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When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm

Mental health staff may have limited exposure to emergencies associated with obsessive–compulsive disorder (OCD) during postgraduate training. The first time they encounter a person in the midst of severe obsessions, or one who has compulsively self-harmed in response to such obsessions, might be wh...

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Detalles Bibliográficos
Autores principales: Palombini, Erika, Richardson, Joel, McAllister, Emma, Veale, David, Thomson, Alex B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111969/
https://www.ncbi.nlm.nih.gov/pubmed/33762047
http://dx.doi.org/10.1192/bjb.2020.70
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author Palombini, Erika
Richardson, Joel
McAllister, Emma
Veale, David
Thomson, Alex B.
author_facet Palombini, Erika
Richardson, Joel
McAllister, Emma
Veale, David
Thomson, Alex B.
author_sort Palombini, Erika
collection PubMed
description Mental health staff may have limited exposure to emergencies associated with obsessive–compulsive disorder (OCD) during postgraduate training. The first time they encounter a person in the midst of severe obsessions, or one who has compulsively self-harmed in response to such obsessions, might be when working on call covering the emergency department. This educational article presents the lived experience of one of the authors as a clinical scenario. The scenario is then used to illustrate the severity of disability and the rates of self-harm and suicide-related mortality caused by OCD. The recognition and assessment of OCD is described, along with what helps in emergency situations. Written informed consent was obtained for the publication of clinical details.
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spelling pubmed-81119692021-05-17 When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm Palombini, Erika Richardson, Joel McAllister, Emma Veale, David Thomson, Alex B. BJPsych Bull Praxis Mental health staff may have limited exposure to emergencies associated with obsessive–compulsive disorder (OCD) during postgraduate training. The first time they encounter a person in the midst of severe obsessions, or one who has compulsively self-harmed in response to such obsessions, might be when working on call covering the emergency department. This educational article presents the lived experience of one of the authors as a clinical scenario. The scenario is then used to illustrate the severity of disability and the rates of self-harm and suicide-related mortality caused by OCD. The recognition and assessment of OCD is described, along with what helps in emergency situations. Written informed consent was obtained for the publication of clinical details. Cambridge University Press 2021-04 /pmc/articles/PMC8111969/ /pubmed/33762047 http://dx.doi.org/10.1192/bjb.2020.70 Text en © The Authors 2020 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Praxis
Palombini, Erika
Richardson, Joel
McAllister, Emma
Veale, David
Thomson, Alex B.
When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm
title When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm
title_full When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm
title_fullStr When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm
title_full_unstemmed When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm
title_short When self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm
title_sort when self-harm is about preventing harm: emergency management of obsessive–compulsive disorder and associated self-harm
topic Praxis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111969/
https://www.ncbi.nlm.nih.gov/pubmed/33762047
http://dx.doi.org/10.1192/bjb.2020.70
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