A call for change from impersonal risk assessment to a relational approach: professionals' reflections on the national guidelines for suicide prevention in mental health care in Norway.
A call for change from impersonal risk assessment to a relational approach: professionals' reflections on the national guidelines for suicide prevention in mental health care in Norway.
复制标题
DOI：
10.1080/17482631.2020.1868737
复制
发表时间：
2021-12
影响因子：
1.8
通讯作者：
Loa Knizek B
中科院分区：
文献类型：
--
作者：
Espeland K;Hjelmeland H;Loa Knizek B
这项研究的目的是探讨从事自杀预防工作的专业人员如何体验国家精神卫生指南的影响，并收集下一步采取哪些措施的建议。这是一项探索性的定性研究。我们采访了22名负责实施自杀预防行动计划和指南的专业人员，和/或进行相关研究。我们用主题分析的方法分析了这些数据。我们发现，参与者对风险评估有一种矛盾的看法，它可能是一种工具，但它也可能损害预防的其他重要方面。此外，赔偿责任的可能性导致需要自我保护。相反，参与者建议采取一种预防自杀的关系方法。我们发现，强调标准化的自杀风险评估对心理健康的自杀预防产生了负面影响，建议采用强调关系方面的方法。然而，普遍存在的知识的客观化概念，认识论的辩论和新公共管理思想的出现可能会阻碍对关系的根本强调。在精神卫生保健的范式转变是需要与知识的概念，它形成了我们的理解和实践。
The purpose of the study is to explore how professionals working with suicide prevention experience the influence of the national guidelines on mental healthcare, and to gather recommendations for which steps to take next. This is a qualitative study with an explorative design. We interviewed 22 professionals responsible for implementing suicide prevention action plans and guidelines, and/or conducting relevant research. We analysed the data by means of thematic analysis. We found that the participants had an ambivalent view on risk assessment—it may be a tool, but it may also compromise other important aspects in prevention. Moreover, the possibility of liability has resulted in the need for self-protection. Instead, the participants recommended a relational approach to suicide prevention. We found that the emphasis on standardized suicide risk assessment has negatively influenced suicide prevention in mental healthcare, and an approach emphasizing relational aspects is recommended. However, the prevailing objectifying concept of knowledge, the epistemological debate and the emergence of the New Public Management ideology may obstruct a fundamental emphasis on relationships. A paradigm shift in mental healthcare is called for with respect to the concept of knowledge, which forms our understandings and practices.
登录
查看更多内容
DOI：
10.1046/j.1365-2850.2002.00515.x
发表时间：
2002-10-01
影响因子：
2.7
作者：
Cutcliffe, J R;Barker, P
通讯作者：
Barker, P
影响因子：
5.9
作者：
Baldwin, Scott A.;Wampold, Bruce E.;Imel, Zac E.
通讯作者：
Imel, Zac E.
影响因子：
2.1
作者：
Hagen, Julia;Hjelmeland, Heidi;Knizek, Birthe Loa
通讯作者：
Knizek, Birthe Loa
影响因子：
2.3
作者：
Hagen, Julia;Knizek, Birthe Loa;Hjelmeland, Heidi
通讯作者：
Hjelmeland, Heidi
影响因子：
12.8
作者：
Del Re, A. C.;Flueckiger, Christoph;Wampold, Bruce E.
通讯作者：
Wampold, Bruce E.