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Comparison of doctors and nurses in the assessment of deliberate self-poisoning patients

Published online by Cambridge University Press:  09 July 2009

J. Catalan ,
P. Marsack ,
K. E. Hawton ,
D. Whitwell ,
J. Fagg  and
J. H. J. Bancroft
J. Catalan*
Affiliation:
Oxford UniversityDepartment of Psychiatry, Warneford Hospital, Oxford
P. Marsack
Affiliation:
Oxford UniversityDepartment of Psychiatry, Warneford Hospital, Oxford
K. E. Hawton
Affiliation:
Oxford UniversityDepartment of Psychiatry, Warneford Hospital, Oxford
D. Whitwell
Affiliation:
Oxford UniversityDepartment of Psychiatry, Warneford Hospital, Oxford
J. Fagg
Affiliation:
Oxford UniversityDepartment of Psychiatry, Warneford Hospital, Oxford
J. H. J. Bancroft
Affiliation:
Oxford UniversityDepartment of Psychiatry, Warneford Hospital, Oxford
*
1Address for correspondence: Dr J. Catalan, Oxford University Department of Psychiatry, Warneford Hospital, Oxford.
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Synopsis

The assessments of deliberate self-poisoning patients carried out by 8 doctors and 8 nurses were compared. Both groups of staff had undergone special training in the assessment procedure. The adequacy of the assessments was determined by blind judges' ratings of transcripts of assessment interviews, comparisons of the types of treatment offered and repetition of self-poisoning. The attitudes of the patients and their general practitioners were also investigated.

No major differences were found between the assessments of the 2 groups of subjects. It is concluded that nurses under supervision of a senior psychiatrist can safely carry out the assessment of self-poisoning patients, provided they have received appropriate training. The findings suggest that services in which nurses assess most self-poisoning patients could be established in district general hospitals. This would reduce the demands currently placed on psychiatrists and physicians.

Type
Research Article
Information
Psychological Medicine , Volume 10 , Issue 3 , August 1980 , pp. 483 - 491
Copyright
Copyright © Cambridge University Press 1980

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References

Agulnik, P., Holroyd, P. & Mandelbrote, B. (1976). The Isis Centre: a counselling service within the NHS. British Medical Journal ii, 355–357.CrossRefGoogle Scholar
Bancroft, J. H. J. & Catalan, J. (1978). Manual of Assessment of Patients Following Self-Poisoning or Self-Injury. Oxford University Department of Psychiatry.Google Scholar
Bancroft, J. H. J. & Marsack, P. (1977). The repetitiveness of self-poisoning and self-injury. British Journal of Psychiatry. 131, 394–399.CrossRefGoogle ScholarPubMed
Bancroft, J. H. J., Skrimshire, A. M., Reynolds, F., Simkin, S. & Smith, J. (1975). Self-poisoning and self-injury in the Oxford area: epidemiological aspects 1969–73. British Journal of Preventive and Social Medicine 29, 170–177.Google ScholarPubMed
Blake, D. R. & Mitchell, J. R. A. (1978). Self-poisoning: management of patients in Nottingham, 1976. British Medical Journal i, 1032–1035.CrossRefGoogle Scholar
Catalan, J. (1979). The assessment of patients following deliberate self-poisoning: a comparison of assessments by doctors and nurses. M.Sc. Thesis: University of Oxford.Google Scholar
Department of Health and Social Security (1977). The Extending Role of the Clinical Nurse: Legal Implications and Training Requirements. H.C. (77), 22. HMSO: London.Google Scholar
Fleiss, J. L. (1975). Measuring agreement between two judges on the presence or absence of a trait. Biometrics 31, 651–659.CrossRefGoogle ScholarPubMed
Gardner, R., Hanka, R., O'Brien, V. C., Page, A. J. F. & Rees, R. (1977). Psychological and social evaluation in cases of deliberate self poisoning admitted to a general hospital. British Medical Journal ii, 1567–1570.CrossRefGoogle Scholar
Harker, P., Leopoldt, H. & Robinson, J. R. (1976). Attaching community psychiatric nurses to general practice. Journal of the Royal College of General Practitioners 26, 666–671.Google ScholarPubMed
Hawton, K. E., Gath, D. H. & Smith, E. B. O. (1979). Management of attempted suicide in Oxford. British Medical Journal ii, 1040–1042.CrossRefGoogle Scholar
Hill Report (1968). Hospital Treatment of Acute Poisoning. HMSO: London.Google Scholar
Holding, T. A., Buglass, D., Duffy, J. C. & Kreitman, N. (1977). Parasuicide in Edinburgh: a seven year review 1968–1974. British Journal of Psychiatry 130, 534–543.CrossRefGoogle Scholar
Maguire, G. P. & Rutter, D. R. (1976). History taking for medical students. Lancet ii, 556–558.CrossRefGoogle Scholar
Maxwell, A. E. (1977). Coefficients of agreement between observers and their interpretation. British Journal of Psychiatry 130, 79–83.CrossRefGoogle ScholarPubMed
Newson-Smith, J. G. B. & Hirsch, S. R. (1979). A comparison of social workers and psychiatrists in evaluating parasuicide. British Journal of Psychiatry 134, 335–342.CrossRefGoogle ScholarPubMed
Osgood, C. E., Suci, G. & Tannenbaum, P. (1957). The Measurement of Meaning. University of Illinois Press: Urbana.Google Scholar
Patel, A. R. (1975). Attitudes towards self-poisoning. British Medical Journal ii, 426–430.CrossRefGoogle Scholar
Siegel, S. (1956). Non-parametric Statistics. McGraw-Hill: New York.Google Scholar
Wexler, L., Weissman, M. & Kasl, S. V. (1978). Suicide attempts 1970–75: updating a United States study and comparisons with international trends. British Journal of Psychiatry 132, 180–185.CrossRefGoogle ScholarPubMed