Nurses' attitudes towards clients who self‐harm

McAllister, Margaret; Creedy, Debra; Moyle, Wendy; Farrugia, Charles J.

doi:10.1046/j.1365-2648.2002.02412.x

Cited by 193 publications

(266 citation statements)

References 20 publications

(20 reference statements)

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“…Capitalizing on the expertise of the various disciplines may streamline suicide risk assessment, offer improved care for at-risk patients and offer ED providers more time to care for other emergently ill patients. Treating suicidal patients can be burdensome, 27,28,29 and accessed by following the link in the citation at the bottom of the page.…”

Section: Discussionmentioning

confidence: 99%

“…A small body of qualitative work has demonstrated that ED providers experience negative emotions when working with patients who present with suicide-related concerns, including frustration, lack of confidence and a desire to focus on patients' medical concerns rather than on psychosocial needs. 27,28,29 To date, we are aware of no published qualitative research that has examined ED providers' perspectives on the process of assessing suicide risk.…”

Section: Introductionmentioning

confidence: 99%

“…34 To hone clinical judgment, ED providers may benefit from learning to differentiate low and high acute suicide risk and from consulting other professionals regarding risk stratification decisions. Proficiency in stratifying risk may ameliorate the frustration and uncertainty that ED providers commonly feel when working with at-risk patients 27,28,29 and help guide clinically indicated disposition decisions.…”

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confidence: 99%

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Barriers and facilitators of suicide risk assessment in emergency departments: a qualitative study of provider perspectives

Petrik

Gutierrez

Berlin

et al. 2015

General Hospital Psychiatry

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Objective: To understand emergency department (ED) providers' perspectives regarding the barriers and facilitators of suicide risk assessment and to use these perspectives to inform recommendations for best practices in ED suicide risk assessment. Methods: Ninety-two ED providers from two hospital systems in a Midwestern state responded to open-ended questions via an online survey that assessed their perspectives on the barriers and facilitators to assess suicide risk as well as their preferred assessment methods. Responses were analyzed using an inductive thematic analysis approach. Results: Qualitative analysis yielded six themes that impact suicide risk assessment. Time, privacy, collaboration and consultation with other professionals and integration of a standard screening protocol in routine care exemplified environmental and systemic themes. Patient engagement/participation in assessment and providers' approach to communicating with patients and other providers also impacted the effectiveness of suicide risk assessment efforts. Conclusion:The findings inform feasible suicide risk assessment practices in EDs. Appropriately utilizing a collaborative, multidisciplinary approach to assess suicide-related concerns appears to be a promising approach to ameliorate the burden placed on ED providers and facilitate optimal patient care. Recommendations for clinical care, education, quality improvement and research are offered.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Barriers and facilitators of suicide risk assessment in emergency departments: a qualitative study of provider perspectives

Petrik

Gutierrez

Berlin

et al. 2015

General Hospital Psychiatry

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“…[12] The clinical population are individuals who are diagnosed with an identifiable mental illness. [13] However, it is difficult to accurately diagnose an individual who engages primarily in NSSI with any diagnosis within the American Diagnostic Association.…”

Section: Literature Reviewmentioning

confidence: 99%

Nurses knowledge and attitudes to individuals who self-harm: A quantitative exploration

