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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Improving patient care after a suicide attempt.

Fiona Shand1, Laura Vogl2, Jo Robinson3

  • 1LifeSpan Research Director, Senior Research Fellow, Black Dog Institute, Black Dog Institute, UNSW Sydney, Randwick, NSW, Australia.

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists
|February 27, 2018
PubMed
Summary

Improving post-suicide attempt care is crucial for reducing repeat attempts. Key elements include empathic initial contact, thorough assessment, and coordinated follow-up care.

Keywords:
aftercarecrisis caredeliberate self-harmsuicide prevention

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Area of Science:

  • Public Health
  • Psychiatry
  • Emergency Medicine

Background:

  • Individuals with a history of suicide attempts face elevated suicide risks.
  • The period immediately following hospital discharge presents a particularly vulnerable phase.

Purpose of the Study:

  • To describe improvements in post-suicide attempt care.
  • To identify existing guidelines for managing patients after a suicide attempt.

Main Methods:

  • Literature review encompassing crisis care, aftercare, psychosocial and risk assessment.
  • Inclusion of studies on brief contact and other brief interventions.

Main Results:

  • Patients need an empathic initial response and comprehensive psychosocial assessment.
  • Effective discharge planning, rapid follow-up, and coordinated ongoing care are essential.

Conclusions:

  • Integrated care from emergency departments through community services is vital.
  • Sufficient knowledge exists to implement changes in Australia's healthcare response to suicide attempts.