The Impact of a Child Psychiatry Liaison Service on Patterns of Referral

1991 ◽  
Vol 158 (1) ◽  
pp. 93-96 ◽  
Author(s):  
Anne McFadyen ◽  
Gillian Broster ◽  
Dora Black

A retrospective study of referrals to a child psychiatry liaison service was carried out in order to assess the impact of the reorganisation of the service. A total of 55% of referrals were of in-patients on the paediatric ward; other in-patients made up 12.5%. Of all referrals, 67% were from paediatricians. Of the children who had not harmed themselves, most were referred either for help with the management of physical illness or for investigation of a non-organic physical complaint. The main finding was that liaison referrals increased significantly in contrast to both the total number of referrals and the number of cases of deliberate self-harm.

1987 ◽  
Vol 150 (1) ◽  
pp. 83-87 ◽  
Author(s):  
A. Brown ◽  
A. F. Cooper

A retrospective study of psychiatric referrals from a general hospital inpatient population was carried out for three separate years, 1973, 1976 and 1979. Reorganisation of the liaison service to the responsibility of one consultant team was associated with changes in referral rate and disposal. In particular, there was a significant increase in the referral rate of patients from medical and surgical wards who were not involved in acts of deliberate self-harm.


2005 ◽  
Vol 20 (2) ◽  
pp. 106-112 ◽  
Author(s):  
Florian Alexander Ruths ◽  
Robert Ian Tobiansky ◽  
Martin Blanchard

2004 ◽  
Vol 14 (4) ◽  
pp. 283-306 ◽  
Author(s):  
Cornelius LE Katona ◽  
Kuttalingam K Shankar

Depression in old age is common, disabling and under-treated. This review will examine recent advances in our understanding of its clinical presentation, epidemiology, management and prognosis. The relationship of depression in old age with dementia and with physical illness is also discussed, as are the links between suicide, deliberate self-harm and depression in old age.


2016 ◽  
Vol 5 (1) ◽  
pp. 73 ◽  
Author(s):  
MosesKirubairaj Amos Jegaraj ◽  
Shubhanker Mitra ◽  
Sathish Kumar ◽  
Bagyalakshmi Selva ◽  
Manimaran Pushparaj ◽  
...  

1999 ◽  
Vol 9 (4) ◽  
pp. 343-361 ◽  
Author(s):  
Cornelius LE Katona ◽  
Kuttalingam K Shankar

Depression in old age is common, disabling and undertreated. This review will examine recent advances in our understanding of its clinical presentation, epidemiology, management and prognosis. The relationship of depression in old age with dementia and with physical illness is also discussed, as are the links between suicides, deliberate self-harm and depression in old age.


2000 ◽  
Vol 177 (5) ◽  
pp. 463-466 ◽  
Author(s):  
Keith Hawton ◽  
Louise Harriss ◽  
Louis Appleby ◽  
Edmund Juszczak ◽  
Sue Simkin ◽  
...  

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.


2008 ◽  
Vol 42 (11) ◽  
pp. 981-988 ◽  
Author(s):  
Amanda J. Commons Treloar ◽  
Andrew J. Lewis

Objective: The aim of the present study was to assess the impact of attending targeted clinical education on borderline personality disorder on the attitudes of health clinicians towards working with deliberate self-harm behaviours commonly exhibited by patients diagnosed with this complex disorder. Comparisons of clinicians across service settings, occupational fields, and other demographic areas were also made. Method: A purpose-designed demographic questionnaire and the Attitudes Towards Deliberate Self-Harm Questionnaire were used to collect the demographic information and assess the attitudes of 99 mental health and emergency medicine practitioners across two Australian health services and a New Zealand health service, both before and after education attendance. Results: Statistically significant improvements in attitude ratings were found for both emergency medicine clinicians and mental health clinicians in working with deliberate self-harm behaviours in borderline personality disorder, following attendance at the education program with a medium affect size (t(32)=−3.45, p=0.002, d=0.43 and t(65)=−5.12, p=0.000, d=0.42, respectively). Clinicians across occupational areas of nursing, allied health, and medical fields demonstrated equivocal levels of improvement in their attitude ratings. Conclusions: Results are discussed in terms of the necessity of providing regular access to targeted clinical education for health professionals working with patients diagnosed with borderline personality disorder.


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