Patients’ experiences of emergency hospital care following self-harm: Systematic review and thematic synthesis of qualitative research

MacDonald, Sarah ORCID: https://orcid.org/0000-0002-8245-2347, Sampson, Catherine ORCID: https://orcid.org/0000-0002-5626-9936, Turley, Ruth ORCID: https://orcid.org/0000-0001-8556-7855, Biddle, Lucy, Ring, Nicola, Begley, Roisin and Evans, Rhiannon ORCID: https://orcid.org/0000-0002-0239-6331 2020. Patients’ experiences of emergency hospital care following self-harm: Systematic review and thematic synthesis of qualitative research. Qualitative Health Research 30 (3) , pp. 471-485. 10.1177/1049732319886566

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Abstract

Rates of hospital presentation for self-harm have increased in recent years, and although clinical practice guidelines on clinical provision prioritize positive patient experiences, the quality of provision remains variable. This systematic review provides an updated and extended synthesis of qualitative research on the following: (a) patients’ experiences of treatment following presentation to hospital; and (b) patients’ perceptions of the impact of treatment on recurrent self-harm and/or suicidal ideation, and future help-seeking. Twenty-six studies were identified for inclusion in the final synthesis. Three meta-themes emerged: (a) individuals undertake extensive identity work when presenting with self-harm, navigating the process of becoming a patient, and negotiating the type of patient they want to be; (b) care ranges from gentle to hostile, with care at admission and discharge being particularly disorientating; and (c) negative experiences of clinical treatment may increase future self-harm. Emerging research gaps include the need for further theoretically informed qualitative research in this area.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Social Sciences (Includes Criminology and Education) Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
Publisher:	SAGE Publications (UK and US)
ISSN:	1049-7323
Date of First Compliant Deposit:	27 November 2019
Date of Acceptance:	14 October 2019
Last Modified:	19 Apr 2024 07:21
URI:	https://orca.cardiff.ac.uk/id/eprint/127194

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