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dc.contributor.authorBiykx, Penny
dc.contributor.authorRitter, Alison
dc.contributor.authorLoxley, Wendy
dc.contributor.authorDietze, Paul
dc.date.accessioned2017-05-03T11:19:50Z
dc.date.available2017-05-03T11:19:50Z
dc.date.issued2012
dc.date.modified2013-06-05T23:02:56Z
dc.identifier.issn15571874
dc.identifier.doi10.1007/s11469-011-9338-1
dc.identifier.urihttp://hdl.handle.net/10072/48103
dc.description.abstractMedication overdose is a common method of non-fatal self-harm. Previous studies have established which mental health disorders are commonly associated with the behaviour (affective, substance use, anxiety and personality disorders) and which medications are most frequently implicated (benzodiazepines, antidepressants, antipsychotics and non-opioid analgesics). However, few studies have explored patient experiences of medication overdose. We address this gap by examining patient stories of a recent medication overdose event, including severity of depression, intended outcomes and patient experiences of emergency medical care, in part to determine the unmet needs of this group of patients. Semi-structured interviews were conducted with 31 patients attending an urban Emergency Department (ED) in Melbourne, Australia, following a medication overdose regarding their mental health history, state of mind at the time of the overdose, circumstances of the overdose, and experiences of emergency medical care. Participants were heterogeneous regarding the severity of depressive symptomatology at the time of overdose. Participant ratings of how accidental or deliberate the overdose was and how strongly they intended to die were also diverse. Stories relating to the overdose usually covered the themes of precipitating events, negative feeling states, and intended outcomes (ambivalent or contradictory). Few problems were identified in relation to the care received in relation to the current overdose. However, histories of extensive mental health problems were commonly reported, along with unsuccessful treatment for these. While mental health problems are common among patients attending the ED following a medication overdose, there is considerable diversity in current levels of distress and intended outcomes, indicating a thorough suicide risk assessment is always warranted. Presentation to the ED for medication overdose should also trigger a mental health treatment review.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoen_US
dc.publisherSpringer
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom501
dc.relation.ispartofpageto511
dc.relation.ispartofissue4
dc.relation.ispartofjournalInternational Journal of Mental Health and Addiction
dc.relation.ispartofvolume10
dc.rights.retentionY
dc.subject.fieldofresearchCauses and Prevention of Crime
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode160201
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1701
dc.titlePatients Who Attend the Emergency Department Following Medication Overdose: Self-reported Mental Health History and Intended Outcomes of Overdose
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2012
gro.hasfulltextNo Full Text
gro.griffith.authorRitter, Alison J.


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