Re-imagining crisis care: experiences of delivering and receiving the Assured brief psychological intervention for people presenting to Emergency Departments with self-harm
Shah, N. 
ORCID: 0000-0002-2875-7836, O’Keeffe, S., Hayward, S. , Suzuki, M. & McCabe, R. ORCID: 0000-0003-2041-7383 (2024).
Re-imagining crisis care: experiences of delivering and receiving the Assured brief psychological intervention for people presenting to Emergency Departments with self-harm.
Frontiers in Psychiatry, 15,
article number 1271674.
doi: 10.3389/fpsyt.2024.1271674
Abstract
Background
Risk of suicide is increased immediately following emergency department (ED) attendance for self-harm. Evidence suggests that brief psychological interventions delivered in EDs are effective for self-harm. The Assured intervention comprises an enhanced biopsychosocial assessment in the ED, collaborative safety planning and three rapid solution focused follow-up sessions.
Aim
We addressed the following research questions: What were ED mental health liaison practitioners’ and patients’ experiences of the Assured intervention? What were the barriers and facilitators? What might the mechanisms be for improving experiences and outcomes?
Methods
We conducted a feasibility study of the Assured intervention in four EDs in Southeast England. Semi-structured interviews were conducted with 13 practitioners and 27 patients. Interviews were transcribed, coded line-by-line in Nvivo and thematically analysed using an inductive approach. Inter-rater reliability was calculated with a kappa coefficient of 0.744.
| Publication Type: | Article |
|---|---|
| Additional Information: | Copyright © 2024 Shah, O’Keeffe, Hayward, Suzuki and McCabe. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
| Publisher Keywords: | Emergency Department, liaison psychiatry, self-harm, suicide, qualitative research, solution-focused, psychological intervention |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Departments: | School of Health & Psychological Sciences School of Health & Psychological Sciences > Healthcare Services Research & Management |
| SWORD Depositor: |
Available under License Creative Commons Attribution.
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