dc.contributor.author | Xanthopoulou, D | |
dc.contributor.author | Ryan, M | |
dc.contributor.author | Lomas, M | |
dc.contributor.author | McCabe, R | |
dc.date.accessioned | 2020-11-30T11:15:16Z | |
dc.date.issued | 2021-05-27 | |
dc.description.abstract | Background: In the United Kingdom, suicide risk is assessed in the emergency department (ED) in a face-to-face assessment with psychiatric liaison practitioners. This study aimed to explore patient experiences of psychosocial assessment after presenting with self-harm/suicidality. Method: A total of 28 patients were interviewed within 2 weeks of ED attendance for self-harm/suicidality. Interviews were transcribed and analyzed using inductive thematic analysis. Results: People described two different experiences. A therapeutic interaction was about the “person” and made people feel their life mattered and instilled hope for the future. This was characterized by: unscripted conversation; warmth promoting disclosure; psychological exploration of feelings; validation of distress; and a coproduced care plan. A formulaic assessment was about the “risk” and made people feel their life did not matter and hopeless about the future. This was characterized by: feeling judged and not worthy of help; a focus on risk and form filling; a trivial treatment plan; and loss of trust in services. Limitations: Our study comprised a single ED and used a non-diverse sample. Conclusion: Psychosocial assessment in the ED impacts on hope for people in crisis. A focus on therapeutic communication that is about the person, as well as the risk, improves patient experience, decreases distress, and instills hope that life is worth living. | en_GB |
dc.identifier.citation | Published online 27 May 2021 | en_GB |
dc.identifier.doi | 10.1027/0227-5910/a000786 | |
dc.identifier.uri | http://hdl.handle.net/10871/123836 | |
dc.language.iso | en | en_GB |
dc.publisher | Hogrefe / International Association for Suicide Prevention (IASP) | en_GB |
dc.rights | © 2021 Hogrefe | |
dc.title | Psychosocial assessment in the Emergency Department: The experiences of people presenting with self-harm and suicidality | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2020-11-30T11:15:16Z | |
dc.identifier.issn | 0227-5910 | |
dc.description | This is the author accepted manuscript. The final version is available from Hogrefe via the DOI in this record | en_GB |
dc.identifier.journal | Crisis: the Journal of Crisis Intervention and Suicide Prevention | en_GB |
dc.rights.uri | http://www.rioxx.net/licenses/all-rights-reserved | en_GB |
dcterms.dateAccepted | 2020-11-28 | |
rioxxterms.version | AM | en_GB |
rioxxterms.licenseref.startdate | 2020-11-28 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2020-11-29T11:03:12Z | |
refterms.versionFCD | AM | |
refterms.dateFOA | 2021-06-15T10:52:21Z | |
refterms.panel | A | en_GB |