FACTORS INFLUENCING PERCEIVED EFFECTIVENESS IN DEALING WITH SELF-HARMING PATIENTS IN A SAMPLE OF EMERGENCY DEPARTMENT STAFF

被引:21
作者
Egan, Rachel [1 ]
Sarma, Kiran M. [2 ]
O'Neill, Meena [1 ]
机构
[1] Arbour Hill Prison, Dublin 7, Ireland
[2] Natl Univ Ireland Univ Coll Galway, Galway, Ireland
关键词
self-harm; attitudes; emergency department; effectiveness; MENTAL-HEALTH NURSES; SUICIDAL-BEHAVIOR; ATTITUDES; METAANALYSIS; WORKERS; CARE;
D O I
10.1016/j.jemermed.2012.01.049
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Past self-harming behavior is one of the most significant predictors of future suicide. Each year in Ireland there are approximately 11,000 presentations of self-harm to emergency departments (EDs) across the country. Study Objectives: This study examines predictors of perceived personal effectiveness in dealing with self-harming patients as reported by ED staff. The predictors are derived from past research and are influenced by Bandura's Social Cognitive Theory. Method: One hundred twenty-five ED medical staff (28 doctors and 97 nurses) from five EDs in the West and South of Ireland completed a questionnaire. Predictor variables included in the design, and informed by past research, included knowledge of self-harm and suicidal behavior and confidence in dealing with incidents of self-harm. Results: Standard multiple regression suggested a statistically significant model fit between the two predictors and the criterion variable, accounting for 24% of total variance. Knowledge and Confidence were significant contributors to perceived personal effectiveness in dealing with self-harming patients. Conclusions: Little is known regarding specific factors that influence perceived effectiveness in dealing with self-harming patients in the ED setting. These findings have implications for psycho-education and training content for staff. The findings suggest that increasing knowledge of self-harm and confidence in dealing with self-harming patients can lead to more positive perceived personal effectiveness in responding to clients' needs. (C) 2012 Elsevier Inc.
引用
收藏
页码:1084 / 1090
页数:7
相关论文
共 42 条
[1]  
Ajzen I., 1985, INTENTIONS ACTIONS T, DOI DOI 10.1007/978-3-642-69746-32
[2]   Nurses' attitudes towards suicidal behaviour - A comparative study of community mental health nurses and nurses working in an accidents and emergency department [J].
Anderson, M .
JOURNAL OF ADVANCED NURSING, 1997, 25 (06) :1283-1291
[3]   Nurses' and doctors' attitudes towards suicidal behaviour in young people [J].
Anderson, M ;
Standen, P ;
Nazir, S ;
Noon, JP .
INTERNATIONAL JOURNAL OF NURSING STUDIES, 2000, 37 (01) :1-11
[4]  
[Anonymous], 1999, The handbook of psychological testing
[5]  
[Anonymous], 2004, SELF HARM SHORT TERM
[6]  
[Anonymous], 1993, The psychology of attitude
[7]   Knowledge and attitudes about suicide in 25-year-olds [J].
Beautrais, AL ;
Horwood, LJ ;
Fergusson, DM .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2004, 38 (04) :260-265
[8]   Does a brief training on suicide prevention among general hospital personnel impact their baseline attitudes towards suicidal behavior? [J].
Berlim, Marcelo T. ;
Perizzolo, Juliana ;
Lejderman, Fernando ;
Fleck, Marcelo P. ;
Joiner, Thomas E. .
JOURNAL OF AFFECTIVE DISORDERS, 2007, 100 (1-3) :233-239
[9]   The incidence and repetition of attempted suicide in Ireland [J].
Corcoran, P ;
Keeley, HS ;
O'Sullivan, M ;
Perry, IJ .
EUROPEAN JOURNAL OF PUBLIC HEALTH, 2004, 14 (01) :19-23
[10]   Staff knowledge and attitudes towards deliberate self-harm in adolescents [J].
Crawford, T ;
Geraghty, W ;
Street, K ;
Simonoff, E .
JOURNAL OF ADOLESCENCE, 2003, 26 (05) :623-633