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Related Experiment Videos

The 'no suicide contract': helpful or harmful?

M P Egan1, S G Rivera, R R Robillard

  • 1Massachusetts Department of Mental Health, Boston, USA.

Journal of Psychosocial Nursing and Mental Health Services
|March 1, 1997
PubMed
Summary

Contracting for Safety (CFS) is a nursing practice needing scientific evaluation. While CFS can aid therapeutic relationships, it should not solely determine patient risk.

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Area of Science:

  • Nursing Practice
  • Patient Safety
  • Therapeutic Relationships

Background:

  • Contracting for Safety (CFS) is widely used in nursing.
  • There is a lack of scientific scrutiny regarding CFS effectiveness.
  • Potential negative perceptions of CFS by patients exist.

Purpose of the Study:

  • To scientifically evaluate the practice of Contracting for Safety (CFS).
  • To explore the clinical utility and limitations of CFS in nursing.
  • To examine the role of CFS in patient assessment and therapeutic alliances.

Main Methods:

  • Literature review of existing studies on CFS.
  • Analysis of clinical case examples involving CFS.
  • Exploration of patient and caregiver perspectives on CFS.

Main Results:

  • CFS has not been rigorously studied scientifically.
  • Some patient populations may perceive CFS negatively, as a lack of empathy.
  • CFS can support therapeutic relationships and patient assessment.

Conclusions:

  • CFS requires further scientific investigation.
  • The application of CFS must consider patient-specific factors and potential misinterpretations.
  • CFS should be used cautiously and never as the sole determinant of patient lethality.

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