A review of patients presenting to accident and emergency department with deliberate self-harm, KwaZulu-Natal, South Africa
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | A review of patients presenting to accident and emergency department with deliberate self-harm, KwaZulu-Natal, South Africa | |
| Creator | Ani, Josephat O. Ross, Andrew J. Campbell, Laura M. | |
| Description | Background: The World Health Organization has described deliberate self-harm (DSH) as a major global health challenge. Little is known about the profile of patients admitted following DSH at district and regional combo hospitals in KwaZulu-Natal, South Africa.Aim: The aim of this study was to assess the profiles of patients and reasons for admission following DSH.Setting: The study was conducted on data from a busy Accident and Emergency (AE) department in a combination district and regional hospital situated in Empangeni in northern KwaZulu-Natal.Method: This was a retrospective descriptive study. Data were collected from charts of all patients admitted to the AE department from April 2012 to March 2013 following DSH. Variables assessed included age, gender, race, occupation, religion, education level, coexisting medical and mental health conditions, and reasons for DSH. Data were entered into SPSS and analysed descriptively.Results: A total of 262 charts were identified and 215 (82%) were selected for inclusion. Most patients admitted following DSH were young, single African women with at least secondary-level education. Most (169/215;78%) admissions were for parasuicide, with relational issues contributing in more than 50% of cases and circumstance challenges contributing in just under 30%.Conclusion: Although an underestimation, DSH is not an uncommon reason for patients to present in the AE at this district and regional combo hospital. Findings from this study are consistent with those of other studies on DSH and highlight the need for a validated screening tool for the identification of patients at risk of DSH. There is a need to explore community-based intervention, which could address reasons for DSH and prevent future admissions. | |
| Publisher | AOSIS | |
| Date | 2017-05-29 | |
| Identifier | 10.4102/phcfm.v9i1.1234 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 9, No 1 (2017); 7 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/1234/2068
https://phcfm.org/index.php/phcfm/article/view/1234/2067
https://phcfm.org/index.php/phcfm/article/view/1234/2069
https://phcfm.org/index.php/phcfm/article/view/1234/2066
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