Show simple item record

dc.contributor.authorConcannon, Elizabeth Sarah
dc.contributor.authorCarr, S.
dc.contributor.authorDoherty, Anne M.
dc.contributor.authorMcInerney, Shane
dc.contributor.authorBirrane, John
dc.contributor.authorKearney, Laura
dc.contributor.authorHussey, Alan J.
dc.contributor.authorPotter, Shirley M.
dc.contributor.authorKelly, Jack Laurence
dc.contributor.authorMcInerney, Niall M.
dc.date.accessioned2019-09-05T08:59:57Z
dc.date.issued2018-11-13
dc.identifier.citationConcannon, E., Carr, S., Doherty, A., McInerney, S. J., Birrane, J., Kearney, L., Hussey, A. J. Potter, S. M., Kelly, J. L., McInerney, N. M. (2019). Referral of patients to plastic surgeons following self-harm: Opportunities for suicide prevention. Journal of Plastic, Reconstructive & Aesthetic Surgery, 72(3), 491-497. doi: https://doi.org/10.1016/j.bjps.2018.10.026en_IE
dc.identifier.issn1878-0539
dc.identifier.urihttp://hdl.handle.net/10379/15398
dc.description.abstractSelf-harm is a common source of referral to plastic and hand surgery services. Appropriate management of these patients is complex and includes the need for close liaison with mental health services. Self-harm is the single biggest risk factor for completed suicide, thereby increasing the risk by a factor of 66. (1) This study aimed to analyse the clinical pathway and demographics of patients referred to plastic surgeons following self-harm.This 6-year retrospective series included patients referred to plastic surgeons following self-harm within the Galway University Hospital group. Patients were identified through the Hospital inpatient enquiry system, cross-referenced with data from the National Suicide Research Foundation. Data collected included demographics, psychiatric history, details of self-harm injury, admission pathway and operative intervention.Forty-nine patients were referred to plastic surgery services during the study period, accounting for 61 individual presentations. The male-to-female ratio was 26 (53%) to 23 (47%). Mean age was 40 years (range 21-95 years). Alcohol or illicit substance use was recorded in 17 of 61 (28%) presentations. Mortality from suicide occurred in 4 patients (8%). Mental health assessment was not carried out in 9 presentations (15%). Documentation of need for close or one-to-one observation was made in 11 cases (20%) and was not referred to in 43 cases (83%) following mental health assessment.This study demonstrates significant diversity in the management of this vulnerable patient group and may inform development of referral pathways to improve the safety of transfer, surgical admission and discharge of patients following self-harm, in consultation with mental health services. (C) 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.en_IE
dc.formatapplication/pdfen_IE
dc.language.isoenen_IE
dc.publisherElsevieren_IE
dc.relation.ispartofJournal Of Plastic Reconstructive And Aesthetic Surgeryen
dc.subjectSelf-harmen_IE
dc.subjectDeliberate self-harmen_IE
dc.subjectSelf-mutilationen_IE
dc.subjectLacerationen_IE
dc.subjectCuttingen_IE
dc.subjectBurnsen_IE
dc.subjectPSYCHIATRIC-ASSESSMENTen_IE
dc.subjectINJURIOUS-BEHAVIORen_IE
dc.subjectEMERGENCYen_IE
dc.subjectACCIDENTen_IE
dc.subjectRISKen_IE
dc.titleReferral of patients to plastic surgeons following self-harm: Opportunities for suicide preventionen_IE
dc.typeArticleen_IE
dc.date.updated2019-08-26T12:51:27Z
dc.identifier.doi10.1016/j.bjps.2018.10.026
dc.local.publishedsourcehttps://doi.org/10.1016/j.bjps.2018.10.026en_IE
dc.description.peer-reviewedpeer-reviewed
dc.description.embargo2019-11-13
dc.internal.rssid15935962
dc.local.contactAnne Doherty, School Of Medicine, Nui Galway. Email: anne.doherty@nuigalway.ie
dc.local.copyrightcheckedYes
dc.local.versionACCEPTED
nui.item.downloads2


Files in this item

Attribution-NonCommercial-NoDerivs 3.0 Ireland
This item is available under the Attribution-NonCommercial-NoDerivs 3.0 Ireland. No item may be reproduced for commercial purposes. Please refer to the publisher's URL where this is made available, or to notes contained in the item itself. Other terms may apply.

The following license files are associated with this item:

Thumbnail

This item appears in the following Collection(s)

Show simple item record