Vine

Shahwan-Akl

Maude

et al. 2017

JHA

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Objective: Self-injury can be described as the deliberate destruction of the body without the intent to die, and is a distinct clinical presentation needing to be assessed separately from suicide and para-suicide. Nurses attitude to self-injury is a largely unexplored area particularly within Australia. The aim of this paper is to explore Australian general and mental health nurses' attitudes towards self-injury taking into account their preparation as registered nurses (RNs) or enrolled nurses (ENs) and length of experience. Methods: This was a mixed methods exploratory design study. Phase one used a combination of two established surveys, the Self-Harm Antipathy Scale (SHAS) and the Attitudes Towards Deliberate Self-Harm Questionnaire (ATDSHQ). Nurses who were either RNs or ENs, mental health educated (MHE) or not, working in the area of mental health or emergency departments (ED) were recruited through a number of professional nursing organisations. A total of 172 nurses completed the phase one online questionnaire. The results of this survey are reported in this paper. Results: The key findings indicated a significant relationship between years of mental health nursing experience and mental health nursing qualification. A significant difference was noted in the knowledge level of self-injury between the mental health nurses who had a greater knowledge compared to those who were not mental health educated. Lastly, the attitudes of nurses to self-injury were generally found to be positive. Conclusions: These results extend much of what is in the literature on knowledge, attitudes and beliefs of nurses to non-suicidal self-injury (NSSI) and place these results in an Australian context. Further research to assess the effectiveness of increased education and community engagement should be undertaken.

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“…Both Emerson (2010) and Motz (2009) claim that cutting is one of the most common methods of self-harm, though other methods include burning, scratching, headbanging, starvation, drug-taking and intense exercise (Skegg, 2005 harm to a symptom of a personality disorder represents an adequate response to the phenomenon. Furthermore this distinction between the psychiatric classification of eating disorders versus self-harm seems to be reflected in general societal perspectives on these phenomena; whilst eating disorders are widely classified as an illness (Sansone & Levitt, 2002), self-harm is often viewed as attention seeking behaviour (McAllister et al, 2002). This may be important since the way in which people conceptualise a psychological phenomenon may have consequences for the ways in which they behave towards individuals who exhibit it.…”

Section: Introductionmentioning

confidence: 99%

A qualitative analysis of perceptions of self‐harm in members of the general public

Newton

Bale

2012

J of Public Mental Health

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Abstract.Purpose: Previous research into health care professionals' perceptions of self-harm has found that, although complex, in some cases, their perceptions can be somewhat negative and unsympathetic towards individuals who harm themselves. However, it is presently unclear whether these perceptions reflect more general attitudes to self-harm in broader social groups. The present study represents a preliminary investigation into perceptions of selfharm in the general public. Firstly, since there is no universal agreement on which behaviours constitute self-harm, this study aimed to investigate public perceptions of this, including whether participants identified more controversial behaviours such as eating disorders and body modification as methods of self-harm in addition to the more commonly identified behaviours such as cutting and burning. Secondly, it aimed to identify whether attitudes towards individuals who self-harm in a small sample of the general public were similar to the sometimes negative and unsympathetic perceptions of health care professionals demonstrated in some previous studies.Design/Methodology/Approach: Semi-structured interviews were conducted with seven participants, none of whom had any professional or academic experience or knowledge of self-harm, who were recruited via second acquaintances of the first author. A 2 matrix based thematic analysis method was used to analyse the data collected.Findings: The main findings of this study were that eating disorders were generally perceived as forms of self-harm while body modification was not, and that participants generally showed sympathy towards individuals who self-harm, especially when they perceived the behaviour to be associated with mental illness.Originality/Value: Although, given the small size of the sample, this should be considered a preliminary study, our findings suggest that developing a greater understanding of public perceptions of selfharm could have important implications for understanding mental health professionals' perceptions of the phenomenon. We suggest that stigma and negative perceptions of people who self-harm may not be inevitable and that further research in this area could be of value in informing public and professional education campaigns in this area.

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Nurses' attitudes towards clients who self‐harm

Abstract: There is a need for continuing professional development activities to address negative attitudes and provide practical strategies to inform practice and clinical protocols.

Cited by 193 publications

References 20 publications

Barriers and facilitators of suicide risk assessment in emergency departments: a qualitative study of provider perspectives

Barriers and facilitators of suicide risk assessment in emergency departments: a qualitative study of provider perspectives

Nurses knowledge and attitudes to individuals who self-harm: A quantitative exploration

A qualitative analysis of perceptions of self‐harm in members of the general public

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