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Staff experiences and perceptions of working with in-patients who are suicidal: qualitative analysis

  • Yvonne Awenat (a1), Sarah Peters (a2), Emma Shaw-Nunez (a3), Patricia Gooding (a4), Daniel Pratt (a5) and Gillian Haddock (a5)...
Abstract
Background

Suicidal behaviour is frequent in psychiatric in-patients and much staff time and resources are devoted to assessing and managing suicide risk. However, little is known about staff experiences of working with in-patients who are suicidal.

Aims

To investigate staff experiences of working with in-patients who are suicidal.

Method

Qualitative study guided by thematic analysis of semi-structured interviews with mental health staff with experience of psychiatric in-patient care.

Results

Twenty Staff participated. All had encountered in-patient suicide deaths or attempts. Three key themes were identified: (a) experiences of suicidality, (b) conceptualising suicidality and (c) talking about suicide.

Conclusions

Suicidal behaviour in psychiatric wards has a large impact on staff feelings, practice and behaviour. Staff felt inadequately equipped to deal with such behaviours, with detrimental consequences for patients and themselves. Organisational support is lacking. Training and support should extend beyond risk assessment to improving staff skills in developing therapeutic interactions with in-patients who are suicidal.

Copyright
Corresponding author
Yvonne Awenat, University of Manchester, Division of Psychology and Mental Health, School of Health Sciences, Zochonis Building, Brunswick St, Manchester M13 9PL, UK. Email: Yvonne.awenat@manchester.ac.uk
Footnotes
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Declaration of interest

Y.A. is a trustee for a North-West England branch of the charity Mind.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Staff experiences and perceptions of working with in-patients who are suicidal: qualitative analysis

  • Yvonne Awenat (a1), Sarah Peters (a2), Emma Shaw-Nunez (a3), Patricia Gooding (a4), Daniel Pratt (a5) and Gillian Haddock (a5)...
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