TY  - JOUR
PY  - 2020//
TI  - Patients' experiences of emergency hospital care following self-harm: systematic review and thematic synthesis of qualitative research
JO  - Qualitative health research
A1  - Macdonald, Sarah
A1  - Sampson, Catherine
A1  - Turley, Ruth
A1  - Biddle, Lucy
A1  - Ring, Nicola
A1  - Begley, Roisin
A1  - Evans, Rhiannon
SP  - 471
EP  - 485
VL  - 30
IS  - 3
N2  - Rates of hospital presentation for self-harm have increased in recent years, and although clinical practice guidelines on clinical provision prioritize positive patient experiences, the quality of provision remains variable. This systematic review provides an updated and extended synthesis of qualitative research on the following: (a) patients' experiences of treatment following presentation to hospital; and (b) patients' perceptions of the impact of treatment on recurrent self-harm and/or suicidal ideation, and future help-seeking. Twenty-six studies were identified for inclusion in the final synthesis. Three meta-themes emerged: (a) individuals undertake extensive identity work when presenting with self-harm, navigating the process of becoming a patient, and negotiating the type of patient they want to be; (b) care ranges from gentle to hostile, with care at admission and discharge being particularly disorientating; and (c) negative experiences of clinical treatment may increase future self-harm. Emerging research gaps include the need for further theoretically informed qualitative research in this area.<p />  <p>Language: en</p>
LA  - en
SN  - 1049-7323
UR  - http://dx.doi.org/10.1177/1049732319886566
ID  - ref1
ER  -