Trial for Hospital-Treated Deliberate Self-Poisoning

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