Considering the care of the suicidal client and the case for 'engagement and inspiring hope' or 'observations'.
Considering the care of the suicidal client and the case for 'engagement and inspiring hope' or 'observations'.
复制标题
DOI：
10.1046/j.1365-2850.2002.00515.x
复制
发表时间：
2002-10-01
影响因子：
2.7
通讯作者：
Barker, P
中科院分区：
文献类型：
--
作者：
Cutcliffe, J R;Barker, P
精神病学/精神健康（P/MH）护理被正确地描述为一个“广泛的教会”，其中包含许多有争议的问题和不同意见的领域。其中一个有争议的问题是对有自杀危险的人的适当照顾。最近，尽管有限，关于这个问题的辩论已经发生了，文献，比如，表明了两种主要的（尽管有联系的）立场。这些可以概括为“参与和希望激励”立场和“观察”立场。鉴于P/MH护士在为有自杀倾向的病人提供24小时日常护理方面的独特地位，以及患有精神健康问题的人的自杀问题日益严重，更详细地考虑这场辩论既是必要的，也是及时的。因此，本文考虑了关于自杀心理健康护理客户的争论。首先，本文简要介绍了历史上的政策背景照顾自杀的客户。接下来，它将重点放在“观察”上，并得出结论，认为这种方法存在一系列公认的、基于经验的问题或缺点。在此之后，它将重点放在“参与，激发希望”上，并指出参与的关键过程：形成一种关系，人与人之间的联系，传达接受和宽容，倾听和理解。这些最基本的人际关系过程的价值和重要性在对自杀患者护理的有限研究中得到了描述和暗示。然后，本文描述了针对参与激励希望方法的一系列批评，并更详细地考虑了这些批评。作为这一详细检查的结果，论文然后重申需要用“参与-希望灵感”取代“观察”，作为照顾自杀心理健康客户的主要方法。
Psychiatric/mental health (P/MH) nursing has rightly been described as a 'broad church', and one that contains many contested matters and areas of differing opinion. One such contested matter is that of the appropriate care for the person who is at risk of suicide. Recent, albeit limited, debate of this issue has taken place, and the literature, such as it is, indicates two principal (though linked) positions. These can be summarized as the 'engagement and hope inspiration' position and the 'observations' position. Given the P/MH nurse's unique position in providing 24-hour, day-to-day care to suicidal clients and the growing problem of suicide within people who suffer from mental health problems, it is both necessary and perhaps timely to consider this debate in more detail. Accordingly, this paper considers the debate regarding care for suicidal mental health care clients. First, the paper briefly describes the historical policy context of care for the suicidal client. Next, it focuses on 'observations' and concludes that there is a range of well-established, empirically based problems or drawbacks to this approach. Following this, it focuses on 'engagement, inspiring hope' and points out the key processes of engagement: forming a relationship, a human-human connection, conveying acceptance and tolerance, and hearing and understanding. The value and importance of these most fundamental of interpersonal processes is described and alluded to throughout the limited research into care of the suicidal client. The paper then describes the range of criticisms that have been levelled at the engagement-inspiring hope approach and considers these criticisms in more detail. As a result of this detailed examination, the paper then reiterates the need to replace 'observations' with 'engagement-hope inspiration' as the principal approach to caring for suicidal mental health clients.