Decision-making capacity in patients presenting to the Accident and Emergency Services
| ISRCTN | ISRCTN89461852 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN89461852 |
| Secondary identifying numbers | N0544116543 |
- Submission date
- 12/09/2003
- Registration date
- 12/09/2003
- Last edited
- 05/12/2014
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Rebecca Jacob
Scientific
Scientific
Department of Liaison Psychiatry
Addenbrooke's NHS Trust
Hills Road
Cambridge
CB2 2QQ
United Kingdom
| Phone | +44 (0)1223 216167 |
|---|---|
| abc@email.com |
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Scientific title | Decision-making capacity in patients presenting to the Accident and Emergency Services |
| Study objectives | To investigate the decision-making capacity in patients presenting to the Accident and Emergency Services, with deliberate self-harm, alcohol intoxication and physical illness. Hypotheses: Incapacity of patients to consent to treatment will be associated with mental disorders, increased blood alcohol levels and serious physical illness. |
| Ethics approval(s) | Not provided at time of registration |
| Health condition(s) or problem(s) studied | Injury, Occupational Diseases, Poisoning: Self harm |
| Intervention | The Accident and Emergency Services are an area of medical practice where rapid health care decisions have to be made, often in the context of life threatening illness. Patients may present who are unconscious and are therefore unable to consent to these decisions. Alternatively patients who have the capacity to make an informed choice, may refuse the proposed treatment. The decision-making capacity of patients may be impaired by temporary factors including serious physical or mental illness, substance misuse or permanent conditions such as learning disabilities. We propose to assess decision-making capacity of patients presenting to the Accident and Emergency Services, with specific emphasis on the categories of deliberate self-harm and alcohol abuse. These categories of patients commonly present to the Accident and Emergency Services and on occasion lack capacity to consent or refuse treatment. The Law Commission defines incapacity, as 'the inability to understand relevant information, retain this information, or make a decision based on the information given'. Using this as a framework, patients will be tested for their ability to consent to a health care intervention. In addition to tests of capacity, patients will be breathalysed to assess the relationship between the degree of alcohol intoxication and lack of capacity. For patients presenting with deliberate self-harm, routine rating scales will be used to assess presence and severity of psychopathology. A random, consecutive sample of patients presenting to Casualty will also be included to serve as a control group and comparisons of decision-making capacity will be made between the three study groups. |
| Intervention type | Other |
| Primary outcome measure | Not provided at time of registration |
| Secondary outcome measures | Not provided at time of registration |
| Overall study start date | 16/08/2002 |
| Completion date | 15/08/2005 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 40 |
| Key inclusion criteria | 40 subjects 18 years or over. |
| Key exclusion criteria | Not provided at time of registration |
| Date of first enrolment | 16/08/2002 |
| Date of final enrolment | 15/08/2005 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Addenbrooke's NHS Trust
Cambridge
CB2 2QQ
United Kingdom
CB2 2QQ
United Kingdom
Sponsor information
Department of Health (UK)
Government
Government
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom
| Website | http://www.doh.gov.uk |
|---|
Funders
Funder type
Hospital/treatment centre
Cambridge Consortium - Addenbrooke's
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
