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2025-05-30 Apply the embargo to the e-thesis on CORA (If you have submitted an e-thesis and want to embargo it on CORA) Restricted to everyone for six years Not applicable This thesis is due for publication or the author is actively seeking to publish this material Lambert, Sharon Flynn, Daniel Moynihan, Donal 2019-11-06T09:29:45Z 2019-11-06T09:29:45Z 2019 2019 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. Not peer reviewed Accepted Version application/pdf Moynihan, D. 2019. Self-harm and accident and emergency (A & E). DClinPsych Thesis, University College Cork. 123 https://hdl.handle.net/10468/8957 en University College Cork © 2019, Donal Moynihan. http://creativecommons.org/licenses/by-nc-nd/3.0/ Self-harm Experience of care Systematic review Interpretive phenomenological analysis (IPA) Early discharge Against medical advice Emergency department Accident and emergency false Self-harm and accident and emergency (A & E) Adult’s perceptions of the accident & emergency experience of care following an act of self-harm; a systematic review Reasons why men who present with self-harm leave accident and emergency before next care recommendations; an interpretive phenomenological analysis (IPA) Doctoral thesis Doctoral DClinPsych - Doctor of Clinical Psychology sharon.lambert@ucc.ieinfo:eu-repo/semantics/openAccess