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
| 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 |
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| Authors: | Jessica L. Griffiths; Una Foye; Ruth Stuart; Ruby Jarvis; Beverley Chipp; Raza Griffiths; Tamar Jeynes; Lizzie Mitchell; Jennie Parker; Rachel Rowan Olive; Kieran Quirke; John Baker; Geoff Brennan; Gary Lamph; Mick McKeown; Brynmor Lloyd-Evans; Kylee Trevillion; Alan Simpson |
| Publication Year: | 2025 |
| Subject Terms: | Medicine; Biotechnology; Sociology; Science Policy; relational care approaches; lived experience researchers; inpatient mental health; following prisma guidelines; 87 primary papers; structured risk assessments; quality research overall; examine quantitative evidence; emergency department settings; emergency department; quality research; quantitative evidence; supporting evidence; evidence suggests; works best; suicide risk; scoping review; restrictive practices; core components; clear framework |
| Description: | 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. |
| Document Type: | dataset |
| Language: | unknown |
| DOI: | 10.6084/m9.figshare.28934228.v1 |
| Availability: | https://doi.org/10.6084/m9.figshare.28934228.v1; https://figshare.com/articles/dataset/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/28934228 |
| Rights: | CC BY 4.0 |
| Accession Number: | edsbas.24C7CBE1 |
| Database: | BASE |