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Related Experiment Videos

Caring for patients with suicidal behaviour: an exploratory study.

Louise Doyle1, Brian Keogh, Jean Morrissey

  • 1School of Nursing and Midwifery, Trinity College, Dublin.

British Journal of Nursing (Mark Allen Publishing)
|November 21, 2007
PubMed
Summary

Emergency department (ED) nurses often assess suicidal patients but lack psychosocial skills and resources. They feel compassion but sometimes question patient sincerity, highlighting care gaps.

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Area of Science:

  • Nursing
  • Emergency Medicine
  • Mental Health

Background:

  • Suicidal behavior presentations to emergency departments (EDs) are common.
  • ED staff increasingly manage these patients due to limited specialist mental health access.
  • Nurses face unique challenges in caring for suicidal patients within the ED setting.

Purpose of the Study:

  • To explore the experiences and challenges faced by ED nurses caring for patients with suicidal behavior.
  • To identify specific areas of difficulty in risk assessment, psychosocial support, and resource allocation.

Main Methods:

  • A descriptive study utilizing a 15-item semi-structured questionnaire.
  • Forty-two emergency department nurses participated in the study.

Main Results:

  • Nurses identified risk assessment as a role component but not psychosocial assessment or management.
  • Nurses reported compassion but also sometimes judged the 'genuineness' of patient presentations.
  • Key challenges included inadequate communication skills and insufficient ED resources for optimal patient care.

Conclusions:

  • ED nurses require enhanced training in psychosocial assessment and communication skills for suicidal patients.
  • Improved resource allocation and interdisciplinary collaboration are crucial for effective ED management of suicidal behavior.
  • Addressing nurses' challenges can improve care quality for this vulnerable patient population.