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  1. Changes in alcohol history taking by psychiatric junior doctors : an audit.

    Article - En anglais

    Objective 

    In recent years a number of articles have highlighted deficiencies in drinking histories taken by junior doctors.

    This study examines whether standards have improved as a result.

    It also examines for the first time : 1. the quality of drinking histories taken from patients following parasuicide ; and 2. the quality of illicit drug usage histories.

    Method 

    An audit of case notes was undertaken of 114 patients admitted to a district hospital's acute psychiatric wards or assessed following overdose.

    Two periods were considered ; one preceding many of the articles, and the second four years later.

    Results 

    There was an overall improvement from 58% of histories in 1988 having no mention of alcohol usage to 25% in 1992. (X2MH=10.57, p<0.01).

    There was, however, insufficient improvement of quantitative histories to reach statistical significance.

    Histories taken as part of an overdose assessment were not significantly different from those taken for inpatient admission.

    In 1992,27% of patients had any illicit drug usage history recorded which represented a statistically significant improvement (X2MH=5.91, p<0.02) compared with four years earlier.

    Conclusions 

    Although improvements have been noted, alcohol and drug histories remain inadequate.

    Mots-clés Pascal : Diagnostic, Alcoolisme, Facteur risque, Tentative suicide, Dépistage, Psychiatre, Influence sociale, Littérature scientifique, Etude longitudinale, Homme, Internat

    Mots-clés Pascal anglais : Diagnosis, Alcoholism, Risk factor, Suicide attempt, Medical screening, Psychiatrist, Social influence, Scientific literature, Follow up study, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0196131

    Code Inist : 002B18H04. Création : 09/06/1995.