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Emergency Medicine Journal 2009;26:545
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMQ ANSWERS

For questions on page 471

The first 150 words of the full text of this article appear below.


ANSWER 1

  1. False. Nearly a half.1 One in five will re-present within one year according to one recent study from New Zealand.2
  2. True.3
  3. True. A 10% (95% CI 2% to 18%) reduction in suicide attempts over a 6-month period according to one French study.4
  4. False. It is unclear whether any intervention is beneficial long term in DSH.5


ANSWER 2

  1. False. A Section 5(2) is only applicable to inpatients.6
  2. False. A "place of safety" should be determined locally. An emergency department may or may not be one—refer to Royal College of Psychiatrists’ recommendations.7
  3. True. The Mental Capacity Act can be used to treat physical illness in patients deemed to lack capacity.
  4. True. But only when Section 2 cannot be applied in a timely fashion (a senior psychiatrist or the patient’s GP is required). Section 4 requires a registered doctor and a social worker or patient relative (former ideally).6


ANSWER 3

  1. False. Either may be used.8 9
  2. False. Olanzapine . . . [Full text of this article]


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Emerg. Med. J. 2009 26: 471. [Extract] [Full Text] [PDF]

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Official journal of British Association for Immediate Care: BASICS, Faculty of Pre-Hospital Care, Irish Society for Immediate Care and Swedish Society for Emergency Medicine: SweSEM

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