PMID: 11931011Apr 5, 2002Paper

Psychiatric inpatients' perceptions of written no-suicide agreements: an exploratory study

Suicide & Life-threatening Behavior
Steven E DavisLarry W Hays

Abstract

One hundred thirty-five psychiatric inpatients admitted for suicidal danger were surveyed regarding their views on the benefits/limitations of written no-suicide agreements. A survey instrument developed for this study revealed that these inpatients, for the most part, rated written no-suicide agreements in a positive manner and in ways consistent with clinical opinion expressed in a number of qualitative/expert-opinion articles. Positive views of no-suicide agreements were not materially influenced by social desirability or age, nor were they moderated by gender, presence/absence of Axis II disorders, or admission suicidal danger. However, patient suicide attempt history (no attempts, one attempt, or more than one attempt) exerted a moderating effect on patients' ratings of the helpfulness of these contracts. Multiple attempters viewed written no-suicide agreements as less helpful than those patients with a single or no prior attempts. The methodological problems and generalizability concerns associated with these results are discussed and future research needs are suggested.

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Citations

Jul 22, 2008·Journal of Psychiatric and Mental Health Nursing·C McMyler, S Pryjmachuk
Apr 3, 2007·Suicide & Life-threatening Behavior·Lisa McConnell Lewis
Jul 28, 2010·Journal of Clinical Nursing·Mari W SkaalvikNils Henriksen
Aug 16, 2016·Nursing Ethics·May Vatne, Dagfinn Nåden

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