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Therapeutic engagement between consumers in suicidal crisis and mental health nurses


Lees, D and Procter, N and Fassett, D, Therapeutic engagement between consumers in suicidal crisis and mental health nurses, International Journal of Mental Health Nursing, 23, (4) pp. 306-315. ISSN 1445-8330 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 Australian College of Mental Health Nurses

DOI: doi:10.1111/inm.12061


Registered nurses within public mental health services play crucial roles in helping people recover from suicidal crisis. However, there is a lack of understanding of how care is experienced in this context, and available evidence suggests that nurses and consumers are often dissatisfied with the quality of care. There is thus an imperative to generate understanding of needs and experiences of both groups with a view to informing practice development. This article summarizes qualitative findings from a multimethod study undertaken in Australia, which surveyed and interviewed mental health nurses who had recent experience of caring for consumers in suicidal crisis in a hospital setting, and interviewed consumers who had recovered from a recent suicidal crisis. A framework was developed to guide the study and support ethical imperatives; in particular, the promotion of consumer well-being. The findings highlight that therapeutic interpersonal engagement between nurses and consumers was central to quality care. This was particularly noted, as engagement could help reduce consumer isolation, loss of control, distress, and objectification of the delivery of potentially-objectifying common interventions. Of concern, the results indicate a lack of therapeutic engagement from the perspective of both consumers and nurses. Recommendations to promote fuller therapeutic engagement are presented.

Item Details

Item Type:Refereed Article
Keywords:consumer participation, mental health care, qualitative research
Research Division:Health Sciences
Research Group:Nursing
Research Field:Mental health nursing
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Lees, D (Mr David Lees)
UTAS Author:Fassett, D (Professor Denise Fassett)
ID Code:93036
Year Published:2014
Web of Science® Times Cited:32
Deposited By:Health Sciences B
Deposited On:2014-07-08
Last Modified:2017-11-03

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