Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators.

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  • Additional Information
    • Author-Supplied Keywords:
      Behavior
      Biology and life sciences
      Health care
      Health care providers
      Inpatients
      Medical personnel
      Medicine and health sciences
      Mental health and psychiatry
      Mental health therapies
      Nurses
      Patients
      People and places
      Population groupings
      Professions
      Psychology
      Qualitative studies
      Research and analysis methods
      Research Article
      Research design
      Social sciences
      Suicide
    • NAICS/Industry Codes:
      623220 Residential Mental Health and Substance Abuse Facilities
      622210 Psychiatric and Substance Abuse Hospitals
    • Abstract:
      Background: Suicide prevention is a global priority. Psychiatric hospitalization presents an opportunity to intervene positively with, for example, psychological therapies. However, evidenced-based suicide-prevention psychological treatments are rarely available on in-patient wards. Understanding staff engagement with research investigating suicide-prevention psychological treatments is crucial for their effective, efficacious, and pragmatic implementation. A pilot randomised control trial and feasibility study of Cognitive Behavioural Suicide Prevention therapy provided the opportunity for a qualitative investigation of staff experiences and views of a psychological intervention for people with suicidal experiences on psychiatric in-patient wards. Aims: To investigate staff acceptability of Cognitive Behavioural Suicide Prevention therapy for psychiatric inpatients based on their perceptions of their experiences during the conduct of a clinical trial. Method: Transcribed audio-recordings of qualitative interviews and a focus group (n = 19) of purposively sampled staff from eight psychiatric wards were analysed using inductive Thematic Analysis. Results: Facilitators and barriers were identified for: i) the conduct of the research, and, ii) the suicide-prevention intervention (Cognitive Behavioural Suicide Prevention therapy). Research-related barriers comprised communication difficulties between staff and researchers, and increased staff workload. Research-related facilitators included effective staff/researcher relationships, and alignment of the intervention with organisational goals. Suicide-prevention intervention-related barriers comprised staffs’ negative beliefs about suicide which impacted on their referral of inpatients to the clinical trial, and staff perceptions of insufficient information and unfulfilled expectations for involvement in the therapy. Facilitators included staff beliefs that the therapy was beneficial for inpatients, the service and their own clinical practice. Conclusions: Staff beliefs that ‘suicide-talk’ could precipitate suicidal behaviour resulted in covert gatekeeping and restricted referral of only inpatients judged as stable or likely to engage in therapy, which may not be those who could most benefit. Such threats to sample representativeness have implications for future therapy research design. The findings provide novel information for researchers and practitioners regarding the conduct of psychological treatment and research in psychiatric units. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, Manchester, University of Manchester, United Kingdom
      2Manchester Academic Health Science Centre, MAHSC, Manchester, United Kingdom
      3Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom
      4Manchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, United Kingdom
      5Manchester University NHS Foundation Trust, Manchester, United Kingdom
    • Full Text Word Count:
      13934
    • ISSN:
      1932-6203
    • Accession Number:
      10.1371/journal.pone.0222482
    • Accession Number:
      138785254
  • Citations
    • ABNT:
      AWENAT, Y. F. et al. Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators. PLoS ONE, [s. l.], v. 14, n. 9, p. 1–28, 2019. DOI 10.1371/journal.pone.0222482. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=138785254&custid=s6224580. Acesso em: 9 dez. 2019.
    • AMA:
      Awenat YF, Peters S, Gooding PA, et al. Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators. PLoS ONE. 2019;14(9):1-28. doi:10.1371/journal.pone.0222482.
    • APA:
      Awenat, Y. F., Peters, S., Gooding, P. A., Pratt, D., Huggett, C., Harris, K., … Haddock, G. (2019). Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators. PLoS ONE, 14(9), 1–28. https://doi.org/10.1371/journal.pone.0222482
    • Chicago/Turabian: Author-Date:
      Awenat, Yvonne F., Sarah Peters, Patricia A. Gooding, Daniel Pratt, Charlotte Huggett, Kamelia Harris, Christopher J. Armitage, and Gillian Haddock. 2019. “Qualitative Analysis of Ward Staff Experiences during Research of a Novel Suicide-Prevention Psychological Therapy for Psychiatric Inpatients: Understanding the Barriers and Facilitators.” PLoS ONE 14 (9): 1–28. doi:10.1371/journal.pone.0222482.
    • Harvard:
      Awenat, Y. F. et al. (2019) ‘Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators’, PLoS ONE, 14(9), pp. 1–28. doi: 10.1371/journal.pone.0222482.
    • Harvard: Australian:
      Awenat, YF, Peters, S, Gooding, PA, Pratt, D, Huggett, C, Harris, K, Armitage, CJ & Haddock, G 2019, ‘Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators’, PLoS ONE, vol. 14, no. 9, pp. 1–28, viewed 9 December 2019, .
    • MLA:
      Awenat, Yvonne F., et al. “Qualitative Analysis of Ward Staff Experiences during Research of a Novel Suicide-Prevention Psychological Therapy for Psychiatric Inpatients: Understanding the Barriers and Facilitators.” PLoS ONE, vol. 14, no. 9, Sept. 2019, pp. 1–28. EBSCOhost, doi:10.1371/journal.pone.0222482.
    • Chicago/Turabian: Humanities:
      Awenat, Yvonne F., Sarah Peters, Patricia A. Gooding, Daniel Pratt, Charlotte Huggett, Kamelia Harris, Christopher J. Armitage, and Gillian Haddock. “Qualitative Analysis of Ward Staff Experiences during Research of a Novel Suicide-Prevention Psychological Therapy for Psychiatric Inpatients: Understanding the Barriers and Facilitators.” PLoS ONE 14, no. 9 (September 24, 2019): 1–28. doi:10.1371/journal.pone.0222482.
    • Vancouver/ICMJE:
      Awenat YF, Peters S, Gooding PA, Pratt D, Huggett C, Harris K, et al. Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators. PLoS ONE [Internet]. 2019 Sep 24 [cited 2019 Dec 9];14(9):1–28. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=138785254&custid=s6224580