Establishing a clinical database for hospital attendances because of self-harm
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چکیده
Self-harm is a major risk factor for suicide (Gunnell & Frankel, 1994) with around a quarter of suicides preceded by non-fatal self-harm in the previous year (Owens & House, 1994). Strategies for suicide prevention should include accurate monitoring of health service contacts due to selfharm. Unfortunately, the published literature points to few practical steps for ensuring this accuracy.We offer an account of running a database, to assist others who might be setting out on this monitoring process.
منابع مشابه
Routine hospital data - is it good enough for trials? An example using England's Hospital Episode Statistics in the SHIFT trial of Family Therapy vs. Treatment as Usual in adolescents following self-harm.
BACKGROUND Use of routine data sources within clinical research is increasing and is endorsed by the National Institute for Health Research to increase trial efficiencies; however there is limited evidence for its use in clinical trials, especially in relation to self-harm. One source of routine data, Hospital Episode Statistics, is collated and distributed by NHS Digital and contains details o...
متن کاملUsing routine clinical and administrative data to produce a dataset of attendances at Emergency Departments following self-harm
BACKGROUND Self-harm is a significant public health concern in the UK. This is reflected in the recent addition to the English Public Health Outcomes Framework of rates of attendance at Emergency Departments (EDs) following self-harm. However there is currently no source of data to measure this outcome. Routinely available data for inpatient admissions following self-harm miss the majority of c...
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OBJECTIVES To evaluate the impact of an expansion of liaison psychiatry services (LPS) on patient management, outcomes and treatment costs for emergency department (ED) attendances for self-harm. DESIGN Retrospective before and after cohort study using routinely collected Self-Harm Surveillance Register data. SETTING A large hospital in South West England. SUBJECTS Patients attending the ...
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BACKGROUND Previous research into the epidemiology and management of self-harm has been largely based in centres with a special interest in this behaviour or focused on hospital admissions only. There are no national data on the characteristics and management of people presenting to hospital following self-harm. METHODS Data were collected from 8-week service audits carried out in a stratifie...
متن کاملLong-term hospital attendance of children and adults who have undergone removal of normal or inflamed appendices.
BACKGROUND Early studies suggested that presentations with unexplained acute abdominal pain were associated with increased long-term rates of hospital attendance and self-harm, especially in women, but few studies were large enough for definitive findings. AIMS To test the hypothesis that such presentations are followed by higher long-term utilisation rates of secondary health care even exclu...
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تاریخ انتشار 2004