Revisiting “Suicide Proofing” an Inpatient Unit Through Environmental Safeguards: A Review

Cardell, Rebecca; Bratcher, Kevin S.; Quinnett, Paul

doi:10.1111/j.1744-6163.2009.00198.x

Cited by 21 publications

(17 citation statements)

References 13 publications

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“…Research in Europe, North America and Australia has addressed the practical problems of managing perceived risks in this sector (e.g. Halleck & Petrilla, 1988;Nijman, Merckelbach, Allertz, & a Campo, 1997;Bowles et al, 2002;Quirk, Lelliott, & Seale, 2004;Meehan et al, 2006;Stubner et al, 2006;Cardell, 2009;Fluttert, van Meijel, van Leeuwen, Bjørkly, Nijman, & Grypdonck 2011;Manna, 2010). Such concerns have led to 'the re-articulation of mental health work in the language of risk' (Quirk et al, 2004(Quirk et al, , p. 2574 and the emergence of a new emphasis on confinement within secure buildings, which is of special interest in this paper.…”

Section: Contextualising Our Research In the Interdisciplinary Literamentioning

confidence: 99%

“…Commentators also note an increasing trend towards locked wards to reduce the risks that patients who are legally detained in hospital will abscond, presenting a risk while unsupervised (Cleary, Hunt, Walter, & Robertson, 2009, p. 644). Potentially suicidal users should be protected by architectural barriers (Cardell, Bratcher, & Quinnett, 2009), including secure, non-breakable windows and breakaway shower rods; and by routine searches to eliminate potentially harmful objects such as cords, razors, and other items brought in by visitors. We present evidence below on the awareness and interpretation of these issues by the English NHS as an institution, and by its agents and clients at the 'front line' of service delivery.…”

Section: Contextualising Our Research In the Interdisciplinary Literamentioning

confidence: 99%

“…Considerable thought, effort and cost were invested in removing or designing out these 'material' risk factors in ways anticipated by Jeffers (1991) andCardell et al (2009). Notably these 'technical security' solutions operate by means of manipulating the fabric of the building and a reliance on safer design, rather than modifying the human behaviours of patients which are the ultimate source of these risks.…”

Section: Findings: Geographies Of Riskmentioning

confidence: 99%

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Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Curtis

Gesler

Wood

et al. 2013

Social Science & Medicine

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'Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards.', Social science medicine., 97 . pp. 201-209. Further information on publisher's website:http://dx.doi.org/10. 1016/j.socscimed.2013.06.015 Publisher's copyright statement: NOTICE: this is the author's version of a work that was accepted for publication in Social science medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reected in this document. Changes may have been made to this work since it was submitted for publication. A denitive version was subsequently published in Social science medicine, 97, 2013, 10.1016/j.socscimed.2013.06.015 Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. landscapes. There were also more subtle implications, partly relating to 'Panopticist' theories about how the institution uses technical safety to supervise its own mechanisms, through the observation of staff behaviour as well as patients and visitors. Furthermore, staff seemed to feel that in relying on technical safety measures they were, to a degree, divesting themselves of human responsibility for risks they are required to manage. However, their critical assessment showed their concerns about how this might conflict with a more therapeutic approach and they contemplated ways that they might be able to engage more effectively with patients without the imposition of technical safety measures. These findings advance our thinking about the construction of therapeutic landscapes in theory and in practice.4

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Section: Contextualising Our Research In the Interdisciplinary Literamentioning

confidence: 99%

Section: Contextualising Our Research In the Interdisciplinary Literamentioning

confidence: 99%

Section: Findings: Geographies Of Riskmentioning

confidence: 99%

See 1 more Smart Citation

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Curtis

Gesler

Wood

et al. 2013

Social Science & Medicine

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“…Infrastructural modifications include toughened safety glasses on all windows, replacement of ceiling fans, restricting the access to staircases/roof, avoiding door and doorknobs wherever possible, and adequate maintenance to avoid exposed pipelines and telephones cables. [78][79][80] In bathrooms and bedrooms, acoustic ceiling tiles could be removed by patients and exposed plumbing, piping or ductwork could be used as anchors for hanging. The Lieberman et al study lists numerous points about the physical environment that may require attention, including training cleaning staff to ensure their cleaning fluids are kept secure, and their carts always attended, and informing visitors not to bring in potentially lethal items such as plastic bags.…”

