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Psychiatric diagnosis in self-poisoning patients

Published online by Cambridge University Press:  09 July 2009

P. Urwin
Affiliation:
Department of Psychiatry, University of Southampton
J. L. Gibbons*
Affiliation:
Department of Psychiatry, University of Southampton
*
2Address for correspondence: Professor J. L. Gibbons, Department of Psychiatry, Royal South Hants Hospital, Southampton S09 4PE.

Synopsis

The Present State Examination was administered to 539 patients who attended a casualty department after an act of self-poisoning during the course of a year. Computer analysis by means of the Catego program showed that 30% of the patients had insufficient symptoms to be considered as psychiatric ‘cases’. Fewer than 4% had symptoms of functional psychosis. About 60% of the patients were classed as depressed: on several indices this group was less severely ill than a group of depressives receiving psychiatric treatment. It is suggested that psychiatric treatment is essential for only a small proportion of self-poisoning patients. The effectiveness of psychiatric treatment for the large group of patients with depressive disorders of minor severity and probably short duration has still to be evaluated.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1979

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References

Brown, G. W., Ni Bhrolch´in, M. & Harris, T. (1975). Social class and psychiatric disturbance among women in an urban population. Sociology 9, 225234.CrossRefGoogle Scholar
Crammer, J. L. (1969). Letter to the editor: poisoning and psychiatrists. British Medical Journal iii, 651.CrossRefGoogle Scholar
Gardner, R., Hanks, R., O'Brien, V. C., Page, A. J. F. & Rees, R. (1977). Psychological and social evaluation of cases of deliberate self-poisoning admitted to a general hospital. British Medical Journal ii, 15671570.CrossRefGoogle Scholar
Gibbons, J. S., Butler, J., Urwin, P. & Gibbons, J. L. (1978 a). Evaluation of a social work service for self-poisoning patients. British Journal of Psychiatry 133, 111118.CrossRefGoogle ScholarPubMed
Gibbons, J. S., Elliott, J., Urwin, P. & Gibbons, J. L. (1978 b). The urban environment and deliberate self-poisoning: trends in Southampton 1972–1977. Social Psychiatry 13, 159168.CrossRefGoogle Scholar
Greer, S., Gunn, J. C. & Koller, K. M. (1966). Aetiological factors in attempted suicide. British Medical Journal ii, 13521355.CrossRefGoogle Scholar
Harrington, J. A. & Cross, K. W. (1959). Cases of attempted suicide admitted to a general hospital. British Medical Journal ii, 463467.CrossRefGoogle Scholar
Kessel, N. (1965). Self-poisoning: part 1. British Medical Journal ii, 12651270.CrossRefGoogle Scholar
Luria, R. E. & McHugh, P. R. (1974). Reliability and clinical utility of the Wing Present State Examination. Archives of General Psychiatry 30, 866871.CrossRefGoogle ScholarPubMed
Ministry of Health and Scottish Home and Health Department (1968). Hospital Treatment of Self Poisoning. Report of the Joint Subcommittees of the Standing Medical Advisory Committees. HMSO: London.Google Scholar
Morgan, H. G., Burns-Cox, C. J., Pocock, H. & Pottle, S. (1975). Deliberate self-harm: clinical and socioeconomic characteristics of 368 patients. British Journal of Psychiatry 127, 564574.CrossRefGoogle ScholarPubMed
Smith, J. S. & Davison, K. (1971). Changes in the pattern of admission for attempted suicide in Newcastle upon Tyne during the 1960s. British Medical Journal iv, 412415.CrossRefGoogle Scholar
Vaughn, C. & Leff, J. P. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry 129, 125137.CrossRefGoogle ScholarPubMed
Wing, J. K. (1976). A technique for studying psychiatric morbidity in in-patients and out-patient series and in general population samples. Psychological Medicine 6, 665671.CrossRefGoogle ScholarPubMed
Wing, J. K. & Sturt, E. (1978). The PSE–ID–CATEGO System: A Supplementary Manual. Institute of Psychiatry (Mimeo): London.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: London.Google Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978). The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine 8, 203219.CrossRefGoogle ScholarPubMed
World Health Organization (1973). The International Pilot Study of Schizophrenia. WHO: Geneva.Google Scholar