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

@article{Morrissey2018SelfharmFR,
  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},
  year={2018},
  volume={13},
  pages={34-43}
}
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… 
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16 Citations
Background Citations
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Methods Citations
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16 Citations

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.

"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.

Forensic Mental Health Nurses' Perceptions of Clinical Supervision: A Qualitative Descriptive Study

The findings support the premise that there is a tension between therapeutic and custodial practices in forensic mental health nurses practice.

References

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