ArticleBMJ open2025
Exploring competence in mental health crisis management: a qualitative study of Norwegian prehospital emergency medical personnel.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Encounters between people with mental health and/or substance use problems and ambulance clinicians: a qualitative interview study in Norway.BMC psychiatry · 2026Article
- Associations Among Emotional Intelligence, Job Stress, and Clinical Decision-Making in Prehospital Emergency Staff: A Cross-Sectional Study.Health science reports · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aims to investigate how prehospital emergency medical personnel in Norway perceive their competence and manage encounters with patients who are experiencing mental health crises.
designA qualitative descriptive design using content analysis was employed, following the Standards for Reporting Qualitative Research guidelines.
settingThe study was conducted within four emergency medical care services in a Norwegian hospital trust, covering both urban and rural areas.
participantsIndividual interviews were conducted with 16 health professionals (9 men and 7 women), aged 24-55 years, with 1-18 years of service experience.
resultsThe results revealed one main theme-'Balancing security and patient care'-with two subthemes-'Increasing mental health-related assignments in prehospital care' and 'Challenges related to the lack of competence and resources in handling mental health crises'.
conclusionsThis study highlights the increasing complexity and frequency of mental health crises that are faced by prehospital emergency medical personnel in Norway. These personnel often feel unprepared due to a lack of competence and clear procedures, forcing them to rely on clinical experience. Police involvement, particularly in rural areas, underscores the need for better collaboration between law enforcement and healthcare services. To enhance the quality of care, it is essential to implement a standardised curriculum for paramedicine education and provide comprehensive mental health training for all prehospital emergency medical personnel, including emergency medical communication centre operators and other healthcare professionals involved in emergency care.
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