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Psychiatric Bulletin (2002) 26: 332-334. doi: 10.1192/pb.26.9.332
© 2002 The Royal College of Psychiatrists
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Psychiatric Bulletin (2002) 26: 332-334
© 2002 The Royal College of Psychiatrists

A survey of opinions on the management of individuals who express suicidal ideation while intoxicated with alcohol

Rosemary McCaffery, Specialist Registrar, Alyson Lee, Specialist Registrar and Pramod Jauhar, Consultant Psychiatrist in Substance Misuse

Department of Psychological Medicine, Gartnavel Royal Hospital, Glasgow

Jan Scott, Professor of Psychological Treatments Research

Division of Psychological Medicine, PO Box 96, Institute of Psychiatry, De Crespigny Park, London SE5 8AF

Declaration of interest

None.

AIMS AND METHOD

It was noted that approaches to the assessment and management of individuals intoxicated with alcohol who express suicidal ideation varied widely. This study explored what guidance is currently available and sought the opinions of 218 junior and senior psychiatrists.

RESULTS

The Royal College of Psychiatrists has no specific guidelines on this issue, but the Medical Defence Union and Scottish Central Legal Office gave opinion regarding a psychiatrist's duty of care and clinical responsibilities. This information did not reflect the opinions of the psychiatrists canvassed. There was no consensus among the 65% of clinicians who responded to the survey.

CLINICAL IMPLICATIONS

There is a need for greater clarity and guidance on the management of individuals who are intoxicated and express acute suicidal ideation. Sharing of good practice guidelines and greater integration of local and national policies is needed. It is certainly a topic worthy of inclusion in all induction days for junior psychiatrists.






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British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2002 The Royal College of Psychiatrists.