@article{ref1,
title="Deliberate self-harm (DSH) out of hour's presentations",
journal="Irish journal of psychological medicine",
year="2010",
author="McNicholas, Fiona and O'Sullivan, Michael and Lennon, Ruth and Doherty, Mairin and Adamson, Neil",
volume="27",
number="1",
pages="11-14",
abstract="OBJECTIVE: To establish time of presentation to paediatric accident and emergency (A&E) services of children with deliberate self-harm (DSH). <br><br>METHOD: All children presenting to an acute paediatric hospital with DSH or suicidal ideation between 1993-2003 were identified and time of presentation collected from their case notes. <br><br>RESULTS: Of the 172 children where the actual time of presentation was recorded, the majority of children - 137 (80%) presented to the hospital outside of the 'normal working hours' of 9am-5pm, Monday - Friday. These children represent an at-risk group, and were more likely to have consumed alcohol, to have made a suicide attempt, and to have a family history of psychiatric illness than children presenting with &quot;normal working hours&quot;. <br><br>CONCLUSION: DSH in young people is a significant public health problem in Ireland and is a major risk factor for completed suicide. Access to an out of hours on-call Child and Adolescent Psychiatry (CAP) services is essential if these children are to have a mental health assessment, as recommended by the Royal College of Psychiatry and National Institute of Clinical Excellence. These services need to be urgently developed.<p /> <p>Language: en</p>",
language="en",
issn="0790-9667",
doi="10.1017/S0790966700000847",
url="http://dx.doi.org/10.1017/S0790966700000847"
}