TY  - JOUR
PY  - 2006//
TI  - A clinical tool for assessing risk after self-harm
JO  - Psychiatria Danubina
A1  - Cooper, Jayne
A1  - Dunning, Joel
A1  - Guthrie, Else
A1  - Mackway-Jones, K.
A1  - Appleby, Louis
A1  - Kapur, Navneet
SP  - 55
EP  - 55
VL  - 18
IS  - Suppl 1
N2  - Objective: Development of a risk stratification model for use by Emergency Department clinical staff in the assessment of patients attending with self-harm. Methods: Participants were treated patients who attended five Emergency Departments in the largely urban areas of Manchester and Salford, UK following self-harm between 1st September 1997 and 28th February 2001. Social, demographic and clinical information were collected for each patient at each attendance. Using this data, a clinical decision rule was derived using recursive partitioning to discriminate between patients at higher and lower risk of repetition or subsequent suicide occurring within 6 months. Data from three Emergency Departments were used for the derivation set. The model was validated using data from the remaining two Emergency Departments. Results: Data on 9086 patients who presented with self-harm were collected, including 16.8% that reattended within 6 months and 15 patients who died by suicide within 6 months. A four question rule, with a sensitivity of 94% and specificity of 25%, was derived to identify patients at higher risk of repetition or suicide. Conclusions: Application of this simple, highly sensitive rule may facilitate assessment in the Emergency Department and help to focus psychiatric resources on patients at higher risk.<p />  <p>Language: en</p>
LA  - en
SN  - 0353-5053
UR  - http://dx.doi.org/
ID  - ref1
ER  -