Owens D
University of Leeds.
J R Coll Physicians Lond. 1990 Oct;24(4):281-3.
In recent years a large proportion of self-harm patients attending hospital have not been admitted to medical or short-stay wards but have returned home directly from accident and emergency departments. A continued trend towards such a policy seems likely despite limited and conflicting evidence on its desirability. The clinical, training and epidemiological implications of changes in self-harm admission policy are outlined, together with recommendations concerning clinical audit.
近年来,大量前往医院就诊的自残患者未被收治到内科或短期病房,而是直接从急诊部门返回家中。尽管关于该政策是否可取的证据有限且相互矛盾,但这种政策持续存在的趋势似乎仍有可能。本文概述了自残收治政策变化的临床、培训和流行病学影响,并提出了有关临床审计的建议。