Brief Admission for Adolescents Who Self-harm
Study Details
Study Description
Brief Summary
There is still no consensus on how to manage suicidal behavior in youth with recurrent self-harm at times when the risk for suicide is imminent (1). Brief Admission (BA) has evolved as a promising crisis intervention for adults with self-harm (2). The characteristics of BA is different from other types of admission, being focused on prevention through increased autonomy and self-care, based on structured and voluntary brief self-referrals to hospital (3). As a result of a randomized controlled trial, BA is since January 2019, continuously offered to adults with self-harm at risk for suicide in Skåne (4). Parallel to this clinical trial, the method has been adapted to work in a psychiatric setting for adolescents. At present 24 adolescents have access to the method in Skåne. Clinical experiences from staff are promising, however, the lived experiences have not been collected in a standardized way.
The aim of the present study is to gather information on how BA in its present, standardized form works for adolescents, their loved ones and staff working at the ward providing BA. This will be done through semi-structured interviews with:
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Adolescents using BA and their loved ones
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Staff working at the ward providing BA. Data will be analyzed with qualitative analysis (5, 6). The ultimate aim is to use these results to optimize the current standardized version of BA for adolescents in order to test in a randomized clinical trial.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Adolescents Adolescents with a contract for Brief admission by self-referral |
Other: Semi-structured interviews
Each participant will attend a 30-60 minute semi-structured interview conducted by the CI
|
| Parents Parents to adolescents with a contract for Brief admission by self-referral |
Other: Semi-structured interviews
Each participant will attend a 30-60 minute semi-structured interview conducted by the CI
|
| Staff Health care providers who work with adolescents with a contract for Brief admission by self-referral |
Other: Semi-structured interviews
Each participant will attend a 30-60 minute semi-structured interview conducted by the CI
|
Outcome Measures
Primary Outcome Measures
- Perceived effective components of Brief Admission for adolescents [60mins]
Qualitative data from interviews
- Potential adaptations of the method to better fit adolescents [60mins]
Qualitative data from interviews
- Areas where Brief Admission have the most prominent perceived effects in adolescents [60mins]
Qualitative data from interviews
Eligibility Criteria
Criteria
Sample 1:
Inclusion Criteria:
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Adolescents with an active BA contract
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At least 13 years of age.
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Able to consent to study participation through written and oral information.
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Consent from caregivers
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Given consent to participate
Exclusion Criteria:
- Below the age of 13.
Sample 2:
Inclusion Criteria:
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Parents to adolescents with an active BA contract
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At least 18 years of age.
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Able to consent to study participation through written and oral information.
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Given consent to participate
Exclusion Criteria:
- None
Sample 3:
Inclusion Criteria:
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Staff working with adolescents with an active BA contract
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At least 18 years of age.
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Able to consent to study participation through written and oral information.
-
Given consent to participate
Exclusion Criteria:
- None
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Psykiatri och habilitering, Region Skåne | Lund | Skåne | Sweden | 22185 |
Sponsors and Collaborators
- Region Skane
- Lund University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004 Feb;24(2):105-12. Review.
- Helleman M, Lundh LG, Liljedahl SI, Daukantaité D, Westling S. Individuals' experiences with brief admission during the implementation of the brief admission skåne RCT, a qualitative study. Nord J Psychiatry. 2018 Jul;72(5):380-386. doi: 10.1080/08039488.2018.1467966. Epub 2018 Apr 27.
- Lindkvist RM, Landgren K, Liljedahl SI, Daukantaitė D, Helleman M, Westling S. Predictable, Collaborative and Safe: Healthcare Provider Experiences of Introducing Brief Admissions by Self-referral for Self-harming and Suicidal Persons with a History of Extensive Psychiatric Inpatient Care. Issues Ment Health Nurs. 2019 Jul;40(7):548-556. doi: 10.1080/01612840.2019.1585497. Epub 2019 May 17.
- Lindkvist RM, Westling S, Liljedahl SI, Landgren K. A Brief Breathing Space: Experiences of Brief Admission by Self-Referral for Self-Harming and Suicidal Individuals with a History of Extensive Psychiatric Inpatient Care. Issues Ment Health Nurs. 2021 Feb;42(2):172-182. doi: 10.1080/01612840.2020.1789787. Epub 2020 Aug 7.
- Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004 Jun;18(2):145-53. Review.
- Strand M, von Hausswolff-Juhlin Y. Patient-controlled hospital admission in psychiatry: A systematic review. Nord J Psychiatry. 2015;69(8):574-86. doi: 10.3109/08039488.2015.1025835. Epub 2015 Apr 2. Review.
- Westling S, Daukantaite D, Liljedahl SI, Oh Y, Westrin Å, Flyckt L, Helleman M. Effect of Brief Admission to Hospital by Self-referral for Individuals Who Self-harm and Are at Risk of Suicide: A Randomized Clinical Trial. JAMA Netw Open. 2019 Jun 5;2(6):e195463. doi: 10.1001/jamanetworkopen.2019.5463. Erratum in: JAMA Netw Open. 2019 Oct 2;2(10):e1913724.
- 2020-01840