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Recent self-harm and psychological measures in the emergency department

The assessment of self-harm risk is a common, difficult, and perplexing task for many physicians, especially those working in emergency departments (ED). Attempts have been made to determine objective methods for assessing patients with suicidal ideation or self-harm though there is still a lack of...

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Autores principales: Randall, Jason R., Rowe, Brian H., Dong, Kathryn A., Colman, Ian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PeerJ Inc. 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230549/
https://www.ncbi.nlm.nih.gov/pubmed/25401056
http://dx.doi.org/10.7717/peerj.667
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author Randall, Jason R.
Rowe, Brian H.
Dong, Kathryn A.
Colman, Ian
author_facet Randall, Jason R.
Rowe, Brian H.
Dong, Kathryn A.
Colman, Ian
author_sort Randall, Jason R.
collection PubMed
description The assessment of self-harm risk is a common, difficult, and perplexing task for many physicians, especially those working in emergency departments (ED). Attempts have been made to determine objective methods for assessing patients with suicidal ideation or self-harm though there is still a lack of knowledge about objective assessments of these patients. A study was conducted where 181 suicidal patients were enrolled in two EDs within the city of Edmonton, Canada. Initial interviews were conducted in the ED which collected basic demographics and medical history as well as psychometric measures including the Beck Hopelessness Scale, Barratt Impulsiveness Scale, Brief Symptom Inventory, Drug Abuse Screening Test 10, and CAGE questionnaire. The results of these measures were compared between those who presented to the ED with self-harm and those who presented only with ideation. Those with recent self-harm scored lower on many of the scales and subscales of distress and impulsivity measured compared to those with no recent self-harm. Possible explanations for this difference include differences in psychological traits between the two groups and possible cathartic effects of self-harm. The lower scores obtained by those that present with self-harm may complicate attempts to use psychometric tools to determine future self-harm risk.
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spelling pubmed-42305492014-11-14 Recent self-harm and psychological measures in the emergency department Randall, Jason R. Rowe, Brian H. Dong, Kathryn A. Colman, Ian PeerJ Emergency and Critical Care The assessment of self-harm risk is a common, difficult, and perplexing task for many physicians, especially those working in emergency departments (ED). Attempts have been made to determine objective methods for assessing patients with suicidal ideation or self-harm though there is still a lack of knowledge about objective assessments of these patients. A study was conducted where 181 suicidal patients were enrolled in two EDs within the city of Edmonton, Canada. Initial interviews were conducted in the ED which collected basic demographics and medical history as well as psychometric measures including the Beck Hopelessness Scale, Barratt Impulsiveness Scale, Brief Symptom Inventory, Drug Abuse Screening Test 10, and CAGE questionnaire. The results of these measures were compared between those who presented to the ED with self-harm and those who presented only with ideation. Those with recent self-harm scored lower on many of the scales and subscales of distress and impulsivity measured compared to those with no recent self-harm. Possible explanations for this difference include differences in psychological traits between the two groups and possible cathartic effects of self-harm. The lower scores obtained by those that present with self-harm may complicate attempts to use psychometric tools to determine future self-harm risk. PeerJ Inc. 2014-11-11 /pmc/articles/PMC4230549/ /pubmed/25401056 http://dx.doi.org/10.7717/peerj.667 Text en © 2014 Randall et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
spellingShingle Emergency and Critical Care
Randall, Jason R.
Rowe, Brian H.
Dong, Kathryn A.
Colman, Ian
Recent self-harm and psychological measures in the emergency department
title Recent self-harm and psychological measures in the emergency department
title_full Recent self-harm and psychological measures in the emergency department
title_fullStr Recent self-harm and psychological measures in the emergency department
title_full_unstemmed Recent self-harm and psychological measures in the emergency department
title_short Recent self-harm and psychological measures in the emergency department
title_sort recent self-harm and psychological measures in the emergency department
topic Emergency and Critical Care
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230549/
https://www.ncbi.nlm.nih.gov/pubmed/25401056
http://dx.doi.org/10.7717/peerj.667
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