View in EDS

Quantitative Evidence for Relational Care Approaches to Assessing and Managing Self-Harm and Suicide Risk in Inpatient Mental Health and Emergency Department Settings: A Scoping Review.

Saved in:
Bibliographic Details
Title: Quantitative Evidence for Relational Care Approaches to Assessing and Managing Self-Harm and Suicide Risk in Inpatient Mental Health and Emergency Department Settings: A Scoping Review.
Authors: Griffiths, Jessica L., Foye, Una, Stuart, Ruth, Jarvis, Ruby, Chipp, Beverley, Griffiths, Raza, Jeynes, Tamar, Mitchell, Lizzie, Parker, Jennie, Rowan Olive, Rachel, Quirke, Kieran, Baker, John, Brennan, Geoff, Lamph, Gary, McKeown, Mick, Lloyd-Evans, Brynmor, Trevillion, Kylee, Simpson, Alan
Source: Issues in Mental Health Nursing. Jun2025, Vol. 46 Issue 6, p529-565. 37p.
Subjects: Suicide risk factors, Self-injurious behavior, Risk assessment, Mental health services, Research funding, Emergency services in psychiatric hospitals, CINAHL database, Descriptive statistics, Suicide prevention, Systematic reviews, MEDLINE, Patient-professional relations, Psychology information storage & retrieval systems
Abstract: There is an over-reliance on structured risk assessments and restrictive practices for managing self-harm and suicidality in inpatient mental health and emergency department (ED) settings, despite a lack of supporting evidence. Alternative "relational care" approaches prioritising interpersonal relationships are needed. We present a definition of "relational care," co-produced with academic and lived experience researchers and clinicians, and conducted a scoping review, following PRISMA guidelines. We aimed to examine quantitative evidence for the impact of "relational care" in non-forensic inpatient mental health and ED settings on self-harm and suicide. We identified 29 relevant reviews, covering 62 relational care approaches, reported in 87 primary papers. Evidence suggests some individual-, group-, ward- and organisation-level relational care approaches can reduce self-harm and suicide in inpatient mental health and ED settings, although there is a lack of high-quality research overall. Further co-produced research is needed to clarify the meaning of "relational care," its core components, and develop a clear framework for its application and evaluation. Further high-quality research is needed evaluating its effectiveness, how it is experienced by patients, carers, and staff, and exploring what works best for whom, under what circumstances, and why. [ABSTRACT FROM AUTHOR]
Copyright of Issues in Mental Health Nursing is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 185688739
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Quantitative Evidence for Relational Care Approaches to Assessing and Managing Self-Harm and Suicide Risk in Inpatient Mental Health and Emergency Department Settings: A Scoping Review.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Griffiths%2C+Jessica+L%2E%22">Griffiths, Jessica L.</searchLink><br /><searchLink fieldCode="AR" term="%22Foye%2C+Una%22">Foye, Una</searchLink><br /><searchLink fieldCode="AR" term="%22Stuart%2C+Ruth%22">Stuart, Ruth</searchLink><br /><searchLink fieldCode="AR" term="%22Jarvis%2C+Ruby%22">Jarvis, Ruby</searchLink><br /><searchLink fieldCode="AR" term="%22Chipp%2C+Beverley%22">Chipp, Beverley</searchLink><br /><searchLink fieldCode="AR" term="%22Griffiths%2C+Raza%22">Griffiths, Raza</searchLink><br /><searchLink fieldCode="AR" term="%22Jeynes%2C+Tamar%22">Jeynes, Tamar</searchLink><br /><searchLink fieldCode="AR" term="%22Mitchell%2C+Lizzie%22">Mitchell, Lizzie</searchLink><br /><searchLink fieldCode="AR" term="%22Parker%2C+Jennie%22">Parker, Jennie</searchLink><br /><searchLink fieldCode="AR" term="%22Rowan+Olive%2C+Rachel%22">Rowan Olive, Rachel</searchLink><br /><searchLink fieldCode="AR" term="%22Quirke%2C+Kieran%22">Quirke, Kieran</searchLink><br /><searchLink fieldCode="AR" term="%22Baker%2C+John%22">Baker, John</searchLink><br /><searchLink fieldCode="AR" term="%22Brennan%2C+Geoff%22">Brennan, Geoff</searchLink><br /><searchLink fieldCode="AR" term="%22Lamph%2C+Gary%22">Lamph, Gary</searchLink><br /><searchLink fieldCode="AR" term="%22McKeown%2C+Mick%22">McKeown, Mick</searchLink><br /><searchLink fieldCode="AR" term="%22Lloyd-Evans%2C+Brynmor%22">Lloyd-Evans, Brynmor</searchLink><br /><searchLink fieldCode="AR" term="%22Trevillion%2C+Kylee%22">Trevillion, Kylee</searchLink><br /><searchLink fieldCode="AR" term="%22Simpson%2C+Alan%22">Simpson, Alan</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Issues+in+Mental+Health+Nursing%22">Issues in Mental Health Nursing</searchLink>. Jun2025, Vol. 46 Issue 6, p529-565. 