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Psychiatric Bulletin (2001) 25: 53-55. doi: 10.1192/pb.25.2.53
© 2001 The Royal College of Psychiatrists
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Psychiatric Bulletin (2001) 25: 53-55
© 2001 The Royal College of Psychiatrists

A national survey of the hospital services for the management of adult deliberate self-harm{dagger}

Rebecca Slinn, Specialist Registrar

Cossham Hospital, Kingswood, Bristol BS15 1LF

Amanda King, Specialist Registrar

Barrow Hospital, Barrow Gurney, Bristol BS48 3SG

Jonathan Evans, Consultant Senior Lecturer

Division of Psychiatry, 41 St Michael's Hill, Bristol BS2 8DZ; tel: 0117 928 7769; fax: 0117 925 9709; e-mail: j.evans{at}bristol.ac.uk

{dagger} See editorial, pp. 41-42 this issue and pp. 43-52 this issue.

AIMS AND METHOD

Services were compared for the management of deliberate self-harm with existing national guidance. A postal survey was sent to all clinical directors of adult psychiatry at all NHS trusts assessing adult patients admitted to general hospital following deliberate self-harm in England.

RESULTS

Responses were received from 129 (65%) trusts. Thirty per cent of trusts do not use secondary psychiatric services for psycho-social assessment following deliberate self-harm; 52% have designated self-harm liaison staff and 69% of general hospitals have a ward to which most cases of deliberate self-harm are admitted. However, only 18% have staff with psychiatric experience. In 82% of trusts training is provided for junior psychiatrists at induction but in only 56% are observed-assessments undertaken. Forty-two per cent of the trusts have a deliberate self-harm services planning group.

CLINICAL IMPLICATIONS

Standards for deliberate self-harm services fall substantially below existing national guidelines, particularly in the areas of planning and training.




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Copyright © 2001 The Royal College of Psychiatrists.