Hagen Julia, Knizek Birthe Loa, Hjelmeland Heidi
a Department of Mental Health , Norwegian University of Science and Technology (NTNU) , Trondheim , Norway.
b The Regional Center on Violence, Traumatic Stress and Suicide Prevention (RVTS), Region Mid-Norway , St. Olavs Hospital , Trondheim , Norway.
Int J Qual Stud Health Well-being. 2018 Dec;13(1):1461514. doi: 10.1080/17482631.2018.1461514.
The purpose of this study is to explore how former suicidal inpatients experienced treatment and care in psychiatric wards in Norway following the implementation of the National guidelines for prevention of suicide in mental health care. The focus of the analysis was on aspects of treatment and care with potential for improvement.
We interviewed five former inpatients and analysed the data by means of Interpretative Phenomenological Analysis.
Experiencing a sense of companionship with the staff and receiving individualized treatment and care was important for the participants. This involved establishing trusting connections with mental health workers who treated them with respect, made them feel valued, and who recognized their suffering and needs. The formerly suicidal patients experienced being in a recovery process, which was promoted by the support of mental health workers. Although the participants reported mostly positive experiences, there were examples of insufficient care. Sometimes, they felt that their suffering and suicidality were not sufficiently recognized.
Our study indicates that although there has been increased focus on suicidality in the mental health services, among other through clinical guidelines, some mental health workers still lack competence and should focus more fully on how to provide individualized care for suicidal inpatients.
本研究旨在探讨在挪威实施《精神卫生保健领域预防自杀国家指南》后，曾有自杀行为的住院患者在精神科病房接受治疗和护理的体验。分析重点在于治疗和护理中存在改进潜力的方面。
我们对五名曾住院的患者进行了访谈，并通过解释现象学分析方法对数据进行了分析。
对参与者来说，与工作人员建立陪伴感以及接受个性化治疗和护理非常重要。这包括与尊重他们、让他们感到被重视、认可他们的痛苦和需求的精神卫生工作者建立信任关系。曾有自杀行为的患者经历了康复过程，这在精神卫生工作者的支持下得到了促进。尽管参与者大多报告了积极的体验，但也存在护理不足的例子。有时，他们觉得自己的痛苦和自杀倾向没有得到充分认识。
我们的研究表明，尽管精神卫生服务中对自杀倾向给予了更多关注，包括通过临床指南等方式，但一些精神卫生工作者仍然缺乏能力，应更全面地关注如何为有自杀行为的住院患者提供个性化护理。
