Staff awareness of suicide and self-harm risk in healthcare settings: A mixed-methods systematic review

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dc.contributor.authorDillon, Christina B.
dc.contributor.authorSaab, Mohamad M.
dc.contributor.authorMeehan, Elaine
dc.contributor.authorGoodwin, John
dc.contributor.authorMurphy, Margaret
dc.contributor.authorHeffernan, Sinead
dc.contributor.authorGreaney, Sonya
dc.contributor.authorKilty, Caroline
dc.contributor.authorHartigan, Irene
dc.contributor.authorChambers, Derek
dc.contributor.authorTwomey, Una
dc.contributor.authorHorgan, Aine
dc.contributor.funderHealth Service Executiveen
dc.date.accessioned2022-05-10T08:56:04Z
dc.date.available2022-05-10T08:56:04Z
dc.date.issued2020-11-01
dc.date.updated2022-05-09T14:25:06Z
dc.description.abstractBackground: Suicide risk screening in healthcare settings plays a significant role in suicide prevention. Healthcare staff who are poorly informed about self-harm and suicide risk are less likely to identify and subsequently screen at-risk individuals. This mixed-method systematic review aimed to appraise and synthesise evidence from studies that explored and promoted healthcare staff's knowledge and awareness of suicide and self-harm risk in healthcare settings. Methods: Electronic databases (CINAHL, MEDLINE, APA PsycInfo, APA PsycARTICLES, Psychology and behavioural Science Collection, ERIC, and SocINDEX), the Cochrane Library, and various grey literature databases were searched for relevant studies. The level of evidence and methodological quality of the included studies were assessed. Results: Eighteen empirical studies were included. Levels of knowledge about suicide and self-harm risk varied significantly across the reviewed studies. Face-to-face group training and educational programmes, digital or online educational programmes, and an educational poster campaign were amongst the strategies used to promote awareness of suicide and self-harm risk, with the majority marginally succeeding in doing so. Limitations: The reviewed studies were heterogeneous in terms of design, interventions, and outcome measures which made it difficult to make comparisons. The overall level of scientific evidence was classified as being relatively low. The lack of blinding and lack of a control group were amongst the limitations for experimental studies. Conclusions: Long-term, routine face-to-face group training programmes should be established to educate healthcare staff about suicide risk across all professions and in specific patient groups.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDillon, C. B., Saab, M. M., Meehan, E., Goodwin, J., Murphy, M., Heffernan, S., Greaney, S., Kilty, C., Hartigan, I., Chambers, D., Twomey, U. and Horgan, A. (2020) 'Staff awareness of suicide and self-harm risk in healthcare settings: A mixed-methods systematic review', Journal of Affective Disorders, 276, pp. 898-906. doi: 10.1016/j.jad.2020.07.113en
dc.identifier.doi10.1016/j.jad.2020.07.113en
dc.identifier.endpage906en
dc.identifier.issn1573-2517
dc.identifier.issn0165-0327
dc.identifier.journaltitleJournal of Affective Disordersen
dc.identifier.startpage898en
dc.identifier.urihttps://hdl.handle.net/10468/13159
dc.identifier.volume276en
dc.language.isoenen
dc.publisherElsevier B.V.en
dc.rights© 2020, the Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectSuicide ideationen
dc.subjectAwareness of suicide and self-harm risken
dc.subjectKnowledge of suicide and self-harm risken
dc.subjectSuicide and self-harm risk prevention strategiesen
dc.subjectSelf-harmen
dc.subjectSuicideen
dc.titleStaff awareness of suicide and self-harm risk in healthcare settings: A mixed-methods systematic reviewen
dc.typeArticle (peer-reviewed)en
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