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A specialist adolescent self-harm service.

John McAlaney1, Margo Fyfe, Maria Dale

  • 1University of Paisley, Paisley.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|January 23, 2004
PubMed
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Adolescent deliberate self-harm (DSH) presentations to emergency departments are frequent. Many young people who self-harm receive no follow-up care, highlighting a critical gap in adolescent mental health services.

Area of Science:

  • Public Health
  • Adolescent Medicine
  • Mental Health Services Research

Background:

  • Deliberate self-harm (DSH) is a significant concern among adolescents.
  • Accident and Emergency (A&E) departments are key points of contact for young people experiencing DSH.
  • Understanding service access and follow-up care is crucial for improving outcomes.

Purpose of the Study:

  • To quantify adolescent DSH presentations in Glasgow's A&E and minor injury units.
  • To evaluate the effectiveness of the adolescent DSH service in reaching this population.

Main Methods:

  • Retrospective case note analysis of adolescents (12-17 years) presenting with DSH.
  • Data collected over a ten-week period in 2002 from all relevant Glasgow departments.
  • Follow-up medical records examined for admitted patients.

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Main Results:

  • 86 adolescent DSH presentations were recorded during the study period.
  • Over half of presenting adolescents were admitted and referred to the DSH service.
  • Adolescents treated solely in A&E were less likely to receive referrals.

Conclusions:

  • A substantial number of adolescents present with DSH to emergency services.
  • There is a notable lack of consistent follow-up care for young people who self-harm.
  • Service gaps require urgent attention to ensure adequate support for at-risk youth.