11,531
Views
14
CrossRef citations to date
0
Altmetric
Editorial

Patient safety and suicide prevention in mental health services: time for a new paradigm?

ORCID Icon, , &
Pages 1-5 | Received 03 Sep 2019, Accepted 28 Oct 2019, Published online: 27 Jan 2020

References

  • Arensman, E., Griffin, E., Daly, C., Corcoran, P., Cassidy, E., & Perry, I. J. (2018). Recommended next care following hospital-treated self-harm: Patterns and trends over time. PLoS One, 13(3), e0193587. doi:10.1371/journal.pone.0193587
  • Berzins, K., Baker, J., Brown, M., & Lawton, R. (2018). A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom. Health Expectations, 21(6), 1085–1094. doi:10.1111/hex.12805
  • Braithwaite, J., Wears, R. L., & Hollnagel, E. (2015). Resilient health care: Turning patient safety on its head. International Journal for Quality in Health Care, 27(5), 418–420. doi:10.1093/intqhc/mzv063
  • Brickell, T.A., Nicholls, T.L., Procyshyn, R.M., McLean, C., Dempster, R.J., Lavoie, J.A.A., … Wang, E. (2009). Patient safety in mental health. Edmonton: Canadian Patient Safety Institute and Ontario Hospital Association.
  • Care Quality Commission (2018). Sexual safety on mental health wards. September 2018. Care Quality Commission. UK. Retrieved from https://www.cqc.org.uk/sites/default/files/20180911c_sexualsafetymh_report.pdf.
  • Care Quality Commission (2019). The state of health care and adult social care in England 2018/2019. UK: Crown Copyright.
  • Carr, M. J., Ashcroft, D. M., Kontopantelis, E., Awenat, Y., Cooper, J., Chew-Graham, C., … Webb, R. T. (2016). The epidemiology of self-harm in a UK-wide primary care patient cohort, 2001–2013. BMC Psychiatry, 16(1), 53. doi:10.1186/s12888-016-0753-5
  • Carroll, R., Metcalfe, C., & Gunnell, D. (2014). Hospital presenting self-harm and risk of fatal and non-fatal repetition: Systematic review and meta-analysis. PLoS One, 9(2), e89944. doi:10.1371/journal.pone.0089944
  • Carter, G., Milner, A., McGill, K., Pirkis, J., Kapur, N., & Spittal, M. J. (2017). Predicting suicidal behaviours using clinical instruments: Systematic review and meta-analysis of positive predictive values for risk scales. British Journal of Psychiatry, 210(6), 387–395. doi:10.1192/bjp.bp.116.182717
  • Chan, M. K. Y., Bhatti, H., Meader, N., Stockton, S., Evans, J., O’Connor, R. C., … Kendall, T. (2016). Predicting suicide following self-harm: Systematic review of risk factors and risk scales. British Journal of Psychiatry, 209(4), 277–283. doi:10.1192/bjp.bp.115.170050
  • Claassen, C. A., Trivedi, M. H., Shimizu, I., Stewart, S., Larkin, G. L., & Litovitz, T. (2006). Epidemiology of nonfatal deliberate self-harm in the United States as described in three medical databases. Suicide and Life-Threatening Behavior, 36(2), 192–212. doi:10.1521/suli.2006.36.2.192
  • Conner, K. R., Langley, J., Tomaszewski, K. J., & Conwell, Y. (2003). Injury hospitalization and risks for subsequent self-injury and suicide: A national study from New Zealand. American Journal of Public Health, 93(7), 1128–1131. doi:10.2105/AJPH.93.7.1128
  • Cooper, J., Steeg, S., Bennewith, O., Lowe, M., Gunnell, D., House, A., … Kapur, N. (2013). Are hospital services for self-harm getting better? An observational study examining management, service provision and temporal trends in England. BMJ Open, 3(11), e003444. doi:10.1136/bmjopen-2013-003444
  • Department of Health (England). (2017). Preventing suicide in England: Third progress report on the cross-government outcomes strategy to save lives. UK: Crown Copyright.
