Search results for ‘Subject term:"self-harm"’ Sort:
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Specialist needs
- Authors:
- CHILDS Adrian, et al
- Journal article citation:
- Nursing Times, 19.1.94, 1994, pp.32-33.
- Publisher:
- Nursing Times
Considers the role of nurses in the supervision of potentially self-injuring patients, based on experiences at the Maudsley Hospital in London.
Relationship between service ecology, special observation and self-harm during acute in-patient care: City-128 study
- Authors:
- BOWERS Len, et al
- Journal article citation:
- British Journal of Psychiatry, 193(11), November 2008, pp.395-401.
- Publisher:
- Cambridge University Press
Special observation (the allocation of nurses to watch over nominated patients) is one means by which psychiatric services endeavour to keep in-patients safe from harm. The practice is both contentious and of unknown efficacy. A multivariate cross-sectional study collecting data on self-harm, special observation, other conflict and containment, physical environment, patient and staff factors for a 6-month period on 136 acute-admission psychiatric wards. Constant special observation was not associated with self-harm rates, but intermittent observation was associated with reduced self-harm, as were levels of qualified nursing staff and more intense programmes of patient activities. Certain features of nursing deployment and activity may serve to protect patients. The efficacy of constant special
Accident and emergency staff's perceptions of deliberate self-harm: attributions, emotions and willingness to help
- Authors:
- MACKAY Nadine, BARROWCLOUGH Christine
- Journal article citation:
- British Journal of Clinical Psychology, 44(2), June 2005, pp.255-267.
- Publisher:
- Wiley
The study applied Weiner's (1980, 1986) attributional model of helping behaviour to Accident and Emergency (A&E) staff's care of patients presenting with deliberate self-harm. It was hypothesized that where staff attributed precipitants of the act of deliberate self-harm to controllable, internal, and stable patient factors, then staff would display greater negative affect, less optimism, and less willingness to help the patient. Four hypothetical scenarios in a two-factor between-subjects design, contextual factors describing a self-harm patient were manipulated. Participants were 89 A&E medical and nursing staff. They were asked to rate attributions for the cause of the deliberate self-harm and their emotional responses, optimism for change, and willingness to help change the behaviour. Their general attitudes towards deliberate self-harm patients and perceived needs for training in the care of these patients were also assessed. The findings were consistent with Weiner's attributional model of helping. The greater attributions of controllability, the greater the negative affect of staff towards the person, and the less the propensity to help. The higher the ratings of stability
An evaluation of the staff training within the trauma and self injury (TASI) programme in the National High Secure Healthcare Service for Women (NHSHSW)
- Authors:
- ROBERTSON Kate, et al
- Journal article citation:
- Journal of Forensic Practice, 15(2), 2013, pp.141-150.
- Publisher:
- Emerald
... completed before and after the training. Training and confidence levels in dealing with women who self-harm prior to the training were identified and the impact of the programme was assessed. The majority of staff had not received any previous training on trauma and self injury. There was an increased level of confidence in working with trauma and self injury following training and staff reported (Edited publisher abstract)
The impact of prison staff responses on self-harming behaviours: prisoners’ perspectives
- Authors:
- MARZANO Lisa, CICLITIRA Karen, ADLER Joanna
- Journal article citation:
- British Journal of Clinical Psychology, 51(1), March 2012, pp.4-18.
- Publisher:
- Wiley
Semi-structured interviews were conducted with 20 adult male prisoners who had engaged in repetitive, non-suicidal self-harm during their current prison sentence, or considered doing so. The interviews were analyzed drawing on principles of thematic analysis and discourse analysis. The study aimed to further understanding of how health and prison service staff responses to self-harming behaviours influence prisoners and their subsequent actions. Prison of officers, nurses, and doctors were generally portrayed by prisoners as being ill-prepared to deal with repetitive self-harm, often displaying actively hostile attitudes and behaviours. The findings highlight the need for appropriate training, support and supervision for staff working with self-harming prisoners.
Seeing through the symptoms
- Author:
- ADAMS Ian
- Journal article citation:
- Nursing Times, 16.11.00, 2000, p.29.
- Publisher:
- Nursing Times
A psychiatric nurse talks to the author about his innovative and controversial approach to helping people who self harm.
At the cutting edge
- Author:
- MURRARY Ian
- Journal article citation:
- Nursing Times, 8.7.98, 1998, pp.36-37.
- Publisher:
- Nursing Times
Explains why nurses need to examine whose interests they are serving before imposing their judgements on self-harmers.
Working with mental distress
- Authors:
- BARKER Phil, et al
- Journal article citation:
- Nursing Times, 10.1.96, 1996, pp.25-27.
- Publisher:
- Nursing Times
Discusses the findings of the Allitt inquiry and discusses the consequences for the nursing profession.
Self-harm: from risk management to relational and recovery-oriented care
- Authors:
- MORRISSEY Jean, DOYLE Louise, HIGGINS Agnes
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 13(1), 2018, pp.34-43.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the discourses that shape nurses’ understanding of self-harm and explore strategies for working with people who self-harm in a relational and a recovery-oriented manner.Design/methodology/approach: Self-harm is a relatively common experience for a cohort of people who present to the mental health services and is, therefore, a phenomenon that mental health nurses will be familiar with. Traditionally, however, mental health nurses’ responses to people who self-harm have been largely framed by a risk adverse and biomedical discourse which positions self-harm as a “symptom” of a diagnosed mental illness, most often borderline personality disorder. Findings: This has led to the development of largely unhelpful strategies to eliminate self-harm, often in the absence of real therapeutic engagement, which can have negative outcomes for the person. Attitudes towards those who self-harm amongst mental health nurses can also be problematic, particularly when those who hurt themselves are perceived to be attention seeking and beyond help. This, in turn, has a negative impact on treatment outcomes and future help-seeking intentions. Research limitations/implications: Despite some deficiencies in how mental health nurses respond to people who self-harm, it is widely recognised that they have an important role to play in self-harm prevention reduction and harm minimisation. Practical implications: By moving the focus of practice away from the traditional concept of “risk” towards co-constructed collaborative safety planning, mental health nurses can respond in a more embodied individualised and sensitive manner to those who self-harm. Originality/value: This paper adds further knowledge and understanding to assist nurses’ understanding and working with people who self-harm in a relational and a recovery-oriented manner. (Publisher abstract)
Examining the needs of paediatric nurses caring for children and young people presenting with self-harm/suicidal behaviour on general paediatric wards: findings from a small-scale study
- Authors:
- FISHER Gemma, FOSTER Celeste
- Journal article citation:
- Child Care in Practice, 22(3), 2016, pp.309-322.
- Publisher:
- Taylor and Francis
This article reports on the process and findings from a small-scale qualitative research study. The study intended to develop an evidence-based care plan/pathway for children and young people in paediatric inpatient settings presenting with self-harm/suicidal behaviour. The article includes a critical review of unanticipated challenges of recruiting to the study, and the learning from this process. Data are reported from three data collection strategies. A critical review of literature and policy was undertaken. The Delphi Technique was used to generate clinician-reported evidence from healthcare professionals within a paediatric general ward caring for children and young people presenting with self-harm/suicidal behaviour. Face-to-face consultations were undertaken in order to gain greater understanding of challenges to recruitment that were encountered. Despite evidence of participants possessing sufficient knowledge to care for young people engaging in self-harm/suicidal behaviour, participants reported discomfort, fear of the consequences of their perceived knowledge gaps, and negative assumptions about the young people. This appears to have directly impacted upon the ward staff's capacity to engage in the process of developing an evidence-based care plan/pathway. Recommendations including bespoke training and support for staff working within general paediatric wards caring for young people who engage in self-harm/suicidal behaviour, accounting for the specific challenges/anxieties faced by nurses within this setting, are discussed. (Publisher abstract)