Evidence map›Paper›PMID 40364539›Full record

ArticleBJPsych open2025

'I would have killed myself had it not been for this service': qualitative experiences of NHS and third sector crisis care in the UK.

Laura Sambrook, Anna Balmer, Jackie Tait, Peter Ashley-Mudie, Jason C McIntyre, Amrith Shetty, Rajan Nathan, Pooja Saini

Abstract read
In one paragraph

Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Laura SambrookFaculty of Health, Liverpool John Moores University, Liverpool, UK.ORCID https://orcid.org/0000-0002-4798-9536
Anna BalmerFaculty of Health, Liverpool John Moores University, Liverpool, UK.
Jackie TaitFaculty of Health, Liverpool John Moores University, Liverpool, UK.
Peter Ashley-MudieFaculty of Health, Liverpool John Moores University, Liverpool, UK.
Jason C McIntyreFaculty of Health, Liverpool John Moores University, Liverpool, UK.ORCID https://orcid.org/0000-0002-5601-524X
Amrith ShettyCheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.
Rajan NathanCheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.ORCID https://orcid.org/0000-0003-2780-6170
Pooja SainiFaculty of Health, Liverpool John Moores University, Liverpool, UK.ORCID https://orcid.org/0000-0002-4981-7914

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore people than ever are receiving support for mental health crises, and instances of suicide continue to grow. Mental health funding has recently increased, focusing on improving services that provide an alternative to emergency departments, such as urgent helplines and crisis cafés. However, there is a lack of literature examining the efficacy of these services, despite research suggesting they may be associated with lower hospital admission rates.

aimsWe aimed to evaluate the perspectives of people with lived experience of accessing a variety of mental health crisis services in the UK.

methodOne-to-one interviews were conducted with 25 individuals as part of a qualitative grounded theory analysis.

resultsThe following themes were identified as important for recovery: more than a diagnosis (a need for person-centred care); instilling hope for the future (access to creative spaces and community); and a safe space for recovery (out-of-hours crisis cafés). Many have credited crisis cafés with saving their lives and felt there should be increased funding provided for collaboration between the National Health Service (NHS) and the third sector. Participants highlighted the need for interim support for those awaiting therapy via the NHS and continuity of care as key areas for improvement.

conclusionsNHS services are struggling to meet the mental health needs of the population, resulting in lengthy waiting times for therapy and an over-reliance on the third sector. While crisis cafés are currently provided at a low cost and appear to result in satisfaction, policymakers must ensure they receive adequate funding and do not become overburdened.

Indexed as

crisisMental healthqualitative research

Identifiers

PMID40364539
PMCPMC12089819

What OpenQuestion holds

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LicenceCC BY
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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.