ArticleHealth expectations : an international journal of public participation in health care and health policy2021
What does safety in mental healthcare transitions mean for service users and other stakeholder groups: An open-ended questionnaire study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- 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
- Experiences of Suicidality Following Discharge From a Mental Health Inpatient Unit: A Systematic Review and Meta-Synthesis.Clinical psychology & psychotherapyPooled it
- Equitable pathways: Reimagining behavioral health care transitions applying a transition of care bundle model.Nursing management · 2026Article
- SAFER-Dem: generating co-designed adaptations to a discharge care planning bundle for people living with dementia.BMJ open · 2026Article
- Investigating the Applicability of the SAFER-YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Patient safety incidents within adult community-based mental health services in England: A mixed-methods examination of reported incidents, contributory factors, and proposed solutions.Psychological medicine · 2025Article
- Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: A prioritisation nominal group technique.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Article
- Suicide and other causes of death among working-age and older adults in the year after discharge from in-patient mental healthcare in England: matched cohort study.The British journal of psychiatry : the journal of mental science · 2022Article
- To what extent are patients involved in researching safety in acute mental healthcare?Research involvement and engagement · 2022Review
- Improving mental health care transitions through information capture during admission to inpatient mental health services: a quality improvement study.BMC health services research · 2021Article
- Effects of the first COVID-19 lockdown on quality and safety in mental healthcare transitions in England.BJPsych open · 2021Article
- What does safety in mental healthcare transitions mean for service users and other stakeholder groups: An open-ended questionnaire study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Developing Best Practice Guidance for Discharge Planning Using the RAND/UCLA Appropriateness Method.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundHistorically, safety mental health research has tended to focus on risks of homicide, suicide and deaths. Although wider safety issues are now recognized in regards to mental health services, the safety of mental health transitions, a key research and policy priority according to World Health Organisation, has not been explored.
objectiveThe purpose of this study was to investigate perceptions of safety in mental health transitions (hospital to community) amongst five stakeholder groups. DESIGN AND
settingAn online, international cross-sectional, open-ended questionnaire.
participantsThere were five stakeholder participant groups: service users; families/carers; mental health-care professionals; researchers; and end users of research.
resultsNinety-three participants from 12 different countries responded. Three overarching themes emerged: 'individual/clinical', 'systems/services' and 'human, behavioural and social' elements of safe mental health transitions. Whilst there was a great focus on clinical elements from researchers and healthcare professionals, service users and carers considered safety in terms of human, behavioural and social elements of transitional safety (ie loneliness, emotional readiness for discharge) and systems/services (ie inter-professional communication). DISCUSSION: Safety in mental health-care transitions is perceived differently by service users and families compared to healthcare professionals and researchers. Traditional safety indicators for care transitions such as suicide, self-harm and risk of adverse drug events are raised as important. However, service users and families in particular have a much wider perception of transitions safety.
conclusionFuture quality and safety research and policy should consider including a service user voice and consider integration of psychosocial elements in discharge interventions.
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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.