37p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Suicide+risk+factors%22">Suicide risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Self-injurious+behavior%22">Self-injurious behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+services+in+psychiatric+hospitals%22">Emergency services in psychiatric hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide+prevention%22">Suicide prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: There is an over-reliance on structured risk assessments and restrictive practices for managing self-harm and suicidality in inpatient mental health and emergency department (ED) settings, despite a lack of supporting evidence. Alternative "relational care" approaches prioritising interpersonal relationships are needed. We present a definition of "relational care," co-produced with academic and lived experience researchers and clinicians, and conducted a scoping review, following PRISMA guidelines. We aimed to examine quantitative evidence for the impact of "relational care" in non-forensic inpatient mental health and ED settings on self-harm and suicide. We identified 29 relevant reviews, covering 62 relational care approaches, reported in 87 primary papers. Evidence suggests some individual-, group-, ward- and organisation-level relational care approaches can reduce self-harm and suicide in inpatient mental health and ED settings, although there is a lack of high-quality research overall. Further co-produced research is needed to clarify the meaning of "relational care," its core components, and develop a clear framework for its application and evaluation. Further high-quality research is needed evaluating its effectiveness, how it is experienced by patients, carers, and staff, and exploring what works best for whom, under what circumstances, and why. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Issues in Mental Health Nursing is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=185688739
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/01612840.2025.2488335
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 37
        StartPage: 529
    Subjects:
      – SubjectFull: Suicide risk factors
        Type: general
      – SubjectFull: Self-injurious behavior
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Emergency services in psychiatric hospitals
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Suicide prevention
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Patient-professional relations
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
    Titles:
      – TitleFull: Quantitative Evidence for Relational Care Approaches to Assessing and Managing Self-Harm and Suicide Risk in Inpatient Mental Health and Emergency Department Settings: A Scoping Review.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Griffiths, Jessica L.
      – PersonEntity:
          Name:
            NameFull: Foye, Una
      – PersonEntity:
          Name:
            NameFull: Stuart, Ruth
      – PersonEntity:
          Name:
            NameFull: Jarvis, Ruby
      – PersonEntity:
          Name:
            NameFull: Chipp, Beverley
      – PersonEntity:
          Name:
            NameFull: Griffiths, Raza
      – PersonEntity:
          Name:
            NameFull: Jeynes, Tamar
      – PersonEntity:
          Name:
            NameFull: Mitchell, Lizzie
      – PersonEntity:
          Name:
            NameFull: Parker, Jennie
      – PersonEntity:
          Name:
            NameFull: Rowan Olive, Rachel
      – PersonEntity:
          Name:
            NameFull: Quirke, Kieran
      – PersonEntity:
          Name:
            NameFull: Baker, John
      – PersonEntity:
          Name:
            NameFull: Brennan, Geoff
      – PersonEntity:
          Name:
            NameFull: Lamph, Gary
      – PersonEntity:
          Name:
            NameFull: McKeown, Mick
      – PersonEntity:
          Name:
            NameFull: Lloyd-Evans, Brynmor
      – PersonEntity:
          Name:
            NameFull: Trevillion, Kylee
      – PersonEntity:
          Name:
            NameFull: Simpson, Alan
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 01612840
          Numbering:
            – Type: volume
              Value: 46
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Issues in Mental Health Nursing
              Type: main
ResultId 1