Section: Steps 4 Andmentioning

confidence: 99%

Prevention of Inpatient Suicides: An Attempt to Portray an Approach

Thomas¹

2018

KJP

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IPS is the second most common sentinel event reported to the Joint Commission. Studies and statistics related to IPS are limited, as many cases are not appropriately reported, thereby masking the exact figures. Deliberate improperinadequate reporting and hiding of cases are mostly assumed to be for fear of lawsuits. 3 ABSTRACT Inpatient Suicide (IPS) is the second most common sentinel event reported to the Joint Commission. Psychiatric inpatient suicide rates in the USA, China, New Zealand, Australia, and the UK range from 0.1% to 0.4% for all psychiatric admissions. Population-based mortality studies in psychiatric care show a 16-fold risk for suicide among psychiatric inpatients and a 2-3-fold greater risk for outpatients compared to the risk for outpatients treated in primary care. The risk factors for suicides in inpatient setting and general population differ. Moreover, the identified risk factors for IPS have relatively low degree of association. Nevertheless, psychiatric inpatients are at a higher risk for suicide. This article discusses the spectrum Model of interventions for mental health protection proposed by Mrazek & Haggarty, B-SAFE strategy, and SAFE-T strategy. The above models portray a stepwise approach for inpatients who are "at risk" for suicide. Prevention strategies are to be specifically tailored for each individual, after carefully assessing the risk of suicide. Early diagnosis and proper treatment of psychiatric illness and modification of hospital environmental factors are the cornerstones in preventing inpatient suicides. The role of nursing and paramedical staff is also discussed.

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“…La enfermera de salud mental debe tener una base sólida para la reducción del riesgo y la prevención del suicidio (15) . Observar a cada cliente suicida y expresar su preocupación (3) .…”

Section: También Le Dan Trabajo Para Arreglar La Pared Creando Jauunclassified

Family’s experience in caring for clients with suicidal risk in Indonesia

Nova

Hamid²,

Daulima

2018

eglobal

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El suicidio es una de las emergencias psiquiátricas que requieren atención integral porque los individuos corren el riesgo de ponerse en peligro a sí mismos, a los demás y al entorno. El suicidio en Indonesia está aumentando. Las familias tienen un papel importante en el cuidado de los clientes y la prevención del suicidio, pero las cargas familiares no se han estudiado profundamente. El objetivo del estudio fue obtener una visión general de la experiencia familiar en el cuidado de clientes con riesgo de suicidio. El diseño de la investigación fue cualitativo con un enfoque de fenomenología descriptiva que involucró a seis participantes. Los datos fueron recolectados por entrevista en profundidad y analizados utilizando el método Colaizzi. Los resultados del estudio encontraron cinco temas; los intentos de suicidio son una carga compleja para las familias, los cambios de comportamiento como un signo de suicidio, la preocupación como una forma de apoyo familiar y comunitario, las percepciones familiares sobre las causas y consecuencias del intento de suicidio y las estrategias de supervivencia de las familias superando el impacto del intento de suicidio. Los resultados del estudio recomiendan que la familia como unidad social de prevención del suicidio sea más sensible a los cambios en el comportamiento de clientes y enfermeras, ya que los consejeros pueden proporcionar intervenciones para mejorar el estado de salud mental de los clientes y las familias, como la educación sanitaria. terapia de psicoterapia familiar, manejo del estrés y grupo de autoayuda. La conclusión que puede extraerse de los cinco temas anteriores es que la carga de la familia que brinda cuidados al cliente con el riesgo de suicidio es mayor cuando la familia no puede reconocer los signos de suicidio del cliente, por lo que es necesario un sistema de apoyo. y afrontamiento constructivo. Suicide is one of the psychiatric emergencies that require comprehensive care because individuals are at risk of endangering themselves, others and the surrounding. Suicide in Indonesia is increasing. Families have a major role in caring for clients and preventing suicide but family burdens have not been studied profoundly. The aim of the study was to get an overview of family experience of caring for clients with suicide risk. The research design was qualitative with descriptive phenomenology approach involving six participants. Data was collected by in depth interview and analyzed using Colaizzi method. The results of the study found five themes; suicide attempts is a complex burden for families, behavioral changes as a suicide sign, concern as a form of family and community support, family perceptions about the causes and consequences of attempted suicide and coping strategies of families overcoming the impact of attempted suicide. The results of the study recommend that the family as the front social unit of suicide prevention can be more sensitive to changes in the behavior of clients and nurses as counselors can provide interventions to improve the mental health status of clients and families such as health education, family psycoeducation therapy, stress management and self help group. The conclusion that can be drawn from the five themes above is the burden of the family who provide caring for the client with the risk of suicide is heavier when the family is unable to recognize the client's suicide signs so there is a need for a support system and constructive coping.

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Revisiting “Suicide Proofing” an Inpatient Unit Through Environmental Safeguards: A Review

Cited by 21 publications

References 13 publications

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Prevention of Inpatient Suicides: An Attempt to Portray an Approach

Family’s experience in caring for clients with suicidal risk in Indonesia

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