Predictors of A&amp;E staff attitudes to self-harm patients who use self-laceration: Influence of previous training and experience

Friedman, Trevor; Newton, Charles R.; Coggan, Christine; Hooley, Samantha; Patel, Riekha; Pickard, M. A. D.; Mitchell, Alex J.

doi:10.1016/j.jpsychores.2005.07.007

Cited by 92 publications

(99 citation statements)

References 29 publications

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“…Here the findings were inconsistent. Whilst two papers found that more experienced staff had more positive attitudes towards mental health presentations (Commons-Treloar et al 2008, McAllister et al 2002, two other papers (Friedman et al 2006, Herron et al 2001 reported that years of experience was weakly correlated with more negative attitudes.…”

Section: Staff Perspectivesmentioning

confidence: 99%

Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Clarke

Usick

Sanderson

et al. 2013

Int J Mental Health Nurs

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Visits to the Emergency Department (ED) for mental health reasons account for 10 to 15% of all visits. Consumers of mental health ED services, however, report that they often feel sent to the back of the queue and that their mental health concerns are not taken seriously, suggesting that societal stigma has impacted their care in the ED. In this paper, we systematically explore the research concerning the attitudes of ED professional staff towards those that present with issues related to mental health. Four themes emerge from the literature: consumer perspectives whose tenor is generally one of negativity; staff-reported attitudes and influencing factors such as age, experience, and confidence in working with mental health presentations; the environmental climate of the ED which may not be conducive to good mental health care; and interventions which have been used to evaluate changes in attitudes.

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Section: Staff Perspectivesmentioning

confidence: 99%

Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Clarke

Usick

Sanderson

et al. 2013

Int J Mental Health Nurs

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“…Nonetheless, the literature has identified that nurses' attitudes towards the self-injurer have been related to a number of demographic and employment factors, such as age, length of experience, and previous education about self-injury. [8,25,31,37] For instance, the older and more experienced nurses have been found to have more positive attitudes than the younger and less experienced nurses. [32,38] Likewise, Bailey [33] found that the more experienced the nurse was, the more positive their attitudes were towards self-injury patients.…”

Section: Discussionmentioning

confidence: 99%

“…[26] This may have an impact on the reliability of the findings from these studies. Most research on NSSI and nurses' attitudes towards this phenomenon has been completed in the UK [4,[30][31][32] with a small number of studies in Australia. [9,25,33] Furthermore, none have investigated MHE nurses, or ENs attitudes regarding this behaviour.…”

Section: Literature Reviewmentioning

confidence: 99%

Nurses knowledge and attitudes to individuals who self-harm: A quantitative exploration

Vine

Shahwan-Akl

Maude

et al. 2017

JHA

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Objective: Self-injury can be described as the deliberate destruction of the body without the intent to die, and is a distinct clinical presentation needing to be assessed separately from suicide and para-suicide. Nurses attitude to self-injury is a largely unexplored area particularly within Australia. The aim of this paper is to explore Australian general and mental health nurses' attitudes towards self-injury taking into account their preparation as registered nurses (RNs) or enrolled nurses (ENs) and length of experience. Methods: This was a mixed methods exploratory design study. Phase one used a combination of two established surveys, the Self-Harm Antipathy Scale (SHAS) and the Attitudes Towards Deliberate Self-Harm Questionnaire (ATDSHQ). Nurses who were either RNs or ENs, mental health educated (MHE) or not, working in the area of mental health or emergency departments (ED) were recruited through a number of professional nursing organisations. A total of 172 nurses completed the phase one online questionnaire. The results of this survey are reported in this paper. Results: The key findings indicated a significant relationship between years of mental health nursing experience and mental health nursing qualification. A significant difference was noted in the knowledge level of self-injury between the mental health nurses who had a greater knowledge compared to those who were not mental health educated. Lastly, the attitudes of nurses to self-injury were generally found to be positive. Conclusions: These results extend much of what is in the literature on knowledge, attitudes and beliefs of nurses to non-suicidal self-injury (NSSI) and place these results in an Australian context. Further research to assess the effectiveness of increased education and community engagement should be undertaken.

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“…In the Netherlands it was found that of the 14,000 patients who presented at an emergency department after a suicide attempt, only 25% were seen by a hospital psychiatrist (Kerkhof et al, 2007). Also, more than half of the patients who were treated for self-harm in English hospitals left the hospital without any form of risk assessment (Friedman et al, 2006;Kapur et al, 2004). A simple and efficient scale for risk assessment may help to improve the assessment of suicide risk in emergency departments.…”

Section: Introductionmentioning

confidence: 99%

Optimizing the assessment of suicidal behavior: The application of curtailment techniques

Beurs

Fokkema

O’Connor

2016

Journal of Affective Disorders

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Background: Given their length, commonly used scales to assess suicide risk, such as the Beck Scale for Suicide Ideation (SSI) are of limited use as screening tools. In the current study we tested whether deterministic and stochastic curtailment can be applied to shorten the 19-item SSI, without compromising its accuracy. Methods:Data from 366 patients, who were seen by a liaison psychiatry service in a general hospital in Scotland after a suicide attempt, were used. Within 24 hours of admission, the SSI was administered; 15 months later, it was determined whether a patient was re-admitted to a hospital as the result of another suicide attempt. We fitted a Receiver Operating Characteristic curve to derive the best cut-off value of the SSI for predicting future suicidal behavior. Using this cut-off, both deterministic and stochastic curtailment were simulated on the item score patterns of the SSI. Results:A cut-off value of SSI ≥ 6 provided the best classification accuracy for future suicidal behavior. Using this cut-off, we found that both deterministic and stochastic curtailment reduce the length of the SSI, without reducing the accuracy of the final classification decision. With stochastic curtailment, on average, less than 8 items are needed to assess whether administration of the full-length test will result in an SSI score below or above the cut-off value of 6. Limitations:New studies using other datasets should re-validate the optimal cut-off for risk of repeated suicidal behavior after being treated in a hospital following an attempt. Conclusions:Curtailment can be used to simplify the assessment of suicidal behavior, and should be considered as an alternative to the full scale.

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Predictors of A&E staff attitudes to self-harm patients who use self-laceration: Influence of previous training and experience

Cited by 92 publications

References 29 publications

Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Nurses knowledge and attitudes to individuals who self-harm: A quantitative exploration

Optimizing the assessment of suicidal behavior: The application of curtailment techniques

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