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
Articles

Abstract

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.

Keywords

Alcohol Dependence Drug Dependence Substance Dependence Problem Drinker Substance Misuse 

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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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