Assessment following self-harm: nurses provide comparable risk assessment to psychiatrists but are less likely to admit for in-hospital treatment
- School of Health and Sport Sciences, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Correspondence to Margaret McAllister
University of the Sunshine Coast, Maroochydore, QLD 4558, Australia;
Implications for practice and research
▪ The major role that mental health nurses have in conducting self-harm assessments, including risk assessment and planning care pathways, should continue.
▪ There are differences between nurses and psychiatrists in the judgements regarding the management of a client who is at risk of self-harm repetition.
▪ Research is required to understand the reasons for the differences in clinical management.
▪ It may be that these differences relate more towards how novice or expert the clinician is, rather than their disciplinary base (whether nurse or doctor).
▪ If differences are due to expertise, then clinicians could benefit from a shared approach to education on self-harm understanding, assessment and management.
Self-harm is a major global public health issue and is associated with a risk of self-harm repetition, suicide, worsening mental health problems and …