Hostname: page-component-7c8c6479df-8mjnm Total loading time: 0 Render date: 2024-03-28T20:51:16.113Z Has data issue: false hasContentIssue false

Using the Hospital Anxiety and Depression Scale to Screen for Psychiatric Disorders in People Presenting with Deliberate Self-harm

Published online by Cambridge University Press:  02 January 2018

D. Hamer
Affiliation:
Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY
D. Sanjeev
Affiliation:
Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY
E. Butterworth
Affiliation:
Deliberate Self Harm Team, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY
P. Barczak*
Affiliation:
Peter Hodgkinson Centre, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY
*
Correspondence

Abstract

In-patients referred to a deliberate self-harm team were asked to complete the HAD questionnaire and diagnoses were made using the SCID. The total prevalence of psychiatric disorder by DSM–III criteria was 54%. The HAD performed well as a screening instrument; a threshold score of eight gave a sensitivity of 88% and a positive predictive value of 80%; its use by non-psychiatrists to detect depressive disorder in patients presenting with deliberate self-harm is to be recommended.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alderson, M. R. (1974) Self poisoning: What is the future? Lancet, i, 104123.Google ScholarPubMed
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Andrews, H., Barczak, P. & Allan, B. (1987) Psychiatric morbidity in a clinic for inflammatory bowel disease patients. Gut, 28, 16001604.CrossRefGoogle Scholar
Aylard, P. R., Gooding, J. H., McKenna, P. S., et al (1987) A validation study of three anxiety and depression self assessment scales. Psychosomatic Research, 1, 261268.CrossRefGoogle Scholar
Barczak, P., Kane, N., Andrews, S., et al (1988) The patterns of psychiatric workability in a genito-urinary clinic. British Journal of Psychiatry, 152, 698700.CrossRefGoogle Scholar
Barraclough, B., Bunch, J., Nelson, B., et al (1974) 100 Cases of suicide: Clinical aspects. British Journal of Psychiatry, 125, 355373.CrossRefGoogle Scholar
Brewer, C. & Farmer, R. (1985) Self poisoning in 1984: a prediction that didn't come true. British Medical Journal, 290, 391.CrossRefGoogle ScholarPubMed
Catalan, J., Marsack, P., Hawton, K. E., et al (1980) Comparison of doctors and nurses in the assessment of deliberate self harm patients. Psychological Medicine, 10, 483491.CrossRefGoogle Scholar
Diekstra, R. F. W. (1985) Suicide and suicide attempts in the European Economic Community: An analysis of trends with special emphasis upon trends among the young. Suicide and Life Threatening Behaviour, 15, 2742.CrossRefGoogle ScholarPubMed
Erdreich, L. & Lee, E. (1981) Use of relative operating character analysis in epidemiology. American Journal of Epidemiology, 114, 649662.CrossRefGoogle Scholar
Newson-Smith, J. G. B. & Hirsch, S. R. (1979) A comparison of social workers and psychiatrists in evaluating para-suicide. British Journal of Psychiatry, 134, 335342.CrossRefGoogle Scholar
Snaith, R. P. (1985) Rating scales for depression and anxiety. British Journal of Clinical Pharmacology, 19, 17S20S.CrossRefGoogle ScholarPubMed
Spitzer, L. A. (1983) Structured Clinical Interview for DSM–III. New York: New York State Institute.Google Scholar
Urwin, P. & Gibbon, J. L. (1979) Psychiatric diagnosis in self poisoning of patients. Psychological Medicine, 9, 501507.CrossRefGoogle Scholar
Wilkinson, N. & Barczak, P. (1988) Psychiatric screening in general practice: a comparison of the General Health Questionnaire on the Hospital Anxiety and Depression scale. British Journal of General Practice, 38, 311313.Google Scholar
Zigmond, A. S. & Snaith, R. P. (1983) Hospital Anxiety Depression Scale. Acta Scandinavica, 67, 361370.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.