Newlove, Liberty;
Gant, Thomas;
Rowe, Sarah;
Wood, Lisa;
(2025)
Self-management interventions for people who present at risk of harm of self-harm and suicide in acute crisis mental health settings: A systematic review and narrative synthesis.
Psychiatry Research
, Article 116771. 10.1016/j.psychres.2025.116771.
(In press).
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Abstract
Background: Self-management interventions could potentially benefit individuals in acute mental health crises experiencing self-harm and suicidal ideation, yet no reviews have been conducted to date. The aim of this systematic review was to examine self-management interventions for patients with self-harm and suicidal intent in acute crisis mental health settings. Method: Five databases were searched, and quantitative, English-language studies were included if they examined self-management interventions for adults under acute crisis mental health services who are currently experiencing self-harm and/or suicidal intent. Risk of bias was assessed using established tools, and a narrative synthesis was conducted. Results: Seven papers were included in the review, all of which had a high risk of bias. The most utilised self-management strategies were coping skills, followed by recognising early warning signs of relapse, with psychoeducation being the least implemented. The effectiveness of these interventions varied across studies in terms of reducing self-harm and suicidal intent. However, studies that implemented comprehensive, recovery-focused selfmanagement approaches generally reported more positive outcomes in managing self-harm and suicidal intent. Conclusions: This review found mixed results but with some evidence suggesting that recovery-focused self-management interventions can reduce self-harm and suicidal ideation. However, further high-quality, large-scale research is required.
| Type: | Article |
|---|---|
| Title: | Self-management interventions for people who present at risk of harm of self-harm and suicide in acute crisis mental health settings: A systematic review and narrative synthesis |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.psychres.2025.116771 |
| Publisher version: | https://doi.org/10.1016/j.psychres.2025.116771 |
| Language: | English |
| Additional information: | Under a Creative Commons license https://creativecommons.org/licenses/by-nc/4.0/ |
| Keywords: | Self-harm; suicide; self-management interventions; mental health crisis; mental health inpatient; systematic review |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10215572 |
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