Preliminary evaluation of a multidisciplinary pathway for people who self-harm in acute inpatient mental health care

Kimberley Smith, Styliani Gkika, Charlotte Hammond, E. Swift
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Abstract

Inpatient mental health settings are required to provide biopsychosocial interventions to support service users who self-harm. This is important as self-harm has been associated with increased admissions and risk of suicide. A multidisciplinary self-harm pathway was developed in an acute inpatient mental health ward for adult women to help staff support patients who self-harm. The aim of this project was to evaluate the pathway in relation to service user distress, confidence in managing mental health, therapeutic alliances with the ward team and self-harm incidents on the ward. Data were collected from the record-keeping systems and from questionnaires completed before and after the pathway was introduced. The pathway was well received by service users and contributed to improvements in distress, confidence and to more effective management of self-harm. The self-harm pathway was found to be a useful framework within which to structure psychosocial interventions for self-harm and least restrictive practice.
多学科途径对急性住院患者自我伤害的初步评价
住院精神卫生机构必须提供生物心理社会干预措施,以支持自残的服务使用者。这一点很重要,因为自残与入院率和自杀风险的增加有关。在成年妇女急性住院精神健康病房制定了多学科自残途径,以帮助工作人员支持自残患者。该项目的目的是评估与服务使用者痛苦、管理心理健康的信心、与病房团队的治疗联盟和病房自残事件有关的途径。数据是从记录保存系统和在引入该途径之前和之后完成的问卷中收集的。这条途径深受服务使用者的欢迎,有助于改善痛苦、增强信心和更有效地管理自残。自我伤害途径被发现是一个有用的框架,在其中构建自我伤害和最少限制实践的社会心理干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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