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dc.contributor.authorQuinlivan, Leah M; orcid: 0000-0002-3944-3613; email: leah.quinlivan@manchester.ac.uk
dc.contributor.authorGorman, Louise
dc.contributor.authorLittlewood, Donna L
dc.contributor.authorMonaghan, Elizabeth
dc.contributor.authorBarlow, Steven J
dc.contributor.authorCampbell, Stephen M
dc.contributor.authorWebb, Roger T
dc.contributor.authorKapur, Navneet
dc.date.accessioned2021-06-25T00:45:55Z
dc.date.available2021-06-25T00:45:55Z
dc.date.issued2021-05-23
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/625037/article.pdf?sequence=2
dc.identifier.citationBMJ open, volume 11, issue 5, page e044434
dc.identifier.urihttp://hdl.handle.net/10034/625037
dc.descriptionFrom Europe PMC via Jisc Publications Router
dc.descriptionHistory: ppub 2021-05-01, epub 2021-05-23
dc.descriptionPublication status: Published
dc.description.abstract<h4>Objectives</h4>We sought to explore patient and carer experiences of psychosocial assessments following presentations to hospital after self-harm.<h4>Design</h4>Thematic analysis of free-text responses to an open-ended online survey.<h4>Setting</h4>Between March and November 2019, we recruited 88 patients (82% women) and 14 carers aged ≥18 years from 16 English mental health trusts, community organisations, and via social media.<h4>Results</h4>Psychosocial assessments were experienced as helpful on some occasions but harmful on others. Participants felt better, less suicidal and less likely to repeat self-harm after good-quality compassionate and supportive assessments. However, negative experiences during the assessment pathway were common and, in some cases, contributed to greater distress, less engagement and further self-harm. Participants reported receiving negative and stigmatising comments about their injuries. Others reported that they were refused medical care or an anaesthetic. Stigmatising attitudes among some mental health staff centred on preconceived ideas over self-harm as a 'behavioural issue', inappropriate use of services and psychiatric diagnosis.<h4>Conclusion</h4>Our findings highlight important patient experiences that can inform service provision and they demonstrate the value of involving patients/carers throughout the research process. Psychosocial assessments can be beneficial when empathetic and collaborative but less helpful when overly standardised, lacking in compassion and waiting times are unduly long. Patient views are essential to inform practice, particularly given the rapidly changing service context during and after the COVID-19 emergency.
dc.languageeng
dc.rightsLicence for this article: cc by
dc.sourceissn: 2044-6055
dc.sourceessn: 2044-6055
dc.sourcenlmid: 101552874
dc.subjectPsychiatry
dc.subjectQuality In Healthcare
dc.subjectSuicide & Self-harm
dc.subjectHumans
dc.subjectSelf-Injurious Behavior
dc.subjectAdolescent
dc.subjectAdult
dc.subjectCaregivers
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectMale
dc.subjectCOVID-19
dc.subjectSARS-CoV-2
dc.title'Relieved to be seen'-patient and carer experiences of psychosocial assessment in the emergency department following self-harm: qualitative analysis of 102 free-text survey responses.
dc.typearticle
dc.date.updated2021-06-25T00:45:55Z


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