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Journal Article

Citation

Berg SH, Rørtveit K, Walby FA, Aase K. BMJ Open 2020; 10(11): e040088.

Copyright

(Copyright © 2020, BMJ Publishing Group)

DOI

10.1136/bmjopen-2020-040088

PMID

33158829

PMCID

PMC7651729

Abstract

AIM: The aim of this study was to explore suicidal patients' experiences of safe clinical practice during hospitalisation in mental health wards. The study was guided by the following research question: How do suicidal patients experience safe clinical practice during hospitalisation in mental health wards?
DESIGN, SETTING AND PARTICIPANTS: A qualitative design with semistructured individual interviews was applied. Eighteen patients hospitalised with suicidal behaviour in specialised mental health wards for adults at a Norwegian hospital participated in the study. Data were analysed thematically and inductively using qualitative content analysis.
RESULTS: Patients in a suicidal crisis experienced safe clinical care in mental health wards characterised by the following three themes: (1) being recognised as suicidal, (2) receiving tailor-made treatment and (3) being protected by adaptive practice.
CONCLUSION: This study illuminates the experiences of safe clinical practice for patients in a suicidal crisis. The patient group was multifaceted, with variable experiences of how safe clinical practice affected their subjective experience of safety and suicidal behaviour. The finding highlights the importance of embracing personalised activities in all parts of safe clinical practice and to recognise rather than efface patients' variability in patient safety efforts.


Language: en

Keywords

Adult; adult psychiatry; health & safety; Hospitals; Humans; Mental Health; Norway; Patient Outcome Assessment; qualitative research; Qualitative Research; quality in health care; Suicidal Ideation; suicide & self-harm

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