Evidence map›Paper›PMID 36950952›Full record

ArticleBJPsych open2023

Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study.

Louise S Gorman, Donna L Littlewood, Leah Quinlivan, Elizabeth Monaghan, Jonathan Smith, Stephen Barlow, Roger T Webb, Navneet Kapur

Open access · goldFull text read
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Louise S GormanNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK; and Centre for Mental Health and Safety, School of Health Sciences, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-6570-7272
Donna L LittlewoodNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK; Centre for Mental Health and Safety, School of Health Sciences, University of Manchester, Manchester, UK; and Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0003-4806-4540
Leah QuinlivanNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK; Centre for Mental Health and Safety, School of Health Sciences, University of Manchester, Manchester, UK; and Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-3944-3613
Elizabeth MonaghanNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK.
Jonathan SmithNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK.
Stephen BarlowNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK.
Roger T WebbNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK; Centre for Mental Health and Safety, School of Health Sciences, University of Manchester, Manchester, UK; and Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Navneet KapurNational Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK; Centre for Mental Health and Safety, School of Health Sciences, University of Manchester, Manchester, UK; Manchester Academic Health Science Centre, University of Manchester, Manchester, UK; and Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0002-3100-3234
Manchester Academic Health Science Centre · GBUniversity of Manchester · GBGreater Manchester Mental Health NHS Foundation Trust · GB

Funding

NRSA Training CoreTL1TR002016 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI THOMAS, GAIL D. · 2016 to 2025
$3.4M
NIHR Greater Manchester Patient Safety Translational Research Centre PSTRC-2016-003
6 · The paper itself

Abstract

backgroundFamily involvement has been identified as a key aspect of clinical practice that may help to prevent suicide.

aimsTo investigate how families can be effectively involved in supporting a patient accessing crisis mental health services.

methodA multi-site ethnographic investigation was undertaken with two crisis resolution home treatment teams in England. Data included 27 observations of clinical practice and interviews with 6 patients, 4 family members, and 13 healthcare professionals. Data were analysed using framework analysis.

resultsThree overarching themes described how families and carers are involved in mental healthcare. Families played a key role in keeping patients safe by reducing access to means of self-harm. They also provided useful contextual information to healthcare professionals delivering the service. However, delivering a home-based service can be challenging in the absence of a supportive family environment or because of practical problems such as the lack of suitable private spaces within the home. At an organisational level, service design and delivery can be adjusted to promote family involvement.

conclusionsFindings from this study indicate that better communication and dissemination of safety and care plans, shared learning, signposting to carer groups and support for carers may facilitate better family involvement. Organisationally, offering flexible appointment times and alternative spaces for appointments may help improve services for patients.

Indexed as

ethnographyFamily/carer involvementqualitative researchself-harmsuicide

Identifiers

PMID36950952
PMCPMC10044501
OpenAlexW4360599855

What Socratic holds

Textfull text, public
LicenceCC BY
reference markers read8
measurements read4
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.