Fatal Deliberate Self-Harm seen in a Sri Lankan Hospital

1988 ◽  
Vol 152 (3) ◽  
pp. 420-423 ◽  
Author(s):  
T. Ganesvaran ◽  
R. Rajarajeswaran
Keyword(s):  
Sri Lanka ◽  
General Hospital ◽  
Sri Lankan ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Methods Of Suicide

A total of 328 patients were admitted for deliberate self harm (DSH) to the General Hospital Jaffna, Sri Lanka, during the year 1984. Twenty-two of these patients succumbed to their injuries. Information about these patients collected before death, and their methods of suicide, are reported.

Deliberate Self-Harm Patients Who Discharge Themselves from the General Hospital Without Adequate Psychosocial Assessment

Crisis ◽  
2004 ◽  
Vol 25 (4) ◽  
pp. 183-186 ◽  
Author(s):  
Rachel Crowder ◽  
Rohan Van Der Putt ◽  
Ceri-Anne Ashby ◽  
Andrew Blewett
Keyword(s):  
General Hospital ◽  
Care Pathway ◽  
Alcohol Intoxication ◽  
Psychosocial Assessment ◽  
Hospital Environment ◽  
Control Group ◽  
Deliberate Self Harm ◽  
Increased Risk ◽  
Self Harm ◽  
Integrated Care Pathway

Abstract: Deliberate self-harm patients who leave the acute hospital environment before the completion of psychiatric assessment have an increased risk of subsequent self-harm. We considered the available data on 50 premature self-discharges identified prospectively in a general hospital with a well-developed integrated-care pathway for self-harm patients, and compared them to a control group. The self-discharge group was found to be more likely to have attempted self-poisoning without alcohol intoxication or other forms or combinations of self-harm, and an absence of identifiable previous self-harm or prior contact with local specialist psychiatric services. The two groups showed no difference in age, sex, or area of residence based on community mental health team sectors. It is proposed that these findings indicate hypotheses for further studies of why people leave the hospital without adequate assessment, and how service design could be improved in order to help them.

scholarly journals Effect of death of Diana, Princess of Wales on suicide and deliberate self-harm

2000 ◽  
Vol 177 (5) ◽  
pp. 463-466 ◽  
Author(s):  
Keith Hawton ◽  
Louise Harriss ◽  
Louis Appleby ◽  
Edmund Juszczak ◽  
Sue Simkin ◽  
...  
Keyword(s):  
General Hospital ◽  
Suicidal Behaviour ◽  
Poisson Regression ◽  
Public Figure ◽  
Deliberate Self Harm ◽  
England And Wales ◽  
Self Harm ◽  
The Impact

BackgroundThe death of the Princess of Wales in 1997 was followed by widespread public mourning. Such major events may influence suicidal behaviour.AimsTo assess the impact of the Princess's death on suicide and deliberate self-harm (DSH).MethodAnalysis, using Poisson regression, of the number of suicides and open verdicts (suicides’) in England and Wales following the Princess's death compared to the 3 months beforehand, and the equivalent periods in 1992–1996. Similar analysis on DSH presentations to a general hospital.ResultsSuicides increased during the month following the Princess's funeral (+ 17.4%). This was particularly marked in females (+33.7%), especially those aged 25–44 years (+45.1%). Suicides did not fall in the week between the death and the funeral. Presentations for DSH increased significantly during the week following the death (+44.3%), especially in females (+65.1%). Examination of case notes suggested that the influence of the death was largely through amplification of personal losses or exacerbation of existing distress.ConclusionsThe death of a major public figure can influence rates of suicidal behaviour. For DSH, the impact may be immediate, but for suicide it may be delayed.

Self-limiting cerebellar ataxia following organophosphate poisoning

2003 ◽  
Vol 22 (2) ◽  
pp. 107-109 ◽  
Author(s):  
M MD Fonseka ◽  
K Medagoda ◽  
Y Tillakaratna ◽  
S B Gunatilake ◽  
H J de Silva
Keyword(s):  
Sri Lanka ◽  
Cerebellar Ataxia ◽  
Health Problem ◽  
Organophosphate Poisoning ◽  
Deliberate Self Harm ◽  
Organophosphorous Insecticide ◽  
Organophosphate Insecticides ◽  
Life Threatening ◽  
Self Harm ◽  
Psychiatric Manifestations

Deliberate self-harm by ingestion of organophosphate insecticides is a common health problem in Sri Lanka. The poisoning results in an initial life-threatening cholinergic crisis and several intermediate and late neurological and psychiatric manifestations. A patient who developed self-limiting cerebellar signs 8 days after ingestion of dimethoate, an organophosphorous insecticide, is reported on.

scholarly journals Psychiatric and personality disorders in deliberate self-harm patients

2001 ◽  
Vol 178 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Camilla Haw ◽  
Keith Hawton ◽  
Kelly Houston ◽  
Ellen Townsend
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
General Hospital ◽  
Representative Sample ◽  
Deliberate Self Harm ◽  
Common Diagnosis ◽  
Icd 10 ◽  
Self Harm

BackgroundPrevious UK studies have reported much lower rates of psychiatric and personality disorder in those who attempt suicide than in those who die by suicide.AimsTo determine the nature and prevalence of psychiatric and personality disorders in deliberate self-harm (DSH) patients.MethodA representative sample of 150 DSH patients who presented to a general hospital were assessed using a structured clinical interview and a standardised instrument. Follow-up interviews were completed for 118 patients approximately 12–16 months later.ResultsICD–10 psychiatric disorders were diagnosed in 138 patients (92.0%), with comorbidity of psychiatric disorders in 46.7%. The most common diagnosis was affective disorder (72.0%). Personality disorder was identified in 45.9% of patients interviewed at follow-up. Comorbidity of psychiatric and personality disorder was present in 44.1%.ConclusionsPsychiatric and personality disorders, and their comorbidity, are common in DSH patients. This has important implications for assessment and management.

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