Cooper et al developed a clinical tool for evaluating a patient after self-harm. This can help identify a patient who is at risk for recidivism. The authors are from Manchester Royal Infirmary in Manchester, England.
Patient selection: ED patient who has survived a recent attempt at self-harm
Method: recursive partitioning
Evaluation:
(1) previous history of self-harm
(2) previous history of psychiatric treatment
(3) self-harm attempt was an overdose with a benzodiazepine
(4) currently receiving psychiatric treatment
|
History of Self-Harm |
History Rx Psychiatric |
Benzo Overdose |
Current Rx Psychiatric |
Node |
|
Y |
NA |
NA |
NA |
A |
|
N |
Y |
NA |
NA |
B |
|
N |
N |
Y |
NA |
C |
|
N |
N |
N |
Y |
D |
|
N |
N |
N |
N |
E |
|
Node |
Future Self-Harm |
|
A |
23% |
|
B |
10% |
|
C |
12% |
|
D |
9% |
|
E |
6% |
where:
• Items 2, 3 and 4 could be compressed into a single node.
Specialty: Psychiatry, Clinical Laboratory
ICD-10: ,
