ArticleThe British journal of psychiatry : the journal of mental science2016
Needs and fears of young people presenting at accident and emergency department following an act of self-harm: secondary analysis of qualitative data.
Article in The British journal of psychiatry : the journal of mental science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Experiences of individuals presenting to the emergency department for mental health reasons: A systematic mixed studies review.The Australian and New Zealand journal of psychiatry · 2024Pooled it
- The barriers and facilitators to the reporting and recording of self-harm in young people aged 18 and under: a systematic review.BMC public health · 2023Pooled it
- The "Supporting Adolescents with Self Harm" (SASH) Intervention Supporting Young People (And Carers) Presenting to the Emergency Department with Self-Harm: Therapeutic Assessment, Safety Planning, and Solution-Focused Brief Therapy.Healthcare (Basel, Switzerland) · 2026Article
- "I finally found a place where I could have some safety": A mixed-methods evaluation of non-clinical safe spaces for emotional distress and/or suicidal crisis.PLOS mental health · 2026Article
- Suicidal and self-harm behaviors in emergency psychiatry: bridging risk assessment and clinical decision-making.Frontiers in psychiatry · 2026Review
- Article
- Interventions for self-harm and suicidality in paediatric emergency departments: a meta-review.European child & adolescent psychiatry · 2025Review
- Specialist mental health crisis centres in England: a step forward or a stumble in the dark?BJPsych open · 2025Article
- Safe spaces as an alternative to the emergency department for suicidal distress: exploring guests' experiences.BMC health services research · 2025Article
- "Thrown in the deep end": a qualitative study of barriers secondary school staff encounter when addressing self-harm.BMC public health · 2025Article
- Testing the psychometric properties of the risk-rescue rating scale: a lethality measure for suicide attempts.International journal of mental health systems · 2025Article
- Global, regional, and national burden of self-harm among adolescents aged 10-24 years from 1990 to 2021, temporal trends, health inequities and projection to 2041.Frontiers in psychiatry · 2025Article
- Recent Interventions for Acute Suicidality Delivered in the Emergency Department: A Scoping Review.The western journal of emergency medicine · 2024Article
- Experiences and attitudes of psychiatric nurses in caring for patients with repeated non-suicidal self-injury in China: a qualitative study.BMC psychiatry · 2024Article
- Observational
- What are the barriers and enablers to trauma-informed emergency departments? A scoping review protocol.BMJ open · 2024Article
- Article
- How do professionals and non-professionals respond to non-suicidal self-injury? Lived experiences of psychiatric outpatients in Singapore.BMC psychology · 2024Article
- Emergency department care experiences among youth with mental health concerns.PLOS mental health · 2024Article
- Left with a Sisyphean task - the experiences of nurse practitioners with treating non-suicidal self-injury in the emergency department: a descriptive qualitative study.BMC emergency medicine · 2023Article
Corrections and comments
- Erratum issuedCorrection.2016
Authors and funding
4 authors.
Funding
Abstract
backgroundPresentation at an accident and emergency (A&E) department is a key opportunity to engage with a young person who self-harms. The needs of this vulnerable group and their fears about presenting to healthcare services, including A&E, are poorly understood.
aimsTo examine young people's perceptions of A&E treatment following self-harm and their views on what constitutes a positive clinical encounter.
methodSecondary analysis of qualitative data from an experimental online discussion forum. Threads selected for secondary analysis represent the views of 31 young people aged 16-25 with experience of self-harm.
resultsParticipants reported avoiding A&E whenever possible, based on their own and others' previous poor experiences. When forced to seek emergency care, they did so with feelings of shame and unworthiness. These feelings were reinforced when they received what they perceived as punitive treatment from A&E staff, perpetuating a cycle of shame, avoidance and further self-harm. Positive encounters were those in which they received 'treatment as usual', i.e. non-discriminatory care, delivered with kindness, which had the potential to challenge negative self-evaluation and break the cycle.
conclusionsThe clinical needs of young people who self-harm continue to demand urgent attention. Further hypothesis testing and trials of different models of care delivery for this vulnerable group are warranted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.