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Psychiatric Bulletin (2007) 31: 224-226. doi: 10.1192/pb.bp.105.007963
© 2007 The Royal College of Psychiatrists
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Education & Training

Protocol for the assessment of self-harm in young people: initial audit and training implications

Sarah Huline-Dickens, Consultant in Child and Adolescent Psychiatry

Erme House, Mount Gould Hospital, Plymouth PL4 7QD, email: sarah.huline-dickens{at}phnt.swest.nhs.uk

Tony Adiele, Specialist Registrar in Forensic Psychiatry

Edenfield Centre, Prestwich Hospital, Manchester M25 3BL

Declaration of interest

None.

AIMS AND METHODS

This paper describes the development and initial audit of a protocol for the assessment of young people up to the age of 18 years who presented to the accident and emergency department (A&E) with self-harm. A key part of the project was education and training.

RESULTS

Regular training of senior house officers (SHOs) in A&E may have contributed to an increase in young people being admitted to a bed for proper assessment (as per the protocol), but psychosocial assessments undertaken by SHOs in A&E were still only partial, and there was no apparent use of the mental state examination.

CLINICAL IMPLICATIONS

Child and adolescent mental health services have an important role to play in liaising with local A&E departments in training of junior staff in psychosocial assessment and the use of the mental state examination. This is especially relevant in the light of the new training requirements of the foundation years.






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British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2007 The Royal College of Psychiatrists.