  • Dewa, L. H., Murray, K., Thibaut, B., Ramtale, S. C., Adam, S., Darzi, A., & Archer, S. (2018). Identifying research priorities for patient safety in mental health: An international expert Delphi study. BMJ Open, 8(3), e021361. doi:10.1136/bmjopen-2017-021361
  • Evans, K. (2018). Treating financial difficulty–the missing link in mental health care? Journal of Mental Health, 27(6), 487–489. doi:10.1080/09638237.2018.1520972
  • Finkelstein, Y., Macdonald, E. M., Hollands, S., Sivilotti, M. L. A., Hutson, J. R., Mamdani, M. M., Koren, G., … Canadian Drug Safety and Effectiveness Research Network (CDSERN). (2015). Risk of suicide following deliberate self-poisoning. JAMA Psychiatry, 72(6), 570–575. doi:10.1001/jamapsychiatry.2014.3188
  • Geulayov, G., Casey, D., McDonald, K. C., Foster, P., Pritchard, K., Wells, C., … Hawton, K. (2018). Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): A retrospective study. The Lancet Psychiatry, 5(2), 167–174. doi:10.1016/S2215-0366(17)30478-9
  • Griffin, E., McMahon, E., McNicholas, F., Corcoran, P., Perry, I. J., & Arensman, E. (2018). Increasing rates of self-harm among children, adolescents and young adults: A 10-year national registry study 2007–2016. Social Psychiatry and Psychiatric Epidemiology, 53(7), 663–671. doi:10.1007/s00127-018-1522-1
  • Gunasinghe, C., Gazard, B., Aschan, L., MacCrimmon, S., Hotopf, M., & Hatch, S. L. (2018). Debt, common mental disorders and mental health service use. Journal of Mental Health, 27(6), 520–528. doi:10.1080/09638237.2018.1487541
  • Hall, L. H., Johnson, J., Watt, I., Tsipa, A. & O'Connor, D. B., (2016). Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PloS one, 11(7), e0159015.
  • Hamaideh, S. H. (2017). Mental health nurses’ perceptions of patient safety culture in psychiatric settings. International Nursing Review, 64(4), 476–485. doi:10.1111/inr.12345
  • Hawton, K., Bergen, H., Casey, D., Simkin, S., Palmer, B., Cooper, J., … Owens, D. (2007). Self-harm in England: A tale of three cities. Social Psychiatry and Psychiatric Epidemiology, 42(7), 513–521. doi:10.1007/s00127-007-0199-7
  • Hawton, K., Witt, K. G., Salisbury, T. L. T., Arensman, E., Gunnell, D., Hazell, P., … van Heeringen, K. (2016). Psychosocial interventions following self-harm in adults: A systematic review and meta-analysis. The Lancet Psychiatry, 3(8), 740–750. doi:10.1016/S2215-0366(16)30070-0
  • Health Education England. (2018). Self-harm and suicide prevention competence framework: Adults and older adults. UK: National Collaborating Centre for Mental Health.
  • Healthcare Improvement Scotland. (2019). Scottish Patient Safety Programme: Mental health. Retrieved from https://ihub.scot/improvement-programmes/scottish-patient-safety-programme-spsp/spsp-mental-health/.
  • Hunt, I. M., Rahman, M. S., While, D., Windfuhr, K., Shaw, J., Appleby, L., & Kapur, N. (2014). Safety of patients under the care of crisis resolution home treatment services in England: A retrospective analysis of suicide trends from 2003 to 2011. The Lancet Psychiatry, 1(2), 135–141. doi:10.1016/S2215-0366(14)70250-0
  • Kapur, N., Cooper, J., King-Hele, S., Webb, R., Lawlor, M., Rodway, C., & Appleby, L. (2006). The repetition of suicidal behavior: A multicenter cohort study. The Journal of Clinical Psychiatry, 67(10), 1599–1609. doi:10.4088/JCP.v67n1016
  • Kapur, N., Steeg, S., Turnbull, P., Webb, R., Bergen, H., Hawton, K., … Cooper, J. (2015). Hospital management of suicidal behaviour and subsequent mortality: A prospective cohort study. The Lancet Psychiatry, 2(9), 809–816.
