Evidence map›Paper›PMID 41595798›Full record

ArticleInternational journal of environmental research and public health2025

Imagining a Safe Space: Australian Community Views About What Makes Crisis Mental Health Services 'Safe' and 'Unsafe'.

Erin Stewart, Alyssa R Morse, Heather Lamb, Helen T Oni, Mel Giugni, Louise A Ellis, Cassandra Chakouch, Dianna G Smith, Scott J Fitzpatrick, Michelle Banfield

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Erin StewartIndependent Lived Experience Researcher, Canberra, ACT 2601, Australia.ORCID 0000-0002-7548-0374
Alyssa R MorseCentre for Mental Health Research, The Australian National University, Canberra, ACT 2601, Australia.ORCID 0000-0001-6948-1082
Heather LambCentre for Mental Health Research, The Australian National University, Canberra, ACT 2601, Australia.ORCID 0000-0002-8873-4011
Helen T OniSonder, Adelaide, SA 5015, Australia.ORCID 0000-0003-4616-0889
Mel GiugniCentre for Mental Health Research, The Australian National University, Canberra, ACT 2601, Australia.ORCID 0000-0001-5582-3328
Louise A EllisAustralian Institute of Health Innovation, Macquarie University, Sydney, NSW 2109, Australia.ORCID 0000-0001-6902-4578
Cassandra ChakouchBlack Dog Institute, University of New South Wales, Sydney, NSW 2031, Australia.ORCID 0000-0001-6587-1104
Dianna G SmithCentre for Mental Health Research, The Australian National University, Canberra, ACT 2601, Australia.ORCID 0000-0003-2329-2272
Scott J FitzpatrickCentre for Mental Health Research, The Australian National University, Canberra, ACT 2601, Australia.ORCID 0000-0002-6171-0132
Michelle BanfieldCentre for Mental Health Research, The Australian National University, Canberra, ACT 2601, Australia.ORCID 0000-0002-3024-1687

Funding

Australian Government Department of Health National Suicide Prevention Research Fund Targeted Research Grant managed by Suicide Prevention Australia; Australian Government Department of Health National Suicide Prevention Research Fund Post-Doctoral Fellow Not available
6 · The paper itself

Abstract

Mental health services have an interest in maintaining psychosocial safety for consumers, carers, and staff alike. While much discussion around safety in service delivery pertains to the likelihood of patients engaging in damaging behaviours, we take the position that community attitudes towards safety offer more expansive, relational, and spatial definitions of safety. In a survey consisting of a mix of open and closed questions of 279 Australians aged 16-87 years, participants were asked to comment on their experiences of safety and unsafety in emergency mental health service use, as well as what they consider to be a safe or unsafe service. Applying a thematic analysis to the data, findings showed that emergency departments are not safe or appropriate for mental health consumers. Participants had heterogenous but largely consistent ideas about what made a service safe. Elements of safety mentioned by participants included a therapeutic orientation to time; service predictability; sensory dimensions of safety; and feeling understood. For some participants, notions of safety and unsafety dictated not only their satisfaction with services but overall likelihood of service use, thereby emphasising the critical importance of community attitudes towards safety in service design and delivery.

Indexed as

Mental Health ServicesPatient SafetyAdolescentAdultAgedAged, 80 and overAustraliaFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung Adultcrisishealth systemslived experiencemental healthsafetysuicide prevention

Identifiers

PMID41595798
PMCPMC12841564

What Socratic holds

Textmetadata
LicenceCC BY
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.