Psychiatric nurses’ response to suicidal psychiatric inpatients: struggling with self and sufferer

Gilje, Fredricka; Talseth, Anne‐Grethe

doi:10.1111/j.1365-2850.2005.00855.x

Cited by 26 publications

(51 citation statements)

References 14 publications

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“…This finding was also described in published professional progress notes reflecting psychiatric inpatient suicides (Billings, 2003). As in previous studies (Gilje, Talseth, & Norberg, 2005), nursing of suicidal patients was described to be challenging in various ways, which further stresses the need for a nursing theory that supports nurses in their work.…”

Section: Resultsmentioning

confidence: 62%

Psychiatric Nursing Care of Suicidal Patients Described by the Sympathy–Acceptance–Understanding–Competence Model for Confirming Nursing

Larsson

Nilsson

Runeson

et al. 2007

Archives of Psychiatric Nursing

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Section: Resultsmentioning

confidence: 62%

Psychiatric Nursing Care of Suicidal Patients Described by the Sympathy–Acceptance–Understanding–Competence Model for Confirming Nursing

Larsson

Nilsson

Runeson

et al. 2007

Archives of Psychiatric Nursing

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“…Engaging with participants about their experiences of consumer suicidality and related nursing generated rich data, but also presented significant practical and ethical challenges, as is common in suicide‐related research (Gilje et al . ; Lakeman & Fitzgerald ; Rudd et al . ).…”

Section: Methodsmentioning

confidence: 99%

“…It is noted that nurses can feel deeply confronted by consumer suicidality (Carlen & Bengtsson ; Gilje et al . ). Nurses might sometimes experience distress, anger, fear, anxiety, sadness, grief, frustration, or helplessness when caring for a person who is suicidal (Talseth & Gilje ).…”

Section: Introductionmentioning

confidence: 97%

Therapeutic engagement between consumers in suicidal crisis and mental health nurses

Lees

Procter

Fassett

2014

Int J Mental Health Nurs

124

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Registered nurses within public mental health services play crucial roles in helping people recover from suicidal crisis. However, there is a lack of understanding of how care is experienced in this context, and available evidence suggests that nurses and consumers are often dissatisfied with the quality of care. There is thus an imperative to generate understanding of needs and experiences of both groups with a view to informing practice development. This article summarizes qualitative findings from a multimethod study undertaken in Australia, which surveyed and interviewed mental health nurses who had recent experience of caring for consumers in suicidal crisis in a hospital setting, and interviewed consumers who had recovered from a recent suicidal crisis. A framework was developed to guide the study and support ethical imperatives; in particular, the promotion of consumer well-being. The findings highlight that therapeutic interpersonal engagement between nurses and consumers was central to quality care. This was particularly noted, as engagement could help reduce consumer isolation, loss of control, distress, and objectification of the delivery of potentially-objectifying common interventions. Of concern, the results indicate a lack of therapeutic engagement from the perspective of both consumers and nurses. Recommendations to promote fuller therapeutic engagement are presented.

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“…Caring for a client who is suicidal is emotionally demanding and can evoke a wide range of feelings, reactions and responses in nurses (Gaffney et al, 2009;Hagen, Loa Knizek, & Hjelmeland, 2017). While some evidence suggests that nurses feel and demonstrate empathy, caring and acceptance of clients who are suicidal (Hagen et al, 2017;Larsson, Nilsson, Runeson, & Gustafsson, 2007;Talseth, Lindseth, & Jacobsson, 1997), there is also evidence that when confronted with client suicidality, nurses may not always prioritise engagement and distance themselves from clients as a self-protective mechanism (Gilje, Talseth, & Norberg, 2005;Talseth, Lindseth, & Jacobsson, 1999). This can lead clients to experience care as unsympathetic, uncaring and emotionally detached (Cutcliffe, Stevenson, Jackson, & Smith, 2006;Gordon, Cutcliffe, & Stevenson, 2011;Talseth et al, 1999).…”

Section: Background Literaturementioning

confidence: 99%

“Attenuating Anxieties”: A grounded theory study of mental health nurses’ responses to clients with suicidal behaviour

Morrissey

Higgins

2018

Journal of Clinical Nursing

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Aims and objectives To develop a grounded theory to explain mental health nurses’ responses to clients with suicidal behaviour. Background Mental health nurses are an integral part of the multi‐disciplinary teams supporting people who experience suicidal behaviour, yet limited research is available that explores how nurses respond to the needs of people at risk of suicide and what factors influence their responses and actions. Methods Grounded theory was the methodology for this study. Interviews were conducted with 33 mental health nurses working in an urban area in the Republic of Ireland. Data were analysed using the concurrent processes of comparative analysis, theoretical sampling, theoretical sensitivity and memo writing. COREQ 32‐item checklist was used. Results The core category from the data was “Attenuating Anxieties.” Participants’ main concerns about caring for suicidal clients were related to their feelings of professional and personal vulnerability and the need to protect clients and themselves. This theory “Attenuating Anxieties” highlights the way in which nurses allay their anxieties by utilising historically known risk adverse strategies to care for the suicidal person. Acquisition of further psychotherapeutic training, clinical supervision as well as increased reflexivity protected some participants and enabled them to work creatively and collaboratively while supporting and facilitating therapeutic risk‐taking. Conclusions The theory of “Attenuating Anxieties” identifies how participants worked within the context of mental health as members of the “risk society,” wherein they worried about the possibility and probability of a negative or adverse effect for both the client and self, leaving them to feel constantly vulnerable and unsafe. Relevance to clinical practice This theory highlights the need for a culture of openness that acknowledges nurses’ and organisations’ anxieties surrounding suicide and promotes a discourse among nurses that moves from a position of risk aversion to a relational and recovery‐orientated approach.

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Psychiatric nurses’ response to suicidal psychiatric inpatients: struggling with self and sufferer

Cited by 26 publications

References 14 publications

Psychiatric Nursing Care of Suicidal Patients Described by the Sympathy–Acceptance–Understanding–Competence Model for Confirming Nursing

Psychiatric Nursing Care of Suicidal Patients Described by the Sympathy–Acceptance–Understanding–Competence Model for Confirming Nursing

Therapeutic engagement between consumers in suicidal crisis and mental health nurses

“Attenuating Anxieties”: A grounded theory study of mental health nurses’ responses to clients with suicidal behaviour

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