  • Kapusta, N. D., Niederkrotenthaler, T., Etzersdorfer, E., Voracek, M., Dervic, K., Jandl‐Jager, E., & Sonneck, G. (2009). Influence of psychotherapist density and antidepressant sales on suicide rates. Acta Psychiatrica Scandinavica, 119(3), 236–242. doi:10.1111/j.1600-0447.2008.01314.x
  • Littlewood, D.L.L., Quinlivan, L., Steeg, S., Bickley, H., Rodway, C., Bennett, C., … Kapur, N. (2019). Evaluating the impact of patient and carer involvement in suicide and self-harm research: A mixed-methods, longitudinal study protocol. Health Expectations, 1–7. doi:10.1111/hex.13000
  • Marchant, A., Turner, S., Balbuena, L., Peters, E., Williams, D., Lloyd, K., … John, A. (2019). Self-harm presentation across healthcare settings by sex in young people; an e-cohort study using routinely collected linked healthcare data in Wales, UK. Archives of Disease in Childhood, 1–8. doi:10.1136/archdischild-2019-317248
  • McManus, S., Gunnell, D., Cooper, C., Bebbington, P. E., Howard, L. M., Brugha, T., … Appleby, L. (2019). Prevalence of non-suicidal self-harm and service contact in England, 2000–14: Repeated cross-sectional surveys of the general population. The Lancet Psychiatry, 6(7), 573–581. doi:10.1016/S2215-0366(19)30188-9
  • Morgan, C., Webb, R. T., Carr, M. J., Kontopantelis, E., Green, J., Chew-Graham, C. A., … Ashcroft, D. M. (2017). Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care. BMJ, 359, j4351. doi:10.1136/bmj.j4351
  • National Patient Safety Agency. (2006). With safety in mind: Mental health services and patient safety. Patient Safety observatory Report. July 2006. National Patient Safety Agency. UK. Retrieved from https://webarchive.nationalarchives.gov.uk/20090218135132/http://www.npsa.nhs.uk/nrls/.
  • NHS Improvement. (2014–2019). Organisational patient safety incident reports: Data workbooks September 2014. UK: NHS Improvement. Retrieved from https://webarchive.nationalarchives.gov.uk/20171030124651/http://www.nrls.npsa.nhs.uk/resources/?entryid45=135261https://improvement.nhs.uk/resources/organisation-patient-safety-incident-reports-data/#h2-data-workbooks-and-commentary-official-statistics.
  • NHS Improvement. (2018). NRLS national patient safety incident reports: Commentary, September 2018. UK: NHS Improvement. Retrieved from https://improvement.nhs.uk/documents/3266/NAPSIR_commentary_FINAL_data_to_March_2018.pdf. [Accessed 21 February 2019]
  • NICE. (2011). Self-harm. The NICE guideline on longer-term management. National clinical guideline number 133. London: The British Psychological Society and The Royal College of Psychiatrists.
