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1 results

  • 11 - Suicide and deliberate self-harm

  • from Part II - Common psychiatric problems across the general hospital
  • Edited by Geoffrey Lloyd, Priory Hospital, London, Elspeth Guthrie, University of Manchester
  • Book:
    Handbook of Liaison Psychiatry
    Published online:
    10 December 2009
    Print publication:
    24 May 2007, pp 245-269

  • Summary

    Suicide, as a term, appears easier to define, namely as a self-destructive behaviour with a fatal outcome. Deliberate self-harm (DSH) has been recognized as an increasing public health problem in many contemporary societies for some time. The link between DSH and suicide is a clear but complex one, with many of the factors associated with suicide also common to DSH. Several countries have implemented national suicide prevention strategies, including, for example, Finland, Norway, Australia, the USA and England. A key element of this strategy is the improved management of DSH patients presenting to general hospitals. This is discussed in this chapter, after consideration of the aetiology of suicide and DSH. All DSH patients should receive at least a brief psychosocial assessment, aimed at identifying those with severe mental illness, as well as those at risk of suicide or immediate repetition of DSH.