Emergency Department Staff Beliefs About Self-Harm: A Thematic Framework Analysis

Community Mental Health Journal
Kate Louise KoningKeith Tuffin

Abstract

To explore the beliefs and attitudes of emergency department staff about self-harm behaviour. Existing studies looking at views regarding self-harm rely solely on the information provided by medical and nursing staff using a questionnaire format. No studies currently consider ancillary staff members' beliefs about self-harm, even though they also work with these patients. A thematic framework analysis of interview transcripts was carried out. Individual semi-structured interviews were conducted from December 2015 to February 2016. Fifteen medical, nursing, and ancillary staff members from a large, tertiary emergency department participated. There were 5 major themes identified-causes of self-harm are multifactorial; beliefs about self-harm can change over time; emergency departments should only focus on the physical; self-harm occurs on a spectrum; and the system has failed. The results suggest participants felt ill-prepared and lacking in appropriate training to help patients that self-harm, and furthermore they have little faith in the mental health system. Staff beliefs and attitudes may change over time with exposure to patients who self-harm, possibly becoming more positive in response to a greater understanding of why the...Continue Reading

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Citations

Dec 15, 2019·British Journal of Nursing : BJN·Sithandazile Masuku
Feb 23, 2021·Perspectives in Psychiatric Care·Caroline KiltyAine Horgan
Apr 4, 2021·International Journal of Environmental Research and Public Health·Sadhbh J ByrneJo Robinson
Sep 10, 2019·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Sara Wiesel CullenSteven C Marcus
Aug 3, 2021·Journal of Intellectual Disabilities : JOID·Beverley Samways
Sep 11, 2021·International Journal of Mental Health Nursing·Christina ØstervangCharlotte Myhre Jensen

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