"When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study.
BACKGROUND: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this. AIMS: To investigate the lived experience of psychiatric discharge and explore service users' experiences...
| Main Authors: | , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Hogrefe and Huber Publishers
2014
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| _version_ | 1797060168083570688 |
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| author | Owen-Smith, A Bennewith, O Donovan, J Evans, J Hawton, K Kapur, N O'Connor, S Gunnell, D |
| author_facet | Owen-Smith, A Bennewith, O Donovan, J Evans, J Hawton, K Kapur, N O'Connor, S Gunnell, D |
| author_sort | Owen-Smith, A |
| collection | OXFORD |
| description | BACKGROUND: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this. AIMS: To investigate the lived experience of psychiatric discharge and explore service users' experiences following discharge. METHOD: In-depth interviews were undertaken with recently discharged service users (n = 10) in the UK to explore attitudes to discharge and experiences since leaving hospital. RESULTS: Informants had mixed attitudes to discharge, and those who had not felt adequately involved in discharge decisions, or disagreed with them, had experienced urges to self-harm since being discharged. Accounts revealed a number of factors that made the postdischarge period difficult; these included both the reemergence of stressors that existed prior to hospitalization and a number of stressors that were prompted or exacerbated by hospitalization. CONCLUSION: Although inferences that can be drawn from the study are limited by the small sample size, the results draw attention to a number of factors that could be investigated further to help explain the high risk of suicide and self-harm following psychiatric discharge. Findings emphasize the importance of adequate preparation for discharge and the maintenance of ongoing relationships with known service providers where possible. |
| first_indexed | 2024-03-06T20:13:36Z |
| format | Journal article |
| id | oxford-uuid:2b672733-6f22-4fb7-a8b7-ebb5ba38fe93 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:13:36Z |
| publishDate | 2014 |
| publisher | Hogrefe and Huber Publishers |
| record_format | dspace |
| spelling | oxford-uuid:2b672733-6f22-4fb7-a8b7-ebb5ba38fe932022-03-26T12:30:41Z"When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2b672733-6f22-4fb7-a8b7-ebb5ba38fe93EnglishSymplectic Elements at OxfordHogrefe and Huber Publishers2014Owen-Smith, ABennewith, ODonovan, JEvans, JHawton, KKapur, NO'Connor, SGunnell, DBACKGROUND: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this. AIMS: To investigate the lived experience of psychiatric discharge and explore service users' experiences following discharge. METHOD: In-depth interviews were undertaken with recently discharged service users (n = 10) in the UK to explore attitudes to discharge and experiences since leaving hospital. RESULTS: Informants had mixed attitudes to discharge, and those who had not felt adequately involved in discharge decisions, or disagreed with them, had experienced urges to self-harm since being discharged. Accounts revealed a number of factors that made the postdischarge period difficult; these included both the reemergence of stressors that existed prior to hospitalization and a number of stressors that were prompted or exacerbated by hospitalization. CONCLUSION: Although inferences that can be drawn from the study are limited by the small sample size, the results draw attention to a number of factors that could be investigated further to help explain the high risk of suicide and self-harm following psychiatric discharge. Findings emphasize the importance of adequate preparation for discharge and the maintenance of ongoing relationships with known service providers where possible. |
| spellingShingle | Owen-Smith, A Bennewith, O Donovan, J Evans, J Hawton, K Kapur, N O'Connor, S Gunnell, D "When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study. |
| title | "When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study. |
| title_full | "When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study. |
| title_fullStr | "When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study. |
| title_full_unstemmed | "When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study. |
| title_short | "When you're in the hospital, you're in a sort of bubble." Understanding the high risk of self-harm and suicide following psychiatric discharge: a qualitative study. |
| title_sort | when you re in the hospital you re in a sort of bubble understanding the high risk of self harm and suicide following psychiatric discharge a qualitative study |
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