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      A pilot evaluation of a prehospital emergency psychiatric unit: The experiences of patients, psychiatric and mental health nurses, and significant others

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          Abstract

          Purpose

          To explore the significance of the alliance with the Prehospital Emergency Psychiatric Unit for patients, psychiatric and mental health nurses, and significant others, and to evaluate their experiences of treatment and care.

          Design and Methods

          A qualitative inductive interview study with 11 participants: four patients, six nurses, and one significant other. The interviews were analyzed with content analysis.

          Findings

          The analysis resulted in four subcategories: To be met with respect, presence and time, knowledge and experience, and feeling of support, and one category: A psychiatric team with knowledge and experience creating stability and a sense of self‐worth.

          Practice Implication

          The Prehospital Emergency Psychiatric Unit enables a safe, person‐centered service.

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          Most cited references17

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          Methodological challenges in qualitative content analysis: A discussion paper.

          This discussion paper is aimed to map content analysis in the qualitative paradigm and explore common methodological challenges. We discuss phenomenological descriptions of manifest content and hermeneutical interpretations of latent content. We demonstrate inductive, deductive, and abductive approaches to qualitative content analysis, and elaborate on the level of abstraction and degree of interpretation used in constructing categories, descriptive themes, and themes of meaning. With increased abstraction and interpretation comes an increased challenge to demonstrate the credibility and authenticity of the analysis. A key issue is to show the logic in how categories and themes are abstracted, interpreted, and connected to the aim and to each other. Qualitative content analysis is an autonomous method and can be used at varying levels of abstraction and interpretation.
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            Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour

            Objective To provide an up-to-date assessment of the effectiveness of the Mental Health First Aid (MHFA) training program on improving mental health knowledge, stigma and helping behaviour. Design Systematic review and meta-analysis. Methods A systematic search of electronic databases was conducted in October 2017 to identify randomised controlled trials or controlled trials of the MHFA program. Eligible trials were in adults, used any comparison condition, and assessed one or more of the following outcomes: mental health first aid knowledge; recognition of mental disorders; treatment knowledge; stigma and social distance; confidence in or intentions to provide mental health first aid; provision of mental health first aid; mental health of trainees or recipients of mental health first aid. Risk of bias was assessed and effect sizes (Cohen’s d) were pooled using a random effects model. Separate meta-analyses examined effects at post-training, up to 6 months post-training, and greater than 6 months post-training. Results A total of 18 trials (5936 participants) were included. Overall, effects were generally small-to-moderate post-training and up to 6 months later, with effects up to 12-months later unclear. MHFA training led to improved mental health first aid knowledge (ds 0.31–0.72), recognition of mental disorders (ds 0.22–0.52) and beliefs about effective treatments (ds 0.19–0.45). There were also small reductions in stigma (ds 0.08–0.14). Improvements were also observed in confidence in helping a person with a mental health problem (ds 0.21–0.58) and intentions to provide first aid (ds 0.26–0.75). There were small improvements in the amount of help provided to a person with a mental health problem at follow-up (d = 0.23) but changes in the quality of behaviours offered were unclear. Conclusion This review supports the effectiveness of MHFA training in improving mental health literacy and appropriate support for those with mental health problems up to 6 months after training. Trial registration PROSPERO (CRD42017060596)
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              Suicide risk assessment and intervention in people with mental illness

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                Author and article information

                Contributors
                Charlotta.sunnqvist@mau.se
                Journal
                Perspect Psychiatr Care
                Perspect Psychiatr Care
                10.1111/(ISSN)1744-6163
                PPC
                Perspectives in Psychiatric Care
                John Wiley and Sons Inc. (Hoboken )
                0031-5990
                1744-6163
                11 February 2022
                October 2022
                : 58
                : 4 ( doiID: 10.1111/ppc.v58.4 )
                : 2255-2262
                Affiliations
                [ 1 ] Department of Care Sciences, Faculty of Health and Society Malmö University Malmö Sweden
                [ 2 ] Office of Psychiatry and Habilitation Region Skane Malmö Sweden
                Author notes
                [*] [* ] Correspondence Charlotta Sunnqvist, Department of Care Sciences, Faculty of Health and Society, Malmö University, Jan Waldenströmsgata 25 205 06 Malmö, Malmö, Sweden.

                Email: Charlotta.sunnqvist@ 123456mau.se

                Author information
                http://orcid.org/0000-0003-2792-8119
                http://orcid.org/0000-0002-0228-1358
                Article
                PPC13055
                10.1111/ppc.13055
                9790504
                35148425
                c3fb36a2-a80f-4c78-b6dc-8e4f9b256294
                © 2022 The Authors. Perspectives in Psychiatric Care published by Wiley Periodicals LLC

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 31 January 2022
                : 13 September 2021
                : 03 February 2022
                Page count
                Figures: 0, Tables: 2, Pages: 8, Words: 5587
                Funding
                Funded by: Stiftelsen Lindhaga , doi 10.13039/100016414;
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                October 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.3 mode:remove_FC converted:25.12.2022

                content analysis,prehospital emergency psychiatric unit,psychiatric and mental health nursing,self‐worth

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