scholarly journals The role of schools in children and young people’s self-harm and suicide: systematic review and meta-ethnography of qualitative research

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Rhiannon Evans ◽  
Chloe Hurrell
Keyword(s):  
Systematic Review ◽  
Qualitative Research ◽  
Self Harm

scholarly journals Role of the GP in the management of patients with self-harm behaviour: a systematic review

2020 ◽  
Vol 70 (694) ◽  
pp. e364-e373 ◽  
Author(s):  
Faraz Mughal ◽  
M Isabela Troya ◽  
Lisa Dikomitis ◽  
Carolyn A Chew-Graham ◽  
Nadia Corp ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Risk Factor ◽  
Service Provision ◽  
Data Extraction ◽  
Health Concern ◽  
Specialist Care ◽  
Eligibility Criteria ◽  
Self Harm

BackgroundSelf-harm is a serious risk factor for suicide, a major public health concern, and a significant burden on the NHS. Rates of self-harm presentation in primary care are rising and GPs interact with patients both before and after they have self-harmed. There is significant public and political interest in reducing rates of self-harm, but there has been no robust synthesis of the existing literature on the role of GPs in the management of patients who self-harm.AimThis study aimed to explore the role of the GP in the management of patients with self-harm behaviour.Design and settingA systematic review and narrative synthesis of primary care literature.MethodThis systematic review was conducted and is reported in line with PRISMA guidance. Electronic databases systematically searched were MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, and AMED. Two independent reviewers conducted study screening and selection, data extraction, and quality appraisal of all included studies. Thematic analysis was conducted.ResultsFrom 6976 unique citations, 12 studies met eligibility criteria and were included. These 12 studies, published from 1997–2016, of 789 GPs/family medicine physicians from Europe, the US, and Australia were of good methodological quality. Five themes were identified for facilitating GP management of self-harm: GP training, improved communication, service provision, clinical guidelines, and young people. Four barriers for GP management of self-harm were identified: assessment, service provision, local, and systemic factors.ConclusionGPs recognise self-harm as a serious risk factor for suicide, but some feel unprepared for managing self-harm. The role of the GP is multidimensional and includes frontline assessment and treatment, referral to specialist care, and the provision of ongoing support.

scholarly journals Is it appropriate to talk about leadership in services organizations? Toward a possible innovative paradigm

2012 ◽  
Vol 10 (1) ◽  
pp. 194-201
Author(s):  
Alberto Dello Strologo ◽  
Federica Ricci ◽  
Emiliano Marocco
Keyword(s):  
Systematic Review ◽  
Qualitative Research ◽  
Research Methodology ◽  
Direct Relation ◽  
Review Of The Literature ◽  
Frontline Staff ◽  
Qualitative Research Methodology ◽  
Manufacturing Organizations

Through the use of a qualitative research methodology, the present work enquires whether in the actual scenery talking about leadership in companies and services would still make sense. The study arises from the growing importance that tertiary companies have assumed during the last decade, and from the direct relation between frontline staff and customers, who – as it is well known – distinguishes tertiary organizations from manufacturing organizations. Through a systematic review of the literature some guidelines will be hypothesized, in order to define a replicable innovative directional paradigm in services companies, motivating how the role of leadership should be at the same time cleared out by some traditional variables and enriched with alternative features.

scholarly journals Why are psychotic experiences associated with self-injurious thoughts and behaviours? A systematic review and critical appraisal of potential confounding and mediating factors

2017 ◽  
Vol 48 (9) ◽  
pp. 1410-1426 ◽  
Author(s):  
E. Hielscher ◽  
J. E. DeVylder ◽  
S. Saha ◽  
M. Connell ◽  
J. G. Scott
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Psychological Intervention ◽  
Extensive Literature ◽  
Psychotic Experiences ◽  
Mediating Factors ◽  
Self Harm ◽  
Underlying Mechanisms

AbstractPsychotic experiences (PEs), including hallucination- and delusion-like experiences, are robustly associated with self-injurious thoughts and behaviours (SITB) in the general population. However, it remains unclear as to why there is an association. The purpose of this systematic review was to elucidate the role of other factors that influence the association between PEs and SITB and, in doing so, highlight potential mechanisms underlying the relationship. A search of electronic international databases was undertaken, including PubMed, PsycINFO and EMBASE, and eligible studies were grouped according to seven confounder categories: sociodemographics, mental disorders, alcohol and substance use, environmental, psychological, intervention and family history/genetic factors. The systematic search strategy identified 41 publications reporting on 1 39 427 participants from 16 different countries. In the majority of studies, where adjustment for other variables occurred, the association between PEs and SITB persisted, suggesting PEs have an independent role. Common mental disorders, psychological distress and negative environmental exposures explained a substantial amount of the variance and therefore need to be considered as potential underlying mechanisms. There was high variability in the variables adjusted for in these studies, and so the question still remains as to whether the association between PEs and self-harm/suicidality can be attributed (fully or in part) to confounding and mediating factors or directly causal mechanisms. Regardless of causality, the now extensive literature reporting an association between these two clinical phenomena supports the broad usefulness of PEs as an indicator of risk for SITB.

scholarly journals Patients’ Experiences of Emergency Hospital Care Following Self-Harm: Systematic Review and Thematic Synthesis of Qualitative Research

2020 ◽  
Vol 30 (3) ◽  
pp. 471-485 ◽  
Author(s):  
Sarah MacDonald ◽  
Catherine Sampson ◽  
Ruth Turley ◽  
Lucy Biddle ◽  
Nicola Ring ◽  
...  
Keyword(s):  
Systematic Review ◽  
Qualitative Research ◽  
Help Seeking ◽  
Research Gaps ◽  
Negative Experiences ◽  
Extended Synthesis ◽  
Self Harm ◽  
The Impact ◽  
Final Synthesis

Rates of hospital presentation for self-harm have increased in recent years, and although clinical practice guidelines on clinical provision prioritize positive patient experiences, the quality of provision remains variable. This systematic review provides an updated and extended synthesis of qualitative research on the following: (a) patients’ experiences of treatment following presentation to hospital; and (b) patients’ perceptions of the impact of treatment on recurrent self-harm and/or suicidal ideation, and future help-seeking. Twenty-six studies were identified for inclusion in the final synthesis. Three meta-themes emerged: (a) individuals undertake extensive identity work when presenting with self-harm, navigating the process of becoming a patient, and negotiating the type of patient they want to be; (b) care ranges from gentle to hostile, with care at admission and discharge being particularly disorientating; and (c) negative experiences of clinical treatment may increase future self-harm. Emerging research gaps include the need for further theoretically informed qualitative research in this area.

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