What is important to service users and staff when implementing suicide-focused psychological therapies for people with psychosis into mental health services?

Frontiers in Psychiatry

Psychiatry

Yvonne Awenat¹  Patricia A. Gooding²  Gillian Haddock²  Daniel Pratt²  Charlotte Huggett²  Leanne Cook²  Kamelia Harris²  Sarah Peters³  Fiona Lobban⁴  Steven Jones⁴ 

[1] Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom;Manchester Academic Health Science Centre (MAHSC), Manchester, United Kingdom;Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom;Manchester Academic Health Science Centre (MAHSC), Manchester, United Kingdom;Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom;Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester, United Kingdom;Manchester Academic Health Science Centre (MAHSC), Manchester, United Kingdom;Manchester Centre for Health Psychology, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, United Kingdom;Lancashire and South Cumbria NHS Foundation Trust, Lancashire, United Kingdom;Department of Health Research, Lancaster University, Lancaster, United Kingdom;

关键词: implementation;    talking therapy;    psychological therapy;    suicidality;    suicidal thoughts;    suicidal behaviors;    psychosis;    schizophrenia;   

DOI  :  10.3389/fpsyt.2023.1154092

 received in 2023-01-30, accepted in 2023-04-24,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionSuicide is a leading cause of death globally. People with psychosis are at increased risk of suicide death and up to half experience suicidal thoughts and/or engage in suicidal behaviors in their lifetime. Talking therapies can be effective in alleviating suicidal experiences. However, research is yet to be translated into practice, demonstrating a gap in service provision. The barriers and facilitators in therapy implementation require a thorough investigation including the perspectives of different stakeholders such as service users and mental health professionals. This study aimed to investigate stakeholders’ (health professionals and service users) perspectives of implementing a suicide-focused psychological therapy for people experiencing psychosis in mental health services.MethodsFace-to-face, semi-structured interviews with 20 healthcare professionals and 18 service users were conducted. Interviews were audio recorded and transcribed verbatim. Data were analyzed and managed using reflexive thematic analysis and NVivo software.ResultsFor suicide-focused therapy to be successfully implemented in services for people with psychosis, there are four key aspects that need to be considered: (i) Creating safe spaces to be understood; (ii) Gaining a voice; (iii) Accessing therapy at the right time; and (iv) Ensuring a straightforward pathway to accessing therapy.DiscussionWhilst all stakeholders viewed a suicide-focused therapy as valuable for people experiencing psychosis, they also recognize that enabling successful implementation of such interventions will require additional training, flexibility, and resources to existing services.

【 授权许可】

Unknown   
Copyright © 2023 Peters, Awenat, Gooding, Harris, Cook, Huggett, Jones, Lobban, Pratt and Haddock.