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Domiciliary and out-patient treatment of self-poisoning patients by medical and non-medical staff

Published online by Cambridge University Press:  09 July 2009

Keith Hawton*
Affiliation:
Department of Psychiatry, University of Oxford
John Bancroft
Affiliation:
Department of Psychiatry, University of Oxford
Jose Catalan
Affiliation:
Department of Psychiatry, University of Oxford
Breda Kingston
Affiliation:
Department of Psychiatry, University of Oxford
Averil Stedeford
Affiliation:
Department of Psychiatry, University of Oxford
Nick Welch
Affiliation:
Department of Psychiatry, University of Oxford
*
1 Address for correspondence: Dr Keith Hawton, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX.

Synopsis

In a study of domiciliary and out-patient treatment of self-poisoning patients, using a brief problem-orientated approach, it was found that domiciliary treatment resulted in much higher attendance rates but no difference in outcome. Patients who completed out-patient treatment had a better outcome than those who failed to attend treatment sessions. Completion of out-patient treatment was more frequent among higher social class patients. Domiciliary treatment may be more appropriate in some cases for married patients and for those of lower social class. Medical and non-medical staff proved to be equally effective therapists. Future research should be concerned with evaluation of alternative methods of provision of help and further identification of patients who are most likely to benefit from treatment.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1981

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