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Emergency staff reactions to suicidal and self-harming patients
Maurizio Pompili1, Paolo Girardi, Amedeo Ruberto
1Department of Psychiatry, Sant'Andrea Hospital, University of Rome La Sapienza, Rome, Italy. maurizio.pompili@uniroma1.it
Abstract:
Staff in the emergency departments of hospitals are reported as being negative or ambivalent toward suicidal or self-harming individuals. According to the literature, these patients are subjected to stigmatization and lack of empathy. This phenomenon has been linked to a decreased quality of care offered to these individuals and to missing an important opportunity to prevent further suicidal behavior or repetition of deliberate self-harm. Also, protocols, proper guidelines and education for the emergency staff call for a revision and an implementation. In this paper, evidence suggesting staff attitudes toward suicidal and self-harming patients is reviewed. An overview of related issues such as clinical judgment, the use of scales and nurses' role is also included in this report.
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