Evidence map›Paper›PMID 35010557›Full record

ArticleInternational journal of environmental research and public health2021

'A Safe Place Where I Am Welcome to Unwind When I Choose to'-Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study.

Rose-Marie Lindkvist, Sofie Westling, Sophia Eberhard, Björn Axel Johansson, Olof Rask, Kajsa Landgren

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Brief user-controlled admission (BUCA) in psychiatric care.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2026
    Review
  3. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rose-Marie LindkvistDepartment of Clinical Sciences Lund, Psychiatry, Lund University, 22100 Lund, Sweden.ORCID 0000-0003-2180-7869
Sofie WestlingDepartment of Clinical Sciences Lund, Psychiatry, Lund University, 22100 Lund, Sweden.
Sophia EberhardDepartment of Clinical Sciences Lund, Psychiatry, Lund University, 22100 Lund, Sweden.
Björn Axel JohanssonDepartment of Clinical Sciences Lund, Psychiatry, Lund University, 22100 Lund, Sweden.ORCID 0000-0001-5547-7605
Olof RaskDepartment of Clinical Sciences Lund, Psychiatry, Lund University, 22100 Lund, Sweden.ORCID 0000-0003-0565-3812
Kajsa LandgrenOffice for Psychiatry and Habilitation, Psychiatry Research Skåne, Region Skåne, 22185 Lund, Sweden.ORCID 0000-0002-5595-5774

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence is lacking on how to manage imminent suicidality in adolescents with self-harm. Brief Admission by Self-referral (BA) is a crisis-management intervention, developed for adults with self-harm at risk for suicide. Structured, individualized and based on responsible autonomy, BA aims to provide a respite while minimizing negative effects of hospitalization. This qualitative interview study illuminates adolescents' experiences of BA, adapted for this target group. Nineteen adolescents aged 14 to 19 years, described BA as helpful for timely rest and recovery to save themselves from impulses to self-harm. The individual contract, which is a prerequisite for access to BA, was perceived to give access to professional support in a safe environment, also among adolescents not using their contract. Being trusted with responsibility to self-admit was also hard work with struggles of self-doubt. Challenges included experiencing distrust from staff and fear of not being able to abstain from self-harm, which BA is conditioned upon. However, this condition was also perceived to induce self-motivation and growth. BA appeared well-adapted to the target group, fulfilling needs of predictability, autonomy, and opportunity for recovery to prevent self-harm. Suggestions for improvement included continually informing staff about important features of BA. To further evaluate benefits and challenges of BA, future research may evaluate clinical and health-economic outcomes and perspectives from parents and caregivers.

Indexed as

Self-Injurious BehaviorSuicideAdolescentAdultHospitalizationHumansReferral and ConsultationSuicidal Ideationadolescents (young adults)brief admissionchild & adolescent psychiatryself-admissionself-harmself-referral

Identifiers

PMID35010557
PMCPMC8751031

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Registered trials

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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.