The journal of mental health administration

, Volume 23, Issue 2, pp 246–252 | Cite as

Deliberate self-harm and substance dependence: The management of patients seen in the general hospital

  • K. Wylie
  • A. House
  • D. Storer
  • D. Raistrick
  • M. Henderson


The aim of this study was to examine management decisions made at the time of assessment of an episode of deliberate self-harm seen in the general hospital and examine the extent, of referral to a specialized addiction unit. Factors involved in making a clinical decision regarding the appropriate management of self-harm cases when alcohol factors were identified are reviewed. Simply referring to a specialized addiction unit was found to be an unsatisfactory method of providing a comprehensive response to the problem of substance misuse and deliberate self-harm. It is suggested that services should be developed using active posthospital discharge community follow-up. Motivational interviewing used in such a setting may increase the number of patients who will go on to accept specialist care.


Alcohol Dependence Drug Dependence Substance Dependence Problem Drinker Substance Misuse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Association of Mental Health Administrators 1996

Authors and Affiliations

  • K. Wylie
    • 1
  • A. House
    • 2
  • D. Storer
    • 2
  • D. Raistrick
    • 2
  • M. Henderson
    • 2
  1. 1.Community Mental Health Care DirectorateWhiteley Wood ClinicSheffieldUK
  2. 2.Department of Liaison PsychiatryThe General Infirmary at LeedsLeedsUK

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