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Int. J. Environ. Res. Public Health 2018, 15(6), 1104; https://doi.org/10.3390/ijerph15061104

Involving Patients and Families in the Analysis of Suicides, Suicide Attempts, and Other Sentinel Events in Mental Healthcare: A Qualitative Study in The Netherlands

1
NIVEL, P.O. Box 1568, 3500 BN Utrecht, The Netherlands
2
Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. box 1738, 3000 DR Rotterdam, The Netherlands
3
Dutch Healthcare and Youth Inspectorate, 3521 AZ Utrecht, The Netherlands
4
TRANZO (Scientific Centre for Care and Welfare), Faculty of Social and Behavioural Sciences, Tilburg University, 5037 DB Tilburg, The Netherlands
*
Author to whom correspondence should