@article{ref1,
title=""When you're in the hospital, you're in a sort of bubble"",
journal="Crisis",
year="2014",
author="Owen-Smith, Amanda and Bennewith, Olive and Donovan, Jenny and Evans, Jonathan and Hawton, Keith and Kapur, Nav and O'Connor, Susan and Gunnell, David",
volume="35",
number="3",
pages="154-160",
abstract="BACKGROUND: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this. Aims: To investigate the lived experience of psychiatric discharge and explore service users' experiences following discharge. <br><br>METHOD: In-depth interviews were undertaken with recently discharged service users (n = 10) in the UK to explore attitudes to discharge and experiences since leaving hospital. <br><br>RESULTS: Informants had mixed attitudes to discharge, and those who had not felt adequately involved in discharge decisions, or disagreed with them, had experienced urges to self-harm since being discharged. Accounts revealed a number of factors that made the postdischarge period difficult; these included both the reemergence of stressors that existed prior to hospitalization and a number of stressors that were prompted or exacerbated by hospitalization. <br><br>CONCLUSION: Although inferences that can be drawn from the study are limited by the small sample size, the results draw attention to a number of factors that could be investigated further to help explain the high risk of suicide and self-harm following psychiatric discharge. <br><br>FINDINGS emphasize the importance of adequate preparation for discharge and the maintenance of ongoing relationships with known service providers where possible.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000246",
url="http://dx.doi.org/10.1027/0227-5910/a000246"
}