A Brief Breathing Space: Experiences of Brief Admission by Self-Referral for Self-Harming and Suicidal Individuals with a History of Extensive Psychiatric Inpatient Care

Lindkvist, Rose-Marie; Westling, Sofie; Liljedahl, Sophie; Landgren, Kajsa

doi:10.1080/01612840.2020.1789787

Cited by 10 publications

(25 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results showed that the principle of self-referral was upheld when patients did not have to explain why they needed a stay, thus giving the patients easy access to treatment [ 18 ], which is in line with previous study [ 12 ]. The content of the SRIT inpatient stay, even without any scheduled therapy sessions with a psychiatrist or psychologist, seemed to be adequate.…”

Section: Discussionsupporting

confidence: 87%

“…This finding is in line with earlier reports from SRIT implementations, reporting that ‘the bed’ prevented suffering even when it was not in use [ 25 ]. Additionally, patients have emphasized the safety inherent in the opportunity [ 12 , 17 , 18 ]. For many persons with severe mental disorders, regular inpatient stays are needed to prevent worsening of symptoms and avoid longer hospital stays.…”

Section: Discussionmentioning

confidence: 99%

“…Here, assessment procedures, length of stay, quarantine between stays, treatment content and follow-up have varied. SRIT may lead to patients experiencing increased predictability, control, autonomy, coping and responsibility [ 5 , 6 , 12 , 17 , 18 ], normalization of life [ 17 – 19 ], respect by healthcare professionals [ 11 ], as well as improvements in life for patients and next of kin [ 20 ]. So far, very few studies have investigated the implementation of SRIT in mental health services.…”

Section: Introductionmentioning

confidence: 99%

“…Before establishing SRIT, professionals were sceptical, worrying that patients would misuse the service [ 5 , 22 ] or that medical assessment was lacking [ 22 ]. Experiencing SRIT led to more positive attitudes [ 11 , 12 , 21 , 22 ], represented safety for the patients, and the opportunity to self-refer was perceived as advantageous even when not used [ 11 ]. More elaborate knowledge of professionals’ perceptions of the potential, benefits and challenges of SRIT is still limited.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs

Moljord

Stensvåg

Halsteinli

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Self-referral to inpatient treatment (SRIT) is built on user participation and patient autonomy. SRIT was conducted for patients with severe mental disorders in a Norwegian Community Mental Health Centre. The aims of the present study were to describe the implementation of SRIT, explore the professionals’ experiences of SRIT and assess the costs entailed. Methods Qualitative document analysis, interviews with professionals and quantitative analysis of register data from a randomized controlled trial were used. Results SRIT seemed to be implemented as intended. According to the professionals, SRIT allowed the patients to cope, be empowered, more active and responsible. Some professionals experienced increased responsibility for patients’ medication and for assessing health and suicide risks. SRIT did not reduce hospital costs. The professionals were satisfied with nurse-led SRIT treatment. Conclusions SRIT appears to be a high-quality mental health service that empowers and activates patients. Nurse-led treatment may entail more efficient use of professional resources. In future implementations of SRIT, the efficient use of service resources and the administration of beds should be investigated. More flexible availability should be considered in line with the intentions behind SRIT, as well as ensuring adequate professional training in assessing health and suicide risk.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs

Moljord

Stensvåg

Halsteinli

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Brief Admission by self-referral (BA) is a standardized crisis management intervention with promising results for adults with severe self-harm [ 15 , 16 , 17 , 18 ]. BA differs from other types of admissions, with its focus on prevention through increased autonomy and self-care.…”

Section: Introductionmentioning

confidence: 99%

‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study

Lindkvist

Westling

Eberhard

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Evidence is lacking on how to manage imminent suicidality in adolescents with self-harm. Brief Admission by Self-referral (BA) is a crisis-management intervention, developed for adults with self-harm at risk for suicide. Structured, individualized and based on responsible autonomy, BA aims to provide a respite while minimizing negative effects of hospitalization. This qualitative interview study illuminates adolescents’ experiences of BA, adapted for this target group. Nineteen adolescents aged 14 to 19 years, described BA as helpful for timely rest and recovery to save themselves from impulses to self-harm. The individual contract, which is a prerequisite for access to BA, was perceived to give access to professional support in a safe environment, also among adolescents not using their contract. Being trusted with responsibility to self-admit was also hard work with struggles of self-doubt. Challenges included experiencing distrust from staff and fear of not being able to abstain from self-harm, which BA is conditioned upon. However, this condition was also perceived to induce self-motivation and growth. BA appeared well-adapted to the target group, fulfilling needs of predictability, autonomy, and opportunity for recovery to prevent self-harm. Suggestions for improvement included continually informing staff about important features of BA. To further evaluate benefits and challenges of BA, future research may evaluate clinical and health-economic outcomes and perspectives from parents and caregivers.

show abstract

Brief Admission for Patients with Self-Harm from the Perspective of Outpatient Healthcare Professionals

Arnold

Wärdig

Hultsjö

2021

Issues in Mental Health Nursing

View full text Add to dashboard Cite

show abstract

A Brief Breathing Space: Experiences of Brief Admission by Self-Referral for Self-Harming and Suicidal Individuals with a History of Extensive Psychiatric Inpatient Care

Cited by 10 publications

References 34 publications

Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs

Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs

‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study

Brief Admission for Patients with Self-Harm from the Perspective of Outpatient Healthcare Professionals

Contact Info

Product

Resources

About