Skip to main content
×
×
Home

Protocol for the assessment of self-harm in young people: initial audit and training implications

  • Sarah Huline-Dickens (a1) and Tony Adiele (a2)
Abstract
Aims and Methods

This paper describes the development and initial audit of a protocol for the assessment of young people up to the age of 18 years who presented to the accident and emergency department (A&E) with self-harm. A key part of the project was education and training.

Results

Regular training of senior house officers (SHOs) in A&E may have contributed to an increase in young people being admitted to a bed for proper assessment (as per the protocol), but psychosocial assessments undertaken by SHOs in A&E were still only partial, and there was no apparent use of the mental state examination.

Clinical Implications

Child and adolescent mental health services have an important role to play in liaising with local A&E departments in training of junior staff in psychosocial assessment and the use of the mental state examination. This is especially relevant in the light of the new training requirements of the foundation years.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Protocol for the assessment of self-harm in young people: initial audit and training implications
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Protocol for the assessment of self-harm in young people: initial audit and training implications
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Protocol for the assessment of self-harm in young people: initial audit and training implications
      Available formats
      ×
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.
References
Hide All
Foundation Programme Committee of the Academy of Medical Royal Colleges (2005) Curriculum for the Foundation Years in Postgraduate Education and Training. http://www.mmc.nhs.uk/download_files/Curriculum-for-thefoundation-years-in-postgraduateeducation-and-training.pdf
Kingsbury, S. (1996) PATHOS: a screening instrument for adolescent overdose. Journal of Child Psychology and Psychiatry and Allied Disciplines, 37, 609611.
National Institute for Clinical Excellence (2004) Self-Harm: The Physical and Psychological Management and Secondary Prevention of Self-Harmin Primary and Secondary Care. NICE.
Royal College of Psychiatrists (1994) The General Hospital Management of Adult Deliberate Self-Harm: A Consensus Statement on Standards of Service Provision (Council Report CR32). Royal College of Psychiatrists.
Royal College of Psychiatrists (1998) Managing Deliberate Self-Harm in Young People (Council Report CR64). Royal College of Psychiatrists.
Teasdale, G. & Jennett, B. (1974) Assessment of coma and impaired consciousness. Lancet, 2, 8183.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 5 *
Loading metrics...

Abstract views

Total abstract views: 50 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 22nd June 2018. This data will be updated every 24 hours.

Protocol for the assessment of self-harm in young people: initial audit and training implications

  • Sarah Huline-Dickens (a1) and Tony Adiele (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *