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Title: Residential suicide crisis care : stopping people from dying or supporting people to live
Author: Prytherch, H.
ISNI:       0000 0004 7651 5078
Awarding Body: Canterbury Christ Church University
Current Institution: Canterbury Christ Church University
Date of Award: 2018
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Background and aims: Improving care for people in suicidal crisis remains high on the UK government agenda. Trauma-informed approaches (TIAs) have been advocated to address the concerns raised by service-users with psychiatric hospital services. This study explores service-users’ accounts of staying at a women’s trauma-informed crisis house and in hospital whilst experiencing suicidal distress. Methods: Eight women were interviewed using a semi-structured interview schedule. Interviews were transcribed and analysed using thematic analysis within a critical realist framework. Results and discussion: Seven themes were developed: the power of talking, the limitations of medication, managing emotional safety through trusting relationships, managing physical safety through coercion, a home rather than a hospital, fostering compassion and the benefits of gender sensitivity. Participants described hospital as being dominated by a medical and custodial approach, which they said could undermine therapeutic engagement and exacerbate distress. By reframing suicidal feelings as a reasonable response to events in people’s lives, the TIA was described as enabling participants to safely work through their suicidal feelings, whilst maintaining freedom and control. This research was carried out with a small sample and both recruitment and context likely privileged positive accounts of TIAs. Clinical implications and areas for further research are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: R0726.5 Medicine and disease in relation to psychology ; RC0475 Therapeutics. Psychotherapy