ArticleHealth expectations : an international journal of public participation in health care and health policy2020
A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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The trial behind it
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- A Systematic Review of Staff Perspectives on Safety on Psychiatric Wards.Nursing & health sciences · 2025Pooled it
- Patient safety incidents in the psychiatric inpatient setting: determinants, consequences, and strategies. A systematic review.Frontiers in psychiatry · 2025Pooled it
- Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Identifying Barriers and Facilitators to Providing Psychologically Safe Care in Inpatient Mental Healthcare. A Theoretical Domains Framework-Informed Qualitative Study.Journal of clinical nursing · 2026Article
- Primary care experiences at the intersection of sexual minority status and long-term mental health conditions in England: a cross-sectional analysis using the English General Practice Patient Survey.EClinicalMedicine · 2026Article
- Surveillance is not safety: a response to Dewa and colleagues' paper about passive remote monitoring technology (Oxevision).BMC psychiatry · 2026Article
- Abuse of people with mental illnesses perpetrated by healthcare professionals: a scoping review.BMJ open · 2026Article
- Imagining a Safe Space: Australian Community Views About What Makes Crisis Mental Health Services 'Safe' and 'Unsafe'.International journal of environmental research and public health · 2025Article
- Exploring How the Psychological Safety of Patients Is Impacted by Restrictive Practices in Inpatient Mental Healthcare: A Qualitative Study.International journal of mental health nursing · 2025Article
- Nursing managers' perspectives on factors contributing to abuse in psychiatric hospitals: A reflective thematic analysis.International journal of nursing studies advances · 2025Article
- Suicide Investigations in Adult Community Mental Health Services: Mitigation of the Fear of Blame as a Barrier to Organisational Learning.International journal of mental health nursing · 2025Article
- Institutional Abuse, Neglect and Harm in UK Community Mental Health Services: A Scoping Review of the Peer-Reviewed Evidence.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Mental Health Professionals' Views on the Influence of Media on Self-Harm in Young People: A Critical Discourse Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Systems Thinking in Mental Health Patient Safety: A Narrative Review of Complex Adaptive Systems.Journal of evaluation in clinical practice · 2025Review
- Integrated Primary Care Mental Health Service: A Qualitative Exploration of an Integrated Approach to Supporting People with Significant Mental Health Problems in Primary Care.Community mental health journal · 2025Article
- Article
- Estimating the link between service-user patient safety perceptions, incidents and subsequent contagion in acute mental health wards.BMC psychiatry · 2024Article
- What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England.BMC health services research · 2024Article
- Promoting a Patient-Centered Understanding of Safety in Acute Mental Health Wards: A User-Centered Design Approach to Develop a Real-Time Digital Monitoring Tool.JMIR formative research · 2024Article
- A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.Health expectations : an international journal of public participation in health care and health policy · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundService user and carer perspectives on safety issues in mental health services are not well known and may be important in preventing and reducing harm. The development of the Yorkshire Contributory Factors Framework-Mental Health (YCFF-MH) provides a broad structure within which to explore these perspectives.
objectiveTo explore what service users of mental health services and their carers consider to be safety issues. DESIGN, SETTING AND
participantsQualitative interviews with 13 service users and 7 carers in the UK. Participants were asked about their experiences and perceptions of safety within mental health services. Perceived safety issues were identified using framework analysis, guided by the YCFF-MH.
resultsService users and carers identified a broad range of safety issues. These were categorized under 'safety culture' and included psychological concepts of safety and raising concerns; 'social environment' involved threatened violence and sexual abuse; 'individual service user and staff factors' dominated by not being listened to; 'management of staff and staffing levels' resulting in poor continuity of care; and 'service process' typified by difficulty accessing services during a crisis. Several examples of 'active failures' were also described. DISCUSSION AND
conclusionsSafety issues appear broader than those recorded and reported by health services and inspectorates. Many safety issues have also been identified in other care settings supporting the notion that there are overlaps between service users and carers' perspectives of safety in mental health services and those of users in other settings. Areas for further research are suggested.
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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.