Abstract
Over a decade has now elapsed since the last national guidelines from Government health departments about the management of deliberate self-harm, although the scale of the problem has remained unchanged. Three years ago the Royal College of Psychiatrists issued a consensus statement which set standards for suitability of staff, particularly with regard to training, experience and supervision, the available facilities for assessment, the range of appropriate management options, communication of these and management of services. This postal questionnaire study in one health region of England of all senior house officers and registrars working in psychiatry found that levels of training and supervision varied widely and often fell below those suggested.
Highlights
Over a decade has elapsed since the last national guidelines from Government health departments about the management of deliberate self-harm, the scale of the problem has remained unchanged
Repetit ion is common with up to 15.8% repeating in one year. 9.4% in the first three months (Bancroft & Marsack, 1977). Despite this Deliberate self-harm (DSH) is relatively neglected at msuaicniyde lerveedlsu.ctiAont a isGotavregrentmedentby le'Hveela,lthalthoofugthhe Nation', the Mental Health Key Area Handbook has little to say about the management of DSH (Department of Health and Social Security, 1994) and current Government guidelines are 14 years old
A questionnaire was sent to all senior house officers (SHOs) and registrars in psychiatry and general practitioner trainees working in adult or old age substantive posts in the Trent Region
Summary
Over a decade has elapsed since the last national guidelines from Government health departments about the management of deliberate self-harm, the scale of the problem has remained unchanged. This study set out to examine the level of training and supervision that junior doctors working in psychiatry have received in compar ison with these standards. (c) During the first six months of carrying out assessments, every case should be super vised.
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