ABSTRACT

CASE 7.1 – Overdose and self-cutting in a young woman A 19-year-old woman presents to the accident and emergency department saying that she has taken an unknown number of sleeping tablets. In addition, she has a number of lacerations to her left forearm which appear to have been self-inflicted and which are bleeding profusely. She is accompanied by her boyfriend, who says that she took the pills and cut herself with a razor after they had had an argument. He immediately brought her to hospital. The general medical team has assessed her, dressed her wounds, and consider that she is physically fit to be discharged. The team tells you that she has presented in this way many times before and ask you to sanction her discharge.