| 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, Michael; Lloyd-Evans, Brynmor; Trevillion, Kylee; Simpson, Alan |
| Publisher Information: |
Taylor and Francis |
| Publication Year: |
2025 |
| Collection: |
University of Central Lancashire: CLOK - Central Lancashire Online Knowledge |
| Subject Terms: |
B760 - Mental health nursing |
| 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: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
0161-2840 |
| Relation: |
https://clok.uclan.ac.uk/id/eprint/52652/8/52652%20Griffiths%20et%20al.%20VOR.pdf; https://clok.uclan.ac.uk/id/eprint/52652/1/52652%20Griffiths%20et%20al.%20AAM.pdf; Griffiths, Jessica L., Foye, Una, Stuart, Ruth, Jarvis, Ruby, Chipp, Beverley, Griffiths, Raza, Jeynes, Tamar, Mitchell, Lizzie, Parker, Jennie et al (2025) 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. Issues in Mental Health Nursing, 46 (6). pp. 529-565. ISSN 0161-2840 |
| DOI: |
10.1080/01612840.2025.2488335 |
| Availability: |
https://clok.uclan.ac.uk/id/eprint/52652/; https://clok.uclan.ac.uk/id/eprint/52652/8/52652%20Griffiths%20et%20al.%20VOR.pdf; https://clok.uclan.ac.uk/id/eprint/52652/1/52652%20Griffiths%20et%20al.%20AAM.pdf; https://doi.org/10.1080/01612840.2025.2488335 |
| Rights: |
cc_by_4 |
| Accession Number: |
edsbas.9F678EEE |
| Database: |
BASE |