Deliberate self‐poisoning : repeaters and nonrepeaters admitted to an intensive care unit

Seventy‐nine patients admitted to the Lund Intensive Care Unit after deliberate self‐poisoning were investigated by a psychiatrist and a social worker by means of a semi structured interview. Suicide risk evaluation included statistical risk factors according to the SAD PERSONS Scale, severity of suicidal intent according to the Suicidal Intent Scale, and interviewer reaction according to Motto. Two‐thirds of the patients were in treatment or had had counselling with a social worker. More than half of the sample were repeaters. Compared with nonrepeaters, repeaters were less often employed, lacked social support and more often had relational problems. The majority of the repeaters had ongoing treatment, mostly psychiatric treatment. Repeaters more often acted impulsively, and their suicidal intent tended to be less severe than those of nonrepeaters. Interviewers more often reacted with negative or neutral feelings towards repeaters. Our results indicate that those who repeat suicidal behaviour differ from nonrepeaters. Self‐poisoners, and especially repeaters, often had ongoing or previous psychiatric treatment. For the repeater group it is important to consider their impulse dyscontrol and their hostile attitude when alternative treatment strategies are devised and evaluated

Sedimentology of the Lower Ordovician (upper Tremadocian) Bjørkåsholmen Formation at Flagabro, southern Sweden

The Lower Ordovician Bjørkåsholmen Formation at Flagabro, Scania, southern Sweden, consists of a 0.8 m thick succession of carbonates with three siliciclastic mudstones, 5, 1 and 100 mm thick, intercalated in the central part of the unit. Carbonate and siliciclastic mudstone beds show both normal and inverse grading. The carbonates are mud-rich and subdivided into a mudstone, a wackestone and a packstone facies. Grain types in the carbonates are mostly shells and shell fragments of brachiopods and trilobites. The carbonate rocks are strongly bioturbated seen as in roundish burrows filled with mud and a clear cement; additionally, bioturbation is reflected in the random orientation of shells. The siliciclastic mudstones are subdivided into two facies; one contains large amounts of shells and is in part grain-supported, the other is matrix-dominated and laminated to massive. The succession reflects sedimentation on a low-inclined shelf equivalent to a mid-ramp to basinal setting. Most mud- and wackestones (facies 3 and 4) represent fair-weather sedimentation, and the intercalated wacke- and packstones (facies 4 and 5) represent concentration of shell debris during high-energy storm. The siliciclastic mudstones in the central part of the succession reflect deposition in a basinal setting. The entire Bjørkåsholmen Formation at Flagabro is equivalent to a lowstand of third (?) order without a well-developed internal cyclicity and is in that respect similar to the Bjørkåsholmen Formation of Öland, but different from the age-equivalent Norwegian sections