TY - JOUR PY - 2009// TI - Analysis of accident and emergency doctors' responses to treating people who self-harm JO - Qualitative health research A1 - Hadfield, Jo A1 - Brown, D. A1 - Pembroke, Louise A1 - Hayward, Mark SP - 755 EP - 765 VL - 19 IS - 6 N2 - Self-harm is a prevalent phenomenon regularly faced by doctors and nurses working in accident and emergency (A&E) departments. We argue that the treatment decisions A&E doctors make are fundamental to decreasing the high risk of suicide among this group. In this article we present a qualitative study exploring how doctors working in A&E respond to treating people who self-harm. In total, five A&E doctors were interviewed and the data were analyzed using interpretative phenomenological analysis. Three main themes were extracted: treating the body, silencing the self, and mirroring cultural and societal responses to self-harm. Within these themes, we identified both facilitative and unhelpful aspects of the relationships between people who self-harm and A&E doctors. We consider the clinical implications of these findings within the context of A&E doctors having limited opportunities to address the relational nature of the care they offer to this group.

Language: en

LA - en SN - 1049-7323 UR - http://dx.doi.org/10.1177/1049732309334473 ID - ref1 ER -