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Brief admission by self-referral for individuals with self-harm and suicidal ideation : a qualitative study based on focus groups exploring relatives' experiences

Lindkvist, Rose-Marie LU orcid ; Eckerström, Joachim ; Landgren, Kajsa LU and Westling, Sofie LU orcid (2024) In International Journal of Qualitative Studies on Health and Well-being 19(1).
Abstract

PURPOSE: Brief Admission by self-referral (BA) is a standardized crisis-management intervention for individuals with self-harm and risk for suicide. This study explored relatives' experiences of BA. Relatives' perspectives may contribute to an increased understanding of the effects of BA given the relatives' role as support and informal caregivers as well as being co-sufferers.

METHODS: Fourteen relatives to adults with access to BA within one Swedish region participated in focus groups analysed with reflexive thematic analysis.

RESULTS: We generated themes evolving around three meaning-based concepts: access (A low threshold to a safe back-up is crucial and obstacles may easily break faith), independence (Trust in their... (More)

PURPOSE: Brief Admission by self-referral (BA) is a standardized crisis-management intervention for individuals with self-harm and risk for suicide. This study explored relatives' experiences of BA. Relatives' perspectives may contribute to an increased understanding of the effects of BA given the relatives' role as support and informal caregivers as well as being co-sufferers.

METHODS: Fourteen relatives to adults with access to BA within one Swedish region participated in focus groups analysed with reflexive thematic analysis.

RESULTS: We generated themes evolving around three meaning-based concepts: access (A low threshold to a safe back-up is crucial and obstacles may easily break faith), independence (Trust in their ability with care and respect), and recovery (The rest and relational recovery we all get are needed and invaluable).

CONCLUSIONS: BA brings considerable value to users and relatives, by supporting them to take care of themselves and each other. Communication and involvement of relatives may enhance users' ability to overcome obstacles to accessing BA. Implementation and adherence may be strengthened by supervision of BA staff and education of emergency care staff. Resources are needed to improve access. Mapping hurdles to BA, support through peers and targeted psychoeducation may improve recovery for BA users and their relatives.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Male, Female, Focus Groups, Adult, Qualitative Research, Sweden, Self-Injurious Behavior/therapy, Middle Aged, Family/psychology, Suicidal Ideation, Crisis Intervention, Aged, Referral and Consultation, Caregivers/psychology
in
International Journal of Qualitative Studies on Health and Well-being
volume
19
issue
1
article number
2353460
publisher
Taylor & Francis
external identifiers
  • scopus:85192865767
  • pmid:38739443
ISSN
1748-2631
DOI
10.1080/17482631.2024.2353460
language
English
LU publication?
yes
id
d29d3cde-ae03-48e5-8c55-85c139500f7d
date added to LUP
2024-05-14 11:01:45
date last changed
2024-05-29 15:25:58
@article{d29d3cde-ae03-48e5-8c55-85c139500f7d,
  abstract     = {{<p>PURPOSE: Brief Admission by self-referral (BA) is a standardized crisis-management intervention for individuals with self-harm and risk for suicide. This study explored relatives' experiences of BA. Relatives' perspectives may contribute to an increased understanding of the effects of BA given the relatives' role as support and informal caregivers as well as being co-sufferers.</p><p>METHODS: Fourteen relatives to adults with access to BA within one Swedish region participated in focus groups analysed with reflexive thematic analysis.</p><p>RESULTS: We generated themes evolving around three meaning-based concepts: access (A low threshold to a safe back-up is crucial and obstacles may easily break faith), independence (Trust in their ability with care and respect), and recovery (The rest and relational recovery we all get are needed and invaluable).</p><p>CONCLUSIONS: BA brings considerable value to users and relatives, by supporting them to take care of themselves and each other. Communication and involvement of relatives may enhance users' ability to overcome obstacles to accessing BA. Implementation and adherence may be strengthened by supervision of BA staff and education of emergency care staff. Resources are needed to improve access. Mapping hurdles to BA, support through peers and targeted psychoeducation may improve recovery for BA users and their relatives.</p>}},
  author       = {{Lindkvist, Rose-Marie and Eckerström, Joachim and Landgren, Kajsa and Westling, Sofie}},
  issn         = {{1748-2631}},
  keywords     = {{Humans; Male; Female; Focus Groups; Adult; Qualitative Research; Sweden; Self-Injurious Behavior/therapy; Middle Aged; Family/psychology; Suicidal Ideation; Crisis Intervention; Aged; Referral and Consultation; Caregivers/psychology}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Taylor & Francis}},
  series       = {{International Journal of Qualitative Studies on Health and Well-being}},
  title        = {{Brief admission by self-referral for individuals with self-harm and suicidal ideation : a qualitative study based on focus groups exploring relatives' experiences}},
  url          = {{http://dx.doi.org/10.1080/17482631.2024.2353460}},
  doi          = {{10.1080/17482631.2024.2353460}},
  volume       = {{19}},
  year         = {{2024}},
}