一旦你打开了那只虫子的罐子":定性研究,以了解为什么精神科联络人员不询问自残后的家庭虐待问题。

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2024-10-11 DOI:10.1192/bjo.2024.779
Duleeka Knipe, Alison Gregory, Sarah Dangar, Tim Woodhouse, Prianka Padmanathan, Nav Kapur, Paul Moran, Jane Derges
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引用次数: 0

摘要

背景:家庭虐待是导致自残和自杀的一个重要风险因素。在因自我伤害而到医疗服务机构就诊的人中,有很大一部分都曾遭受过家庭虐待。目的:一项探索性定性研究,旨在探讨精神科联络人员询问家庭虐待问题的经验,包括询问的障碍和挑战:方法:对英国在职成人精神科联络人员进行半结构化定性访谈。通过在线平台和专业网络进行招募。对叙述进行了反思性主题分析:15 名参与者接受了不同学科的访谈(10 名护士、4 名医生和 1 名社工)。所产生的主题包括:询问家庭虐待问题--了解与行动之间的矛盾;"深入调查 "与害怕事情变得更糟;羞愧、自责与绝望的纠缠;家庭虐待与其他临床问题(精神疾病/药物滥用)不同;以及指导实践的偏见、神话和错误假设。参与者表示,需要更好的培训和教育,以及明确的协议来诱导和采取行动:显然,有必要改善为自我伤害并向医疗保健服务机构求助的家庭虐待受害者-幸存者提供的支持。需要在全国范围内开展教育和培训,使精神病学联络团队更好地掌握技能和知识,以敏感的态度为家暴幸存者提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'Once you've opened that can of worms': qualitative study to understand why liaison psychiatry staff are not asking about domestic abuse following self-harm.

Background: Domestic abuse is a significant risk factor for self-harm and suicide. A large proportion of people presenting to healthcare services following self-harm have experienced domestic abuse. In the UK, routine enquiry for domestic abuse is recommended for people who present having self-harmed, but evidence indicates that this is not happening.

Aims: An exploratory qualitative study to explore liaison psychiatry staff experiences of asking about domestic abuse, including the barriers and challenges to asking.

Method: Semi-structured qualitative interviews with active adult liaison psychiatry staff in the UK. Recruitment was via online platforms and professional networks. A reflexive thematic analysis of the narratives was carried out.

Results: Fifteen participants were interviewed across a variety of disciplines (ten nurses, four doctors, one social worker). The generated themes include the following: asking about domestic abuse - the tension between knowing and doing; 'delving deeper' and the fear of making things worse; the entanglement of shame, blame and despondency; domestic abuse was different from other clinical problems (mental illness/substance misuse); and biases, myths and misassumptions guiding practice. Participants indicated the need for better training and education, and clear protocols for eliciting and acting on disclosures.

Conclusion: There is a clear need to improve the support offered to victim-survivors of domestic abuse who self-harm and present to healthcare services. National implementation of education and training to better equip liaison psychiatry teams with the skills and knowledge to sensitively support victim-survivors of domestic abuse is required.

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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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