The perspectives of adults with suicidal ideation and behaviour regarding their interactions with nurses in mental health and emergency services: A systematic review

Joeri Vandewalle; Liesbet Van Bos; Peter Goossens; Dimitri Beeckman; Ann Van Hecke; Eddy Deproost; Sofie Verhaeghe

doi:10.1016/j.ijnurstu.2020.103692

The perspectives of adults with suicidal ideation and behaviour regarding their interactions with nurses in mental health and emergency services: A systematic review

Int J Nurs Stud. 2020 Oct:110:103692. doi: 10.1016/j.ijnurstu.2020.103692. Epub 2020 Jun 20.

Authors

Joeri Vandewalle¹, Liesbet Van Bos², Peter Goossens³, Dimitri Beeckman⁴, Ann Van Hecke⁵, Eddy Deproost⁶, Sofie Verhaeghe⁷

Affiliations

¹ Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Research Foundation-Flanders (FWO), Egmontstraat 5, 1000 Brussel, Belgium. Electronic address: Joeri.Vandewalle@UGent.be.
² Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Department of Nursing, Thomas More University College, Mechelen, Belgium. Electronic address: Liesbet.VanBos@UGent.be.
³ Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Center for Bipolar Disorders, Dimence Group Mental Health Care, Deventer, the Netherlands. Electronic address: P.Goossens@Dimence.nl.
⁴ Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Skin Integrity Research Group (SKINT), Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent, Belgium; School of Health Sciences, Örebro University, Örebro, SwedeN; School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland; Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, Denmark; School of Nursing and Midwifery, Monash University, Australia. Electronic address: Dimitri.Beeckman@UGent.be.
⁵ Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium. Electronic address: Ann.VanHecke@UGent.be.
⁶ Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Centre for Psychiatry and Psychotherapy Clinic St Joseph, Psychiatric Hospital, Pittem, Belgium. Electronic address: Eddy.Deproost@sjp.be.
⁷ Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Department of Nursing, VIVES University College, Roeselare, Belgium. Electronic address: Sofie.Verhaeghe@UGent.be.

PMID: 32682109
DOI: 10.1016/j.ijnurstu.2020.103692

Abstract

Background: In contemporary healthcare, both community and inpatient mental health and emergency services are important help-seeking avenues for persons with suicidal ideation and behaviour. Regarding nursing practice in these services, there is a strong focus on assessing and managing suicide risk. Within this clinical context, the perspectives of persons with suicidal ideation and behaviour are often overlooked.

Objective: To synthesise the literature examining the perceptions and experiences of persons with suicidal ideation and behaviour regarding their interactions with nurses.

Design: Review of qualitative and quantitative studies within a data-based convergent synthesis design.

Data sources: A systematic search of electronic databases (until January 2020) in PubMed, Web of Science, Embase, and PsycARTICLES. Additional articles were identified through hand searching reference lists.

Review methods: The methodological quality was assessed using the Critical Appraisal Skills Programme for qualitative studies and the QualSyst tool for quantitative studies. Thematic analysis was used to identify the key themes and subthemes.

Results: In total, 26 studies were selected for analysis. Most studies were qualitative and focused on inpatient mental health services. The studies reflected a spectrum of positive and negative perceptions and experiences of persons with suicidal ideation and behaviour regarding their interactions with nurses. Three key themes were identified: being cared for and acknowledged as a unique individual, giving voice to myself in an atmosphere of connectedness, and encountering a nurturing space to address my suicidality.

Conclusions: This systematic review provides insights that can be used to encourage nurses to contribute to suicide prevention and treatment as part of an approach in which they care for, connect, and collaborate with persons experiencing suicidal ideation and behaviour as unique individuals.

Keywords: Emergency hospital services; Mental health services; Nurse patient relations; Nursing; Patients; Suicidal ideation; Suicide; Systematic review.

Publication types

Review
Systematic Review

MeSH terms

Adult
Humans
Mental Health
Mental Health Services*
Nurses*
Suicidal Ideation
Suicide Prevention*