Suicide attempt survivors’ experiences with mental health care services: A mixed methods study.

Hom, Melanie A.; Albury, Evan A.; Gomez, Marielle M.; Christensen, Kirsten E.; Stanley, Ian H.; Stage, Dese’Rae L.; Joiner, Thomas E.

doi:10.1037/pro0000265

Cited by 21 publications

(23 citation statements)

References 28 publications

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“…Many participants expressed concerns about working with those presenting with SI or TSH due to their own personal stress. Several studies have reported that service users who experience SI or TSH are often not satisfied with the care they receive from mental healthcare staff 19–22 . In all these studies, service users felt staff, such as psychiatric nurses, did not have adequate knowledge or were unequipped to engage with people who experience SI or TSH.…”

Section: Discussionmentioning

confidence: 99%

“…For those who did access services, perceived problems such as limited opening hours, lack of equity between services, and long waiting lists were reported. Internationally, other studies also suggest that certain geographical areas are better serviced than others, 34 and that people experiencing mental distress are often faced with extended delays in accessing care 19,35 . Opmeer et al 36 reported on a UK service that, following an investment of £250,000, extended its opening hours beyond Monday to Friday, 9 a.m. to 5 p.m., to a 7‐day week service operating from 8 a.m. to 10 p.m. Statistically significant decreases were observed in waiting times, while significant increases were observed in the number of assessments performed.…”

Section: Discussionmentioning

confidence: 99%

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Healthcare staff's views on responding to suicide and self‐harm: Part II

Goodwin

Kilty

Meehan

et al. 2021

Perspect Psychiatr Care

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Purpose To report on healthcare staff's views of the barriers to preventing suicide and self‐harm. Design and Methods Using a qualitative approach, data were collected through “World Café” discussion forums and written submissions, and analyzed using reflexive thematic analysis. Findings Healthcare staff, including psychiatric nurses, perceived that a whole of society approach was needed for suicide and self‐harm prevention. Support for those at the front line is needed as well as clear referral pathways and interagency working. Practice Implications Formalized support for staff working in healthcare should be given with a flexible and inclusive approach to service delivery adopted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Healthcare staff's views on responding to suicide and self‐harm: Part II

Goodwin

Kilty

Meehan

et al. 2021

Perspect Psychiatr Care

View full text Add to dashboard Cite

show abstract

“…As a result, even if at‐risk individuals utilize mental health services, suicide risk may not be directly targeted or even peripherally addressed. Further, studies suggest that individuals at elevated suicide risk may utilize mental health services yet find that their needs are not fully met in care (Han et al, 2014; Hom et al, 2019; Shand et al, 2017). These studies indicate that connection to care does not necessarily translate to adequate therapeutic benefits.…”

Section: Recommendationsmentioning

confidence: 99%

“…Yet, there are numerous examples of evidence‐based treatment for which suicide risk reduction is a central focus, including safety planning (Stanley, Brown, et al, 2018; Stanley & Brown, 2012), crisis response planning (Bryan et al, 2017), the collaborative assessment and management of suicidality (Jobes, 2016), dialectical behavior therapy (Linehan, 2015), brief cognitive‐behavioral therapy for suicide prevention (Rudd et al, 2015), and lethal means safety counseling (Bryan et al, 2011). Evidence‐based interventions appear to contribute to positive experiences in treatment among suicide attempt survivors (Hom et al, 20192019). Even so, as alluded to above, individuals at elevated suicide risk may not always receive evidence‐based care when interfacing with mental health services (Han et al, 2014; Hom et al, 20192019; Shand et al, 2017).…”

Section: Recommendationsmentioning

confidence: 99%

“…Evidence‐based interventions appear to contribute to positive experiences in treatment among suicide attempt survivors (Hom et al, 20192019). Even so, as alluded to above, individuals at elevated suicide risk may not always receive evidence‐based care when interfacing with mental health services (Han et al, 2014; Hom et al, 20192019; Shand et al, 2017). It follows, then, that consideration of the types of treatment received by at‐risk individuals who utilize such services is critical.…”

Section: Recommendationsmentioning

confidence: 99%

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Considerations in the assessment of help‐seeking and mental health service use in suicide prevention research

Hom

Stanley

2021

Suicide & Life Threat Behav

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ObjectiveThe connection of individuals at elevated suicide risk to mental healthcare services represents a critical component of suicide prevention efforts. This article provides recommendations for enhancing the assessment of help‐seeking and mental health service use within the context of suicide prevention research.MethodWe discuss evidence‐based and theoretical rationale for improving current approaches to assessing help‐seeking and mental health service use among at‐risk individuals.ResultsRecommendations are offered within three domains: (a) consideration of the spectrum of connection to care, (b) assessment of the degree to which mental healthcare services seek to and effectively target suicidal symptoms, and (c) evaluation of the sources and types of treatment and care sought and received by at‐risk individuals.ConclusionsTo further our understanding of how to bolster connection to care and improve experiences with mental healthcare services among individuals at elevated suicide risk, it is imperative that stakeholders precisely capture the degree, efficacy/effectiveness, and nature of care sought and received by individuals. In so doing, research gaps might be better identified and, ultimately, mental healthcare services might be better leveraged as tools to prevent suicide and support individuals in creating lives they perceive to be worth living.

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Comparing treatment outcomes and patient satisfaction among individuals presenting to psychiatric care with and without recent suicidal ideation

et al. 2021

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Objective: To compare pre-and posttreatment psychological functioning and patient satisfaction among patients with and without recent suicidal ideation receiving care at a partial hospital program. Methods: Patients (N = 1295) completed (1) self-report measures of clinical severity, treatment beliefs, and patient satisfaction and (2) a clinician-administered suicidal ideation measure.Results: At admission, patients with past-month ideation reported more severe psychopathology and functional impairment than those without past-month ideation; however, at discharge, both groups reported comparable psychological functioning. Additionally, although patients with past-month ideation reported lower expectations that treatment would be helpful, both groups ultimately reported comparable satisfaction with services. Conclusion:Individuals with recent suicidal ideation may present to care with more severe psychopathology and lower treatment expectations yet may experience comparable treatment benefits and report similar satisfaction with services as patients without recent ideation. Research is needed to identify treatment components that drive perceived benefits and symptom reduction among at-risk individuals.

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Suicide attempt survivors’ experiences with mental health care services: A mixed methods study.

Cited by 21 publications

References 28 publications

Healthcare staff's views on responding to suicide and self‐harm: Part II

Healthcare staff's views on responding to suicide and self‐harm: Part II

Considerations in the assessment of help‐seeking and mental health service use in suicide prevention research

Comparing treatment outcomes and patient satisfaction among individuals presenting to psychiatric care with and without recent suicidal ideation

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