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Fleur Cantle

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date: 19 January 2022

This chapter provides a discussion of the challenges facing the emergency physician dealing with a patient presenting with deliberate self-harm. It describes an overview of the methods of stratifying a patient’s capacity, risk, and the options for intervention as well as discussing the attitudes of the emergency departemnt staff base towards these service users.

It examines the evidence base for three key clinical questions: examining the methods available for risk assessment; questioning whether a patient who has acutely self-harmed should be allowed to self-discharge from emergency department care; and an analysis of whether emergency department interventions can prevent further episodes occurring.

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