Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study

Background. Deliberate self-poisoning (DSP) comprises a small but significant proportion of presentations to the emergency department (ED). However, the prevalence and patient characteristics of self-poisoning attendances to EDs in Victoria have not been recently characterised....

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Main Authors: Asheq Rahman, Catherine Martin, Andis Graudins, Rose Chapman
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2014/461841
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author Asheq Rahman
Catherine Martin
Andis Graudins
Rose Chapman
author_facet Asheq Rahman
Catherine Martin
Andis Graudins
Rose Chapman
author_sort Asheq Rahman
collection DOAJ
description Background. Deliberate self-poisoning (DSP) comprises a small but significant proportion of presentations to the emergency department (ED). However, the prevalence and patient characteristics of self-poisoning attendances to EDs in Victoria have not been recently characterised. Aim. To identify and compare the characteristics of adult patients presenting to the three EDs of Monash Health following DSP. Methods. Retrospective clinical audit of adult DSP attendances between 1st July 2009 and 30th June 2012. Results. A total of 3558 cases over three years were identified fulfilling the search criteria. The mean age of patients was 36.3 years with the largest numbers aged between 18 and 30 (38%). About 30% of patients were born overseas. Forty-eight percent were discharged home, 15% were admitted to ED short stay units, and 5% required ICU admission. The median ED length of stay was 359 minutes (IQR 231–607). The most frequently reported substances in DSP were benzodiazepines (36.6%), paracetamol (22.2%), and antipsychotics (12.1%). Exposure to more than one substance for the episode of DSP was common (47%). Conclusion. This information may help identify the trends in poisoning substances used for DSP in Victoria, which in turn may provide clinicians with information to provide more focused and targeted interventions.
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spelling doaj-art-a00e2b5200864dfe815f7289922b6e232025-08-20T02:23:04ZengWileyEmergency Medicine International2090-28402090-28592014-01-01201410.1155/2014/461841461841Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive StudyAsheq Rahman0Catherine Martin1Andis Graudins2Rose Chapman3Monash Health, 135 David Street, Dandenong, VIC 3175, AustraliaMonash Health, 135 David Street, Dandenong, VIC 3175, AustraliaMonash Health, 135 David Street, Dandenong, VIC 3175, AustraliaMonash Health, 135 David Street, Dandenong, VIC 3175, AustraliaBackground. Deliberate self-poisoning (DSP) comprises a small but significant proportion of presentations to the emergency department (ED). However, the prevalence and patient characteristics of self-poisoning attendances to EDs in Victoria have not been recently characterised. Aim. To identify and compare the characteristics of adult patients presenting to the three EDs of Monash Health following DSP. Methods. Retrospective clinical audit of adult DSP attendances between 1st July 2009 and 30th June 2012. Results. A total of 3558 cases over three years were identified fulfilling the search criteria. The mean age of patients was 36.3 years with the largest numbers aged between 18 and 30 (38%). About 30% of patients were born overseas. Forty-eight percent were discharged home, 15% were admitted to ED short stay units, and 5% required ICU admission. The median ED length of stay was 359 minutes (IQR 231–607). The most frequently reported substances in DSP were benzodiazepines (36.6%), paracetamol (22.2%), and antipsychotics (12.1%). Exposure to more than one substance for the episode of DSP was common (47%). Conclusion. This information may help identify the trends in poisoning substances used for DSP in Victoria, which in turn may provide clinicians with information to provide more focused and targeted interventions.http://dx.doi.org/10.1155/2014/461841
spellingShingle Asheq Rahman
Catherine Martin
Andis Graudins
Rose Chapman
Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study
Emergency Medicine International
title Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study
title_full Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study
title_fullStr Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study
title_full_unstemmed Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study
title_short Deliberate Self-Poisoning Presenting to an Emergency Medicine Network in South-East Melbourne: A Descriptive Study
title_sort deliberate self poisoning presenting to an emergency medicine network in south east melbourne a descriptive study
url http://dx.doi.org/10.1155/2014/461841
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