Abstract：
BACKGROUND:Patients who deliberately harm themselves often repeat their self-destructive acts. The objective of this study was to assess whether a follow-up visit within 10 days to a psychiatric consultant could reduce the frequency of repeated deliberate self-harm (DSH). METHODS:A cohort of 325 consecutive DSH patients attending two large emergency departments in Stockholm, Sweden, were included and followed for 6 months. Any visit to a psychiatric consultant within 10 days was registered as an early follow-up. Repeated DSH episode within 6 months among the 325 patients was detected via nationwide registers. MAIN OUTCOME MEASURE:Repeated DSH within 6 months. RESULTS:At 6 months follow-up 22 (24%) of 92 patients with an early follow-up had repeated their DSH acts compared to 58 (25%) of 233 patients without an early follow-up (OR 1.06 (95% CI: 0.60-1.85) p-value 0.85). After adjustment for possible confounders, multivariable analysis showed an OR of 1.22 (95% CI: 0.62-2.38, p-value 0.56). LIMITATIONS:Early follow-up was registered as any visit to a psychiatric consultant and no information regarding actions taken at the visit were obtained. CONCLUSION:After adjusting for other factors associated with repetition there was an association of patients who were offered and thereafter attended an early follow-up visit and a decreased risk of repeated DSH.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Bilén K,Pettersson H,Owe-Larsson B,Ekdahl K,Ottosson C,Castrén M,Ponzer Sdoi
10.1016/j.jad.2013.09.032subject
Has Abstractpub_date
2014-01-01 00:00:00pages
320-5eissn
0165-0327issn
1573-2517pii
S0165-0327(13)00718-0journal_volume
152-154pub_type
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