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A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs

AIMS: Little is known about the experiences of individuals presenting with complex mental health needs and the provision of care they receive for suicide and self-harm behaviours. There are limited data describing the support individuals receive from services and, where they do, how this support is...

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Autores principales: Saini, Pooja, Sambrook, Laura, Balmer, Anna, Roks, Hana, McIntyre, Jason, Martin, Antony, Tait, Jackie, Ashley-Mudie, Peter, Shetty, Amrith, Nathan, Rajan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378154/
http://dx.doi.org/10.1192/bjo.2022.94
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author Saini, Pooja
Sambrook, Laura
Balmer, Anna
Roks, Hana
McIntyre, Jason
Martin, Antony
Tait, Jackie
Ashley-Mudie, Peter
Shetty, Amrith
Nathan, Rajan
author_facet Saini, Pooja
Sambrook, Laura
Balmer, Anna
Roks, Hana
McIntyre, Jason
Martin, Antony
Tait, Jackie
Ashley-Mudie, Peter
Shetty, Amrith
Nathan, Rajan
author_sort Saini, Pooja
collection PubMed
description AIMS: Little is known about the experiences of individuals presenting with complex mental health needs and the provision of care they receive for suicide and self-harm behaviours. There are limited data describing the support individuals receive from services and, where they do, how this support is provided. Research suggests that those presenting with a more complex clinical presentation may have a history of both suicide attempts and self-harm. The aim of the study is to explore the experiences of individuals with complex mental health needs in respect of their self-harm and suicidal behaviours, and experiences of support received from mental health care services. METHODS: A semi-structured interview methodology was used to generate qualitative data. Representative participants with complex mental health needs were recruited from across Cheshire and Wirral Partnership NHS Foundation Trust, UK. Ten participants were interviewed for the study. Interviews were audio-recorded and transcribed verbatim. A transcript-based conceptual analysis was conducted to identify and explore emerging themes. RESULTS: The following three themes emerged from the service user interviews: (i) Service users discussed suicide attempts following inappropriate discharge; Service users spoke about feeling unsupported and not listened to by care staff, particularly as inpatients; and (ii) Service users expressed a necessity for staff training to improve understanding of self-harm and suicide attempts, having experienced negative consequences of staff handling when they may have self-harmed. CONCLUSION: This study highlighted the following recommendations for future suicide prevention for mental health services treating service users with complex mental health needs: increasing staff awareness of suicide or self-harm related issues; improving training and risk assessment skills; providing appropriate support for service users following discharge from inpatient settings; improving liaison and collaboration between services to provide better service user outcomes; and increasing awareness in listening to service users’ distress about suicidal or self-harm thoughts for each individual's situational context.
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spelling pubmed-93781542022-08-18 A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs Saini, Pooja Sambrook, Laura Balmer, Anna Roks, Hana McIntyre, Jason Martin, Antony Tait, Jackie Ashley-Mudie, Peter Shetty, Amrith Nathan, Rajan BJPsych Open Rapid-Fire Presentation AIMS: Little is known about the experiences of individuals presenting with complex mental health needs and the provision of care they receive for suicide and self-harm behaviours. There are limited data describing the support individuals receive from services and, where they do, how this support is provided. Research suggests that those presenting with a more complex clinical presentation may have a history of both suicide attempts and self-harm. The aim of the study is to explore the experiences of individuals with complex mental health needs in respect of their self-harm and suicidal behaviours, and experiences of support received from mental health care services. METHODS: A semi-structured interview methodology was used to generate qualitative data. Representative participants with complex mental health needs were recruited from across Cheshire and Wirral Partnership NHS Foundation Trust, UK. Ten participants were interviewed for the study. Interviews were audio-recorded and transcribed verbatim. A transcript-based conceptual analysis was conducted to identify and explore emerging themes. RESULTS: The following three themes emerged from the service user interviews: (i) Service users discussed suicide attempts following inappropriate discharge; Service users spoke about feeling unsupported and not listened to by care staff, particularly as inpatients; and (ii) Service users expressed a necessity for staff training to improve understanding of self-harm and suicide attempts, having experienced negative consequences of staff handling when they may have self-harmed. CONCLUSION: This study highlighted the following recommendations for future suicide prevention for mental health services treating service users with complex mental health needs: increasing staff awareness of suicide or self-harm related issues; improving training and risk assessment skills; providing appropriate support for service users following discharge from inpatient settings; improving liaison and collaboration between services to provide better service user outcomes; and increasing awareness in listening to service users’ distress about suicidal or self-harm thoughts for each individual's situational context. Cambridge University Press 2022-06-20 /pmc/articles/PMC9378154/ http://dx.doi.org/10.1192/bjo.2022.94 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Rapid-Fire Presentation
Saini, Pooja
Sambrook, Laura
Balmer, Anna
Roks, Hana
McIntyre, Jason
Martin, Antony
Tait, Jackie
Ashley-Mudie, Peter
Shetty, Amrith
Nathan, Rajan
A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs
title A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs
title_full A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs
title_fullStr A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs
title_full_unstemmed A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs
title_short A Qualitative Study Exploring the Experiences of Service Users With Complex Mental Health Needs
title_sort qualitative study exploring the experiences of service users with complex mental health needs
topic Rapid-Fire Presentation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378154/
http://dx.doi.org/10.1192/bjo.2022.94
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