Abstract
Introduction
Harm-reduction approaches for self-harm in mental health settings have been under-researched.
Aim
To develop a measure of the acceptability of management approaches for self-cutting in mental health inpatient settings.
Methods
Stage one: scale items were generated from relevant literature and staff/service user consultation. Stage two: A cross-sectional survey and statistical methods from classical test theory informed scale development.
Results/Findings
At stage one N=27 staff and service users participated. At stage two N=215 people (n=175 current mental health practitioners and n=40 people with experience of self-cutting as a UK mental health inpatient) completed surveys. Principal components analysis revealed a simple factor structure such that each method had a unique acceptability profile. Reliability, construct validity, and internal consistency were acceptable. The harm-reduction approaches 'advising on wound-care' and 'providing a first aid kit' were broadly endorsed; 'providing sterile razors' and 'maintaining a supportive nursing presence during cutting' were less acceptable but more so than seclusion and restraint.
Discussion
The Attitudes to Self-cutting Management scale is a reliable and valid measure that could inform service design and development.
Implications for practice
Nurses should discuss different options for management of self-cutting with service users. Harm reduction approaches may be more acceptable than coercive measures. This article is protected by copyright. All rights reserved.
| Original language | English |
|---|---|
| Pages (from-to) | 531-545 |
| Number of pages | 15 |
| Journal | Journal of Psychiatric and Mental Health Nursing |
| Volume | 25 |
| Issue number | 9-10 |
| Early online date | 26 Sep 2018 |
| DOIs | |
| Publication status | Published - 21 Dec 2018 |
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Harm-reduction approaches for self-cutting in inpatient mental health settings : development and preliminary validation of the Attitudes to Self-cutting Management (ASc-Me) Scale. / Hosie, Leah; Dickens, Geoffrey L.
In: Journal of Psychiatric and Mental Health Nursing, Vol. 25, No. 9-10, 21.12.2018, p. 531-545.Research output: Contribution to journal › Article
TY - JOUR
T1 - Harm-reduction approaches for self-cutting in inpatient mental health settings
T2 - development and preliminary validation of the Attitudes to Self-cutting Management (ASc-Me) Scale
AU - Hosie, Leah
AU - Dickens, Geoffrey L
N1 - This article is protected by copyright. All rights reserved.
PY - 2018/12/21
Y1 - 2018/12/21
N2 - IntroductionHarm-reduction approaches for self-harm in mental health settings have been under-researched.AimTo develop a measure of the acceptability of management approaches for self-cutting in mental health inpatient settings.MethodsStage one: scale items were generated from relevant literature and staff/service user consultation. Stage two: A cross-sectional survey and statistical methods from classical test theory informed scale development.Results/FindingsAt stage one N=27 staff and service users participated. At stage two N=215 people (n=175 current mental health practitioners and n=40 people with experience of self-cutting as a UK mental health inpatient) completed surveys. Principal components analysis revealed a simple factor structure such that each method had a unique acceptability profile. Reliability, construct validity, and internal consistency were acceptable. The harm-reduction approaches 'advising on wound-care' and 'providing a first aid kit' were broadly endorsed; 'providing sterile razors' and 'maintaining a supportive nursing presence during cutting' were less acceptable but more so than seclusion and restraint.DiscussionThe Attitudes to Self-cutting Management scale is a reliable and valid measure that could inform service design and development.Implications for practiceNurses should discuss different options for management of self-cutting with service users. Harm reduction approaches may be more acceptable than coercive measures. This article is protected by copyright. All rights reserved.
AB - IntroductionHarm-reduction approaches for self-harm in mental health settings have been under-researched.AimTo develop a measure of the acceptability of management approaches for self-cutting in mental health inpatient settings.MethodsStage one: scale items were generated from relevant literature and staff/service user consultation. Stage two: A cross-sectional survey and statistical methods from classical test theory informed scale development.Results/FindingsAt stage one N=27 staff and service users participated. At stage two N=215 people (n=175 current mental health practitioners and n=40 people with experience of self-cutting as a UK mental health inpatient) completed surveys. Principal components analysis revealed a simple factor structure such that each method had a unique acceptability profile. Reliability, construct validity, and internal consistency were acceptable. The harm-reduction approaches 'advising on wound-care' and 'providing a first aid kit' were broadly endorsed; 'providing sterile razors' and 'maintaining a supportive nursing presence during cutting' were less acceptable but more so than seclusion and restraint.DiscussionThe Attitudes to Self-cutting Management scale is a reliable and valid measure that could inform service design and development.Implications for practiceNurses should discuss different options for management of self-cutting with service users. Harm reduction approaches may be more acceptable than coercive measures. This article is protected by copyright. All rights reserved.
U2 - 10.1111/jpm.12498
DO - 10.1111/jpm.12498
M3 - Article
C2 - 30256488
VL - 25
SP - 531
EP - 545
JO - Journal of Psychiatric and Mental Health Nursing
JF - Journal of Psychiatric and Mental Health Nursing
SN - 1351-0126
IS - 9-10
ER -