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Psychiatric Bulletin (2001) 25: 98-101. doi: 10.1192/pb.25.3.98
© 2001 The Royal College of Psychiatrists
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Psychiatric Bulletin (2001) 25: 98-101
© 2001 The Royal College of Psychiatrists

Deliberate self-harm

The impact of a specialist DSH team on assessment quality

Sean Whyte, Senior House Officer

Oxford Regional Psychiatric Rotation

Andrew Blewett, Consultant Psychiatrist

The Redcliffe Centre for Community Psychiatry, 51 Hatton Park Road, Wellingborough NN8 5AH

AIMS AND METHOD

A repetition after 5 years of a prospective case note audit, looking at the impact of a recently established deliberate self-harm (DSH) assessment team on the quality of DSH assessments at Kettering general hospital.

RESULTS

A specialist DSH team achieved improvement in the quality of psychiatric assessments for the majority of patients who harmed themselves. Assessments of mental state by accident and emergency (A & E) and medical staff before referral to the psychiatric team remain problematic.

CLINICAL IMPLICATIONS

Setting up a specialist team to assess patients who harm themselves can improve the quality of the psychiatric care they receive, but emphasis must still be placed on an adequate assessment of mental state by medical and nursing staff in A & E and on medical wards.




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