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A dedicated district poisons treatment unit: response to the College guidance on the management of deliberate self-harm

  • R. C. Scorer (a1), P. Beck (a2), J. Bisson (a1), S. White (a2) and P. A. Routledge (a2)...
Abstract
Aims and method

An examination of the activities of a district-wide dedicated admission unit for poisoned patients in Cardiff, Wales, between 1987 and 1997. Number of admission episodes, gender, drugs taken. intent, psychiatric diagnosis and disposal were recorded.

Results

Although the number of admission episodes almost doubled over the 10–year period, the median length of stay fell by almost half.

Clinical implications

The results suggest that a dedicated unit is a cost-effective model for the management of poisoned patients.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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References
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Bialas, M. C., Reid, P. G., Beck, P., et al (1996) Changing patterns of poisoning in a UK health district. Quarterly Journal of Medicine, 89, 893 901.
Hawton, K. (1986) Deliberate self-harm. Medicine, 24, 77 80.
Hawton, K., Fagg, J., Simkin, S., et al (1994) The epidemiology of attempted suicide in the Oxford area, England (1989–1992). Crisis, 15, 123 135.
Janes, J. M. & Routledge, P. A. (1992) Recent developments in the management of paracetamol (acetaminophen) poisoning. Drug Safety, 7, 170 177.
Jenkins, R., Griffiths, S., Wylie, I., et al (1994) The Prevention of Suicide. London: HMSO.
Kennedy, P. (1972) Efficacy of a regional poisoning treatment centre in preventing further suicidal behaviour. British Medical Journal iv, 255 257.
McLoone, P. & Crombie, I. K. (1996) Hospitalisation for deliberate self-poisoning in Scotland from 1981 to 1993: trends in rates and types of drugs used. British Journal of Psychiatry, 169, 81 85.
Parker, D., White, J. P., Paton, D., et al (1990) Safety of late acetylcysteine treatment in paracetamol poisoning. Human and Experimental Toxicology, 9, 25 27.
Royal College of Psychiatrists (1983) The College guidance on the management of deliberate self-harm. Bulletin of the Royal College of Psychiatrists, 7, 210 212.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A dedicated district poisons treatment unit: response to the College guidance on the management of deliberate self-harm

  • R. C. Scorer (a1), P. Beck (a2), J. Bisson (a1), S. White (a2) and P. A. Routledge (a2)...
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