ReviewInternational journal of mental health systems2021
Enhancing psychological safety in mental health services.
Review in International journal of mental health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07075575 (Smoking Cessation Among Native Hawaiians), which is not on this map. Cited by 37 papers, 1 of them a synthesis 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.
Smoking Cessation Among Native Hawaiians: A Test of Pharmacotherapies and Group-Based Counseling
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of strategies to tackle racism experienced by healthcare professionals: a systematic review.BMJ open · 2025Pooled it
- The Role of Self-Compassion and Body Perception in Predicting Psychological Safety.Journal of clinical medicine · 2026Article
- Association of Psychological Safety with PTSD Symptoms Among Regional Firefighters in South Korea: Moderating Roles of Occupational Identity and Peer Support.International journal of environmental research and public health · 2026Article
- Confronting trauma as a team: therapists' experience with providing intensive trauma-focused treatment, within a framework of therapist rotation.BMC health services research · 2026Article
- Mental health in elite and youth athletes: emerging strategies and evidence-based trends: a narrative review.Annals of medicine and surgery (2012) · 2026Review
- Network Architecture of Digital Leadership: Identifying Affective Commitment Bridges and Intervention Leverage Points Among Chinese Nursing Managers.Journal of nursing management · 2026Article
- Prevalence, Digital Tools, and Management Strategies for Depression in Medical Students: A Narrative Review.Advances in medical education and practice · 2026Review
- Reframing workplace safety, wellbeing, and performance among operating room nurses in contemporary healthcare systems.Frontiers in public health · 2026Review
- An Umbrella Review of Relational Enablers of Psychological Safety and Identity-Related Gaps in the Evidence: Implications for Healthcare and Organizational Settings.Journal of healthcare leadership · 2026Review
- 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
- Improving Work-Related Challenges in Psychiatric-Psychosomatic Clinics: Study Protocol for an Internet-Based Needs Assessment and Co-Design of a Training.JMIR research protocols · 2025Article
- Innovations in Practice: Beyond the clinic - embracing natural environments in mental health care for children and young people.Child and adolescent mental health · 2025Article
- Workplace Mental Health Status Among Academic Staff: Psychological Distress, Burnout, and Organisational Culture at a South African University.Behavioral sciences (Basel, Switzerland) · 2025Article
- Impact of the COVID-19 pandemic on the Canadian healthcare workforce: a rapid evidence synthesis of key considerations, lessons learned, and promising practices to address the healthcare workforce crisis.Health research policy and systems · 2025Article
- Through the lens of patients: a photovoice study exploring inpatients' sense of safety and well-being in a new Norwegian mental health facility.BMC psychology · 2025Article
- Safety for Recovery During Admission to Acute Mental Health Hospitals: A Constructivist Grounded Theory Study to Support Safety-Focused Recovery-Oriented Care in the Context of Risk Management Constraints.International journal of mental health nursing · 2025Article
- 'I Think the First Priority is Physically Safe First, Before You Can Actually Get Psychologically Safe': Staff Perspectives on Psychological Safety in Inpatient Mental Health Settings.Journal of psychiatric and mental health nursing · 2025Article
- Improving the efficiency and person-centredness of occupational therapy input into care-plans in a forensic mental health and rehabilitation service.BMJ open quality · 2024Article
- "Do I feel safe here?" Organisational climate and mental health peer worker experience.BMC health services research · 2024Article
- How can we measure psychological safety in mental healthcare staff? Developing questionnaire items using a nominal groups technique.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological safety-speaking up about ideas and concerns, free from interpersonal risk-are essential to the high-risk environment, such as healthcare settings. Psychologically safe working is particularly important in mental health where recovery-oriented approaches rely on collaborative efforts of interprofessional teams to make complex decisions. Much research focuses on antecedents and outcomes associated with psychological safety, but little focus on the practical steps for how to increase psychological safety across and at different levels of a healthcare organisation.
aimsWe explore how a mental health organisation creates an organisation-wide plan for building the foundations of mental health and how to enhance psychological safety.
methodsThis review encompasses strategies across psychological safety and organisational culture change to increase psychological safety at an individual, team and organisational level. We set out a comprehensive overview of the types of strategies and interventions for increasing the ethos of psychological safety and setting the foundations for delivering an organisation-wide programme on this topic. We also provide a list of key targeted areas in mental health that would maximally benefit from increasing psychological safety-both in clinical and non-clinical settings.
conclusionsPsychological safety is a crucial determinant of safe and effective patient care in mental health services. This paper provides the key steps and considerations, creating a large-scale programme in psychological safety with a focus on mental health and drawing from the current literature, providing concrete steps for how our current understanding of psychological safety into practice.
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.