Self-harm: from risk management to relational and recovery-oriented care

  title={Self-harm: from risk management to relational and recovery-oriented care},
  author={Jean Morrissey and Louise Doyle and Agnes Higgins},
  journal={The Journal of Mental Health Training, Education and Practice},
Purpose This paper aims to examine the discourses that shape nurses’ understanding of self-harm and explores strategies for working with people who self-harm within a relational and a recovery orientated manner. Design/methodology/approach Self-harm is a relatively common experience for a cohort of people who present to the mental health services and is, therefore, a phenomenon that mental health nurses will be familiar with. Traditionally, however mental health nurses’ responses to people who… 

Mental health nurses' perspectives of people who self-harm.

Nursers' clinical and life experience, undergraduate programme preparation and ongoing education all contributed towards developing therapeutic care with this group of patients and an accurate understanding of the functions of self- Harm focuses therapeutic interactions to manage psychological distress and reduce further self-harm and lessen the risk of suicide.

'There is no progression in prevention' - The experiences of mental health nurses working with repeated self-harm.

This qualitative descriptive study aims to explore how mental health nurses understand and work with repeated self-harm and identifies the potential for more empowering and recovery-orientated responses to the care of those who repeatedly self- Harm.

Risk and responding to self injury: is harm minimisation a step too far?

  • P. Sullivan
  • Business, Medicine
    The Journal of Mental Health Training, Education and Practice
  • 2019
It is argued that a focus on risk and the increasing influence of the law and legal styles of thinking often associated with the allocation of blame have produced a more risk adverse clinical environment.

The quest for genuine care: A qualitative study of the experiences of young people who self-harm in residential care

The aim of this research was to understand the experiences of young people who self- Harm whilst living in residential care, with a particular focus on the effect of the care setting on their self-harm.

A Necessary Pain: A Literature Review of Young People’s Experiences of Self-Harm

It is shown that young people’s experiences of living with self-harm are multifaceted and felt to be a necessary pain; they suffer, but rarely get the help they need.

Patient perspectives of helpful risk management practices within mental health services. A mixed studies systematic review of primary research.

Interpersonal relationships with clinicians, and communication that keeps patients involved and informed of management processes, were found to be central to beneficial risk management practices, while patients having agency and autonomy to influence their participation was also important.

Epistemic Injustice and Self-Injury: A Concept with Clinical Implications

  • P. Sullivan
  • Philosophy
    Philosophy, Psychiatry, & Psychology
  • 2019
Abstract:Self-injury is a complex phenomenon that is encountered on a regular basis in mental health care, in both hospital and community settings. This article applies the concept of epistemic

"Attenuating Anxieties": A grounded theory study of mental health nurses' responses to clients with suicidal behaviour.

A grounded theory "Attenuating Anxieties" is developed to explain mental health nurses' responses to clients with suicidal behaviour and highlights the need for a culture of openness that acknowledges nurses' and organisations' anxieties surrounding suicide.

The Functions of Self-harm: A Q-methodology study

Current knowledge on the functions of self-harm understands this phenomenon as serving numerous, complex, contradictory and varied functions for individuals. Using Q-methodology this study sought to

A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care

Care providers’ experiences of an alternative method negotiating self‐harm abstinence agreements are examined, which can be viewed as a form of positive risk taking.

Motivations for adolescent self‐harm and the implications for mental health nurses

This paper identifies motivations behind self‐harm in school‐based adolescents using a cross‐sectional survey and finds that the functions of self-harm differ for different people and that there may be multiple reasons for self‐ Harm.

Community psychiatric nurses' experience of working with people who engage in deliberate self-harm.

Interpretative Phenomenological Analysis was used with eight experienced community psychiatric nurses who participated in semi-structured interviews to highlight the potential difficulties faced by community staff and can be translated into clear recommendations for training and support.


ABSTRACT This paper offers a perspective on self-harm as encountered by psychotherapists and counsellors practising in non-institutional settings. The author notes that the background of

Personal Recovery and Mental Illness: A Guide for Mental Health Professionals

A new conceptual basis for mental health services is described - the Personal Recovery Framework - which gives primacy to the person over the illness, and identifies the contribution of personal and social identity to recovery.

Self-harm in young people: Prevalence, associated factors, and help-seeking in school-going adolescents.

It is indicated that self-harm is common in adolescents; however, seeking professional help is not a common phenomenon, and those who present to hospital represent the 'tip of the iceberg' of adolescent self- Harm.

Self-harm in Oxford, England: epidemiological and clinical trends, 1996–2010

Major changes in the extent and nature of self-harm occurred over the study period, some suggestive of increased psychopathology and others reflecting prescribing practices and changes in drinking patterns.

The Language of Risk: Common Understanding or Diverse Perspectives?

A reframing of risk is necessary to reflect consumers’ and carers’ experiences and understandings and will be essential in promoting consumer and carer participation within recovery-based services, reflecting significant goals of government policy.

There is more to risk and safety planning than dramatic risks: Mental health nurses' risk assessment and safety-management practice.

The findings indicate that nurses focus on risk to self and risk to others, with the risk of suicide, self-harm, substance abuse, and violence being most frequently assessed.

Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study

The findings reinforce the importance of psychological characteristics and stressful life events in adolescent self-harm but nonetheless suggest that some factors are more likely than others to be implicated.

Borderline personality disorder: clinicians' accounts of good practice.

  • M. Bowen
  • Psychology
    Journal of psychiatric and mental health nursing
  • 2013
The purpose of this research was to explore the experiences of good practice among mental health professionals working in a service that provided specialist treatment for people with a diagnosis of borderline personality disorder.