Title

Deliberate self-harm patients visiting public and private emergency departments of Karachi

Document Type

Article

Department

Emergency Medicine

Abstract

OBJECTIVE

To study the mode of attempted deliberate self-harm (DSH) in patients presenting to the Emergency Departments (ED) of public and private hospitals of Karachi, Pakistan.

DESIGN

A cross sectional study.

PLACE AND DURATION OF STUDY

Aga Khan University Hospital Karachi, Jinnah Post Graduate Medical Centre Karachi and Civil Hospital Karachi; March 2011 to February 2012.

SUBJECTS AND METHODS

One hundred DSH cases from ED of a private sector hospital were compared with 101 patients from two public sector hospitals.

RESULTS

DSH patients in the private hospital were mostly females (70%), had higher level of education (32%), did not share their problems (67%) with someone and had more mental disorders (28%). Patients from public hospitals were treated more for physical illnesses compared to private facility. Organophosphorus poisoning (90%) was a common mode of DSH in patients presenting to public hospitals; however significant number of organophosphorus poisoning (40%) was also seen in private hospital besides the benzodiazepine overdose (32%).

CONCLUSION

Emergency Physicians working in the EDs, both public and private sector hospitals of Karachi, should have adequate knowledge of managing organophosphorus poisoning. As more and more cases are presenting to the EDs, there should be a public health initiative to control the illegal sale and availability of such compounds in Pakistan

Publication

Journal of Pakistan Psychiatric Society

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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