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Towards a Better Use of Safety Planning in Emergency Departments

An Exploratory Study of Patients and Clinicians’ Perspectives

Datos Bibliográficos

ID8908185
AutoresCamille Brousseau‐Paradis (0000-0001-6576-9222, Douglas Mental Health University Institute, autor de correspondencia), Christine Genest (0000-0002-2897-7003, Douglas Mental Health University Institute), Nathalie Maltais (Université du Québec à Rimouski), Monique Séguin (0000-0001-5995-4587, Douglas Mental Health University Institute), Jessica Rassy (0000-0002-5050-3111, Université de Sherbrooke)
Año2024
Volumen61
Número4
Páginas724-733
Fecha de publicación2024-11-28
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCommunity Mental Health Journal (JOURNAL)
Identificadores de la revistaISSN: 0010-3853 • E-ISSN: 1573-2789
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10597-024-01394-0
PMID39607455
OpenAlexW4404828110
IdiomaEN
Referencias citadas49

Suicidality frequently leads to emergency department (ED) visits, yet few interventions are offered in EDs to mitigate suicide risk. This study uses a descriptive interpretative design to evaluate the key components for a successful use of such an intervention, the Stanley-Brown safety plan, in EDs. Semi-structured interviews were conducted with patients and ED clinicians and were analyzed using a thematic analysis approach. Participants' perspectives revealed 6 key recommendations for a successful use of the safety plan in EDs: (1) personalize the content of the safety plan, (2) offer a variety of formats, (3) avoid periods of high emotional intensity, (4) engage a broad range of professionals in safety planning, (5) use limited time to make meaningful interventions, (6) propose alternative interventions. A change in the ED culture is needed to ensure that the management of suicidal patients in EDs includes brief therapeutic interventions like safety planning, to mitigate suicide risk

Disaster planning · Exploratory research · Injury prevention · Medical emergency · Occupational safety and health · Poison control · Public health · Sociology · Suicide prevention · Emergency and Acute Care Studies · Healthcare cost, quality, practices · Healthcare Decision-Making and Restraints · Human Factors and Ergonomics · Medicine · Nursing · Psychology

  • Safety Planning Intervention

    Open Access•Barbara Stanley, Gregory K Brown•Cognitive and Behavioral Practice•2012

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    A Jaure, A Tong et al.•International Journal for Quality…•2007

  • La Recherche Descriptive Interprétative

    Frances Gallagher, Mélanie Marceau•Méthodes qualitatives,…•2020

  • Re-imagining crisis care

    Open Access•Neha Shah, Sally O’keeffe et al.•Frontiers in Psychiatry•2024

  • Suicide Safety Planning

    Open Access•Emma H Moscardini, Ryan M Hill et al.•International Journal of…•2020

  • A Sustained, Productive, Constructive Relationship with Someone Who Can Help”—A Qualitative Exploration of the Experiences of Help Seekers and Support Persons Using the Emergency Department during a Suicide Crisis

    Open Access•Demee Rheinberger, D Macdonald et al.•International Journal of…•2021

  • Risk factors for suicidal thoughts and behaviors

    Joseph C Franklin, Jessica D Ribeiro et al.•Psychological Bulletin•2017

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