Suicide in a community based case management service

Pyke, Jennifer; Steers, Melanie J.

doi:10.1007/bf00754193

Cited by 10 publications

(4 citation statements)

References 12 publications

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“…Assessment and management is not, however, always a therapeutic encounter. Palmer (1993) noted the ambivalent feelings that nurses can have toward the self‐harming patient and Pyke & Steers (1992) indicated that professionals have difficulties in establishing relationships with suicidal clients more often than with other groups. According to Alston & Robinson (1992) these patients may evoke in the nurse negative attitudes, such as anxiety, anger, and an absence of empathy.…”

Section: Deliberate Self‐harm (Dsh) In General Hospitalsmentioning

confidence: 99%

The assessment and management of self‐harming patients in an Accident and Emergency department: an action research project

Elroy

Sheppard

1999

Journal of Clinical Nursing

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The Government, in Health of the Nation (DoH, 1992), set targets for health authorities to introduce specific interventions intended to reduce the rates of suicide in the districts for which they are responsible. Those who deliberately harm themselves are an important group for interventions aimed at suicide prevention. Self-harming individuals are known to seek help from a range of care providers, not just those specifically intended to meet their needs. Individuals with problems of self-poisoning and self-injury have placed increasing pressure on general hospital staff involved in their care. There should therefore be adequate services for suicide attempters in every general hospital. Policies and protocols must be introduced and evaluated, to ensure that the self-harmer's experience during crisis is not a catalogue of unhelpful encounters. This paper is an account of an action research project concerned with the assessment and management of self-harming patients in one accident and emergency department. The project aimed to enhance departmental policies and procedures for managing this group of patients. Practical problems can inhibit the introduction of even the most desirable of innovations. Action research provides a way of overcoming these problems whilst doing research at the same time.

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Section: Deliberate Self‐harm (Dsh) In General Hospitalsmentioning

confidence: 99%

The assessment and management of self‐harming patients in an Accident and Emergency department: an action research project

Elroy

Sheppard

1999

Journal of Clinical Nursing

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“…Eight of these measures were excluded upon further scrutiny: one (13) was used in a study of an Emergency Room, one (14) had no total score and two (15, 16) only included items on the relationship among a range of other items. Two were not measures, one (17) using semantic differential technique to investigate the relationship and one (18) being a retrospective unquantified assessment of the patient’s attendance; one (19) was about patients’ interpersonal relationships in general; and one (20, 21) was not about relationships between patients and professionals. This left 15 measures (in 40 papers) eligible for full conceptual review (Fig.…”

Section: Resultsmentioning

confidence: 99%

The therapeutic relationship in secondary mental health care: a conceptual review of measures

Catty

Winfield

Clément

2007

Acta Psychiatr Scand

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“…Albeit subtle and unintentional, certain staff behaviours were often the immediate cause of a particular episode of self-harm. Palmer (Palmer, 1993) noted the ambivalent feelings that nurses can have toward the self-harming patient, and Pyke and Steers (Pyke and Steers, 1992) indicated that professionals more often have difficulties in establishing relationships with self-harming clients than with other groups. According to Alston and Robinson (Alston and Robinson, 1992), these patients evoke in the nurse negative attitudes such as fear, anxiety, anger and an absence of empathy.…”

Section: Suicide Prevention and The Role Of Psychiatrymentioning

confidence: 99%

Suicide prevention and the broad-spectrum approach to health promotion

McElroy¹

2004

Health Education Research

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Suicide remains a significant cause of death in the UK. In highlighting this tragedy, the British government, in Health of the Nation (Department of Health, 1992) and Our Healthier Nation (Department of Health, 1998), set targets for Health Authorities to introduce positive interventions and reduce the rates of suicide in the populations for which they were responsible. This is reiterated in Standard 7 of the National Service Framework for Mental Health (Department of Health, 1999). Unfortunately, for both users and providers of services, the relevant literature reveals an immense and complex diversity in thinking as to how this might be achieved. Theories of causation, procedures for assessment and strategies for prevention are numerous, and result in a variety of theoretical frameworks and interventions being presented to those involved in suicide prevention (McElroy, unpublished). One option, however, is to target high-risk groups; in particular, individuals who have attempted suicide or deliberately harmed themselves (Department of Health, 2002). Morgan (Morgan, 1994) and others (Department of Health, 2002) have maintained that almost all completed suicides have a history of mental illness. It might, therefore, be inferred that suicide can be prevented by improving our knowledge and treatment of mental illness. In Sweden, for example, claims of this sort have been made following programmes that educated general practitioners in the treatment of depression (Rutz et al., 1992). The literature, however, indicates serious problems with the role psychiatry (i.e. the medical treatment of mental disorder) plays in relation to deliberate self-harm (DSH), particularly as many individuals find the care they are offered undesirable or unhelpful (Morgan et al.,

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Suicide in a community based case management service

Cited by 10 publications

References 12 publications

The assessment and management of self‐harming patients in an Accident and Emergency department: an action research project

The assessment and management of self‐harming patients in an Accident and Emergency department: an action research project

The therapeutic relationship in secondary mental health care: a conceptual review of measures

Suicide prevention and the broad-spectrum approach to health promotion

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