  • Panagioti, M., Khan, K., Keers, R. N., Abuzour, A., Phipps, D., Kontopantelis, E., … Ashcroft, D. M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: Systematic review and meta-analysis. BMJ, 366, l4185. doi:10.1136/bmj.l4185
  • Perera, J., Wand, T., Bein, K. J., Chalkley, D., Ivers, R., Steinbeck, K. S., … Dinh, M. M. (2018). Presentations to NSW emergency departments with self‐harm, suicidal ideation, or intentional poisoning, 2010–2014. Medical Journal of Australia, 208(8), 348–353. doi:10.5694/mja17.00589
  • Pirkola, S., Sund, R., Sailas, E., & Wahlbeck, K. (2009). Community mental-health services and suicide rate in Finland: A nationwide small-area analysis. The Lancet, 373(9658), 147–153. doi:10.1016/S0140-6736(08)61848-6
  • Pitman, A., Osborn, D., King, M., & Erlangsen, A. (2014). Effects of suicide bereavement on mental health and suicide risk. The Lancet Psychiatry, 1(1), 86–94. doi:10.1016/S2215-0366(14)70224-X
  • Quinlivan, L., Cooper, J., Meehan, D., Longson, D., Potokar, J., Hulme, T., … Kapur, N. (2017). Predictive accuracy of risk scales following self-harm: Multicentre, prospective cohort study. British Journal of Psychiatry, 210(6), 429–436. doi:10.1192/bjp.bp.116.189993
  • Quinlivan, L., Nowland, R., Steeg, S., Cooper, J., Meehan, D., Godfrey, J., … Kapur, N. (2019). Advance decisions to refuse treatment and suicidal behaviour in emergency care: it’s very much a step into the unknown. British Journal of Psychiatry Open, 5(4), e50.
  • Richardson, T., Jansen, M., & Fitch, C. (2018). Financial difficulties in bipolar disorder part 1: Longitudinal relationships with mental health. Journal of Mental Health, 27(6), 595–601. doi:10.1080/09638237.2018.1521920
  • Skinner, R., McFaull, S., Draca, J., Frechette, M., Kaur, J., Pearson, C., & Thompson, W. (2016). Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15). Health Promotion and Chronic Disease Prevention in Canada, 36(11), 243–251. doi:10.24095/hpcdp.36.11.02
  • Steeg, S., Emsley, R., Carr, M., Cooper, J., & Kapur, N. (2018). Routine hospital management of self-harm and risk of further self-harm: Propensity score analysis using record-based cohort data. Psychological Medicine, 48(2), 315–326. doi:10.1017/S0033291717001702
  • Tondo, L., Albert, M. J., & Baldessarini, R. J. (2006). Suicide rates in relation to health care access in the United States: An ecological study. The Journal of Clinical Psychiatry, 67(4), 517–523. doi:10.4088/JCP.v67n0402
  • Towey-Swift, K., & Whittington, R. (2019). Person-job congruence, compassion and recovery attitude in Community Mental Health Teams. Journal of Mental Health. doi:10.1080/09638237.2019.1608931
  • Westers, N. J. (2019). Not a fad: Nonsuicidal self-injury and suicide attempts. Clinical Child Psychology and Psychiatry, 24(4), 831–846. doi:10.1177/2F1359104519873496
  • While, D., Bickley, H., Roscoe, A., Windfuhr, K., Rahman, S., Shaw, J., … Kapur, N. (2012). Implementation of mental health service recommendations in England and Wales and suicide rates, 1997–2006: a cross-sectional and before-and-after observational study. The Lancet, 379(9820), 1005–1012. doi:10.1016/S0140-6736(11)61712-1
  • Witt, K., Daly, C., Arensman, E., Pirkis, J., & Lubman, D. (2019). Patterns of self-harm methods over time and the association with methods used at repeat episodes of non-fatal self-harm and suicide: A systematic review. Journal of Affective Disorders, 245, 250–226. doi:10.1016/j.jad.2018.11.001
  • World Health Organization (WHO). (2014). Preventing suicide. A global imperative. Luxembourg: World Health Organisation. Retrieved from http://apps.who.int/iris/bitstream/10665/131056/1/9789241564779_eng.pdf?ua=1.
  • World Health Organization (WHO). (2017). Patient Safety, Making health care safer. Geneva: World Health Organisation.: Licence: CC BY-NC-SA 3.0IGO. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/255507/WHO-HIS-SDS-2017.11-eng.pdf?sequence=1.
  • World Health Organization (WHO). (2018). National suicide prevention strategies. Progress, examples and indicators. Switzerland: World Health Organization.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.