An Ideal-Type Analysis of People’s Perspectives on Care Plans Received from the Emergency Department following a Self-Harm or Suicidal Crisis

Sally O’Keeffe, Mimi Suzuki and Rose McCabe
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Sally O’Keeffe: Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne NE2 4AX, UK
Mimi Suzuki: Unit for Social and Community Psychiatry, Queen Mary University of London, London E13 8SP, UK
Rose McCabe: School of Health and Psychological Sciences, City, University of London, London EC1R 1UW, UK

IJERPH, 2023, vol. 20, issue 19, 1-12

Abstract: People presenting to Emergency Departments (EDs) in a self-harm/suicidal crisis in England receive a psychosocial assessment and care plan. We aimed to construct a typology of peoples’ perspectives on crisis care plans to explore the range of experiences of care plans. Thirty-two semi-structured interviews with people who presented to EDs following a self-harm/suicidal crisis in England were analysed using an ideal-type analysis. Cases were systematically compared to form clusters of cases with similar experiences of care plans. People’s perspectives on care plans fitted into three types: (1) personalised care plans ( n = 13), consisting of advice or referrals perceived as helpful; (2) generic care plans ( n = 13), consisting of generic advice that the person already knew about or had already tried; and (3) did not receive a care plan ( n = 6) for those who reported not receiving a care plan, or who were only provided with emergency contacts. Care planning in the ED following a suicidal/self-harm crisis was perceived as supportive if it provided realistic and personalised advice, based on what had/had not worked previously. However, many people reported not receiving a helpful care plan, as it was ill-fitted to their needs or was not considered sufficient to keep them safe, which may mean that these patients are at increased risk of repeat self-harm.

Keywords: emergency department; ideal-type analysis; liaison psychiatry; safety planning; self-harm; suicide prevention (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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