@article{ref1,
title="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",
journal="International journal of qualitative studies on health and well-being",
year="2021",
author="Espeland, Kristin and Loa Knizek, Birthe and Hjelmeland, Heidi",
volume="16",
number="1",
pages="e1868737-e1868737",
abstract="PURPOSE: 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. <br><br>METHODS:  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. <br><br>RESULTS: 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. <br><br>CONCLUSIONS: 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.<p /> <p>Language: en</p>",
language="en",
issn="1748-2623",
doi="10.1080/17482631.2020.1868737",
url="http://dx.doi.org/10.1080/17482631.2020.1868737"
}