Self-harm and accident and emergency (A & E)

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dc.contributor.advisor Lambert, Sharon en
dc.contributor.advisor Flynn, Daniel en
dc.contributor.author Moynihan, Donal
dc.date.accessioned 2019-11-06T09:29:45Z
dc.date.available 2019-11-06T09:29:45Z
dc.date.issued 2019
dc.date.submitted 2019
dc.identifier.citation Moynihan, D. 2019. Self-harm and accident and emergency (A & E). DClinPsych Thesis, University College Cork. en
dc.identifier.endpage 123 en
dc.identifier.uri http://hdl.handle.net/10468/8957
dc.description.abstract Background: Self-harm is a major worldwide concern and research has demonstrated that 20-25% of individuals who die by suicide have engaged in an act of self-harm within the 12 months before their death. A & E proves to be a crucial entry point for the engagement with services for those who self-harm. However, experiences of care have been described in a negative light with Service Users reporting staff attitudes and behaviours to sometimes be ‘ignorant’ and ‘punitive’. Objective: This review aimed to synthesise the findings from qualitative and quantitative studies in order to understand how adults who self-harm experience care in A & E. In doing so, this review asks the following questions ‘What is unhelpful about the care they received?’ and ‘What is helpful about the care they received?’ Method: A systematic literature search, in line with PRISMA guidelines, was carried out across five databases. 11 out of 1630 studies were included the final review, when inclusion criteria were applied. Findings from these studies were analysed using thematic synthesis. Results: Four themes were identified which captured the experience of care; negative staff attitudes, an unsuitable physical environment, inner turmoil/ experience, and what is perceived as helpful. Conclusions: It is evident that Service Users are dissatisfied with certain aspects of the physical environment and some staff attitudes. However, more research is necessary to explore alternative delivery systems and to assess feasibility. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2019, Donal Moynihan. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Self-harm en
dc.subject Experience of care en
dc.subject Systematic review en
dc.subject Interpretive phenomenological analysis (IPA) en
dc.subject Early discharge en
dc.subject Against medical advice en
dc.subject Emergency department en
dc.subject Accident and emergency en
dc.title Self-harm and accident and emergency (A & E) en
dc.title.alternative Adult’s perceptions of the accident & emergency experience of care following an act of self-harm; a systematic review en
dc.title.alternative Reasons why men who present with self-harm leave accident and emergency before next care recommendations; an interpretive phenomenological analysis (IPA) en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname DClinPsych - Doctor of Clinical Psychology en
dc.internal.availability Full text available en
dc.check.info Not applicable en
dc.description.version Accepted Version
dc.description.status Not peer reviewed en
dc.internal.school Applied Psychology en
dc.check.type No Embargo Required
dc.check.reason Not applicable en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.embargoformat Embargo not applicable (If you have not submitted an e-thesis or do not want to request an embargo) en
ucc.workflow.supervisor sharon.lambert@ucc.ie
dc.internal.conferring Autumn 2019 en


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© 2019, Donal Moynihan. Except where otherwise noted, this item's license is described as © 2019, Donal Moynihan.
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