Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for FREE ACCESS to this landmark database

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Clinical Child Psychology and Psychiatry
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Nadkarni, A.
Right arrow Articles by Evans, P. A.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Nadkarni, A.
Right arrow Articles by Evans, P. A.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Management in Accident and Emergency (A&E) of Children and Adolescents Presenting with Deliberate Self-Harm (DSH)

Amulya Nadkarni

Lincoln Child & Adolescent Mental Health Service, UK

Andrew Parkin

University of Auckland, New Zealand

Nisha Dogra

University of Leicester, UK

Philip Adrian Evans

Morriston Hospital, Swansea, UK

Guidelines prepared in the UK by the Royal College of Psychiatrists regarding the management of deliberate self-harm (DSH) in children and adolescents have existed for around 20 years. Although recently revised, they remain largely unchanged. They recommend admission to a suitable ward and assessment by Child and Adolescent Mental Health Services (CAMHS) in all cases. This article examines the disparity between recommendations and practice in an Accident and Emergency (A&E) department. In two-thirds of cases the young person was not admitted and one third were discharged without any discussion with or assessment by CAMHS. This may be avoided by the development of a locally agreed policy of admission complemented by a dedicated DSH service provided by CAMHS. Nationally agreed guidelines prepared in collaboration with all the relevant specialities may be more influential in changing local practice.

Key Words: Accident and Emergency • children and adolescents • deliberate self-harm • management

Clinical Child Psychology and Psychiatry, Vol. 8, No. 4, 513-520 (2003)
DOI: 10.1177/13591045030084008
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?