Case manager perceptions of emergency department use by patients with non‐fatal suicidal behaviour

Author(s):  
Debra Baker ◽  
Deborah Blyth ◽  
Terry Stedman ◽  
Tom Meehan
2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Sarah Vilpert ◽  
Hélène Jaccard Ruedin ◽  
Lionel Trueb ◽  
Stéfanie Monod-Zorzi ◽  
Bertrand Yersin ◽  
...  

2014 ◽  
Vol 123 ◽  
pp. 150S ◽  
Author(s):  
Kimberly A. Kilfoyle ◽  
Roxanne A. Vrees ◽  
Kristen A. Matteson ◽  
Maureen G. Phipps ◽  
Christina A. Raker

2018 ◽  
Vol 36 (3) ◽  
pp. 232-243
Author(s):  
Matt P. Malcolm ◽  
Karen E. Atler ◽  
Arlene A. Schmid ◽  
Tara C. Klinedinst ◽  
Laura A. Grimm ◽  
...  

2010 ◽  
Vol 197 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Annette L. Beautrais ◽  
Sheree J. Gibb ◽  
Alan Faulkner ◽  
David M. Fergusson ◽  
Roger T. Mulder

BackgroundSelf-harm and suicidal behaviour are common reasons for emergency department presentation. Those who present with self-harm have an elevated risk of further suicidal behaviour and death.AimsTo examine whether a postcard intervention reduces self-harm re-presentations in individuals presenting to the emergency department.MethodRandomised controlled trial conducted in Christchurch, New Zealand. The intervention consisted of six postcards mailed during the 12 months following an index emergency department attendance for self-harm. Outcome measures were the proportion of participants re-presenting with self-harm and the number of re-presentations for self-harm in the 12 months following the initial presentation.ResultsAfter adjustment for prior self-harm, there were no significant differences between the control and intervention groups in the proportion of participants re-presenting with self-harm or in the total number of re-presentations for self-harm.ConclusionsThe postcard intervention did not reduce further self-harm. Together with previous results this finding suggests that the postcard intervention may be effective only for selected subgroups.


Author(s):  
Theodoros V. Giannouchos ◽  
Hye-Chung Kum ◽  
Jodie Gary ◽  
Robert Ohsfeldt ◽  
Michael Morrisey

2013 ◽  
Vol 20 (9) ◽  
pp. 961-964 ◽  
Author(s):  
Adam L. Sharp ◽  
Zirui Song ◽  
Dana G. Safran ◽  
Michael E. Chernew ◽  
A. Mark Fendrick

CJEM ◽  
2008 ◽  
Vol 10 (04) ◽  
pp. 339-346 ◽  
Author(s):  
Julia M. Spence ◽  
Yvonne Bergmans ◽  
Carol Strike ◽  
Paul S. Links ◽  
Jeffrey S. Ball ◽  
...  

ABSTRACTObjective:This qualitative study investigated the repeated use of the emergency department (ED) by men with a history of suicidal behaviour and substance abuse to understand the needs and barriers to care for this high-risk group. Identification of common themes from interviews with patients and health care workers can serve as a basis for improved ED-based interventions.Methods:Using semistructured interviews, patients, ED staff and family physicians were asked about needs of the aformentioned group. Twenty-five patients were interviewed and completed questionnaires regarding their substance use, aggression, parasuicidal behaviour, alexithymia and childhood trauma. In addition, 27 staff members were interviewed. Interviews were tape-recorded, transcribed and qualitatively analyzed using an iterative coding process.Results:Of the 25 patients, 23 (96%) had a mood or anxiety disorder and 18 (75%) had borderline personality disorder. One-half of the patients scored high and another quarter scored moderate on alexithymia testing. The ED was viewed as a last resort despite seeking help. Frustration was felt by both patients and staff regarding difficult communication, especially during an acute crisis.Conclusion:The ED plays an important role in the provision of care for men with recurrent suicidal behaviour and substance abuse. Some of the diagnoses and problems faced by these patients are beyond the purview of the ED; however, staff can identify mutual goals for crisis interventions, allow for frequent communication and seek to de-escalate situations through the validation of the stress patients are experiencing.


2017 ◽  
Vol 20 (3) ◽  
pp. 208-215 ◽  
Author(s):  
Eric W. Christensen ◽  
Anupam B. Kharbanda ◽  
Heidi Vander Velden ◽  
Nathaniel R. Payne

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