Extreme challenges: psychiatric inpatients with severe self-harming behavior in Norway: a national screening investigation

Holth, Fredrik; Walby, Fredrik A.; Røstbakken, Thea; Lunde, Ingeborg; Ringen, Petter Andreas; Ramleth, Ruth Kari; Romm, Kristin Lie; Tveit, Tone; Torgersen, Terje; Urnes, Øyvind; Kvarstein, Elfrida Hartveit

doi:10.1080/08039488.2018.1511751

Cited by 17 publications

(20 citation statements)

References 46 publications

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“…The persons on BA in focus in this study had a history of highly restrictive safety precautions, compulsory regimes, and restraints. As expected, participants talked about numerous challenges and recognizable frustration and despair in providing psychiatric care to these individuals (Holth et al, 2018). However, using BA, frequent re-admissions were not seen as negative setbacks.…”

Section: Discussionmentioning

confidence: 65%

“…People with prolonged and imminent suicidal ideation and severe self-harming behavior can be a challenge to treat within general psychiatric care (Holth et al, 2018;O'Connor & Glover, 2017). These individuals often present with complex mental illness including borderline personality disorder (BPD).…”

Section: Introductionmentioning

confidence: 99%

“…These individuals often present with complex mental illness including borderline personality disorder (BPD). Suffering is pervasive and mortality rates are high despite extensive inpatient care (Holth et al, 2018;Lieb, Zanarini, Schmahl, Linehan, & Bohus, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…rejecting responsibility for the individual) or lacking limitation (e.g. permitting extensive admission without clear benefits) (Holth et al, 2018). Perceptions of individuals with self-harm as challenging, evoking irritation, anger, and frustration as well as hopelessness among staff are common.…”

Section: Introductionmentioning

confidence: 99%

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Predictable, Collaborative and Safe: Healthcare Provider Experiences of Introducing Brief Admissions by Self-referral for Self-harming and Suicidal Persons with a History of Extensive Psychiatric Inpatient Care

Lindkvist

Landgren

Liljedahl

et al. 2019

Issues in Mental Health Nursing

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People with severe self-harming behavior and histories of lengthy psychiatric inpatient admissions can represent a challenge to care providers. This interview-based study illuminates healthcare provider experiences (n ¼ 12) of Brief Admission (BA) among self-harming individuals, with >180 days of psychiatric admission the previous year. Qualitative content analysis revealed that providers experienced benefits of increased predictability, and a shift from trigger and conflict to collaboration with individuals admitted to BA. Staff participants expressed an increased sense of safety and a strengthened link between inpatient and outpatient caregiving. Results indicated that BA is a promising intervention for self-harming individuals with extensive psychiatric histories.

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Section: Discussionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Predictable, Collaborative and Safe: Healthcare Provider Experiences of Introducing Brief Admissions by Self-referral for Self-harming and Suicidal Persons with a History of Extensive Psychiatric Inpatient Care

Lindkvist

Landgren

Liljedahl

et al. 2019

Issues in Mental Health Nursing

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“…One study reports that almost 50% of the individuals who were in contact with psychiatric healthcare in Sweden had self-harmed within the last 6 months, and the percentage was higher in the youth psychiatric section [1]. Furthermore, self-harm does not only occur in people with serious mental illness [2], but in individuals with no symptoms of mental illness, as well [3].…”

Section: Introductionmentioning

confidence: 99%

Revising the Self-Harm Antipathy Scale: validation among staff in psychiatric healthcare in Sweden

Lantto

Jungert

Nilsson

et al. 2020

Nordic Journal of Psychiatry

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Background: The Self-Harm Antipathy Scale (SHAS) is a questionnaire designed to measure nurses' attitudes towards self-harm. This can be useful to improve the quality of care provided to individuals who self-harm. Aim: The purpose of this study was to revise and adapt the SHAS for use in Sweden and evaluate the psychometric properties of this Swedish version (Self-Harm Antipathy Scale -Swedish Revised; SHAS-SR). Methods: A sample of 596 employees within psychiatric healthcare was recruited (from a total of 3507, response rate 17.0%), the majority encountering self-harming individuals regularly at work. Participants completed the SHAS-SR questionnaire along with a scale assessing community attitudes towards individuals with mental illness (New CAMI-S). The sample was randomly split in half (n ¼ 298 each). Exploratory factor analysis was performed on one subsample and confirmatory on the other. Confirmatory factor analysis on the original SHAS model, and convergent validity testing against New CAMI-S, used the whole sample. Results: The final version of the SHAS-SR included 17 items forming three factors. Convergent validity was established (r ¼ À0.57, q ¼ À0.48, p < 0.001). The SHAS-SR and all its subscales demonstrated acceptable internal consistency (a ¼ 0.73-0.79, x ¼ 0.78-0.79). Conclusion: This study indicates that the SHAS-SR is reliable and valid when assessing attitudes towards self-harm among a sample of Swedish psychiatric healthcare staff. The scale could be useful for assessing the impact of attitude interventions to improve healthcare services. It may, however, have limited applicability for staff not working in caring roles. ARTICLE HISTORY

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Effect of Brief Admission to Hospital by Self-referral for Individuals Who Self-harm and Are at Risk of Suicide

et al. 2019

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Key Points Question Is self-referred brief admission more effective than treatment as usual in reducing the use of inpatient services for individuals who self-harm and are at risk of suicide? Findings In this randomized clinical trial of 125 adults in Sweden, the brief admission group did not show reduced inpatient service use compared with the control group. Both groups showed significant decreases in days admitted to the hospital and in emergency department visits, but only the brief admission group showed a significant decrease in duration of compulsory admission. Meaning Brief admission does not seem to be more effective than treatment as usual in reducing the use of inpatient services.

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Extreme challenges: psychiatric inpatients with severe self-harming behavior in Norway: a national screening investigation

Cited by 17 publications

References 46 publications

Predictable, Collaborative and Safe: Healthcare Provider Experiences of Introducing Brief Admissions by Self-referral for Self-harming and Suicidal Persons with a History of Extensive Psychiatric Inpatient Care

Predictable, Collaborative and Safe: Healthcare Provider Experiences of Introducing Brief Admissions by Self-referral for Self-harming and Suicidal Persons with a History of Extensive Psychiatric Inpatient Care

Revising the Self-Harm Antipathy Scale: validation among staff in psychiatric healthcare in Sweden

Effect of Brief Admission to Hospital by Self-referral for Individuals Who Self-harm and Are at Risk of Suicide

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