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Developing, implementing and evaluating a model for an outpatient self-harm service.

Fiona Brand1, Karen Lascelles2

  • 1Centre for Suicide Research, University Department of Psychiatry, University of Oxford, Oxford, England.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|May 11, 2017
PubMed
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A nurse-led outpatient service, Brief Interventions in Repeat Self Harm (BIRSH), reduced emergency department visits for self-harm. Patients attending BIRSH showed fewer repeat self-harm incidents after the intervention.

Area of Science:

  • Mental Health Nursing
  • Public Health Interventions
  • Patient Care Management

Background:

  • Individuals with recurrent self-harm behaviors frequently present to emergency departments.
  • There is a need for effective outpatient interventions to reduce self-harm incidence and improve patient well-being.
  • Current emergency department care may not adequately address the needs of high-risk self-harm patients.

Purpose of the Study:

  • To develop, implement, and evaluate a nurse-led outpatient service for individuals at high risk of repeat self-harm.
  • To reduce the frequency of emergency department presentations following self-harm.
  • To enhance the well-being and experience of care for patients presenting with self-harm.

Main Methods:

  • A 12-month practice development project utilizing action research and appreciative inquiry principles.
Keywords:
action researchappreciative inquirymental healthoutpatient carepsychiatric liaisonresearchself-harmservice improvement

Related Experiment Videos

  • Development and implementation of a brief-intervention outpatient service (BIRSH) for high-risk self-harm patients.
  • Evaluation of the service's impact on emergency department presentation rates.

    • Main Results:

    • The Brief Interventions in Repeat Self Harm (BIRSH) service offered short-term outpatient follow-up.
    • 26 out of 38 offered patients attended one or more BIRSH sessions.
    • All patients who attended BIRSH sessions demonstrated a reduction in self-harm related emergency department visits post-intervention.

    Conclusions:

    • The BIRSH outpatient service contributed to reducing self-harm presentations.
    • Engaging with the BIRSH service positively impacted patient outcomes.
    • Action research and appreciative inquiry facilitated a focused approach to service improvement for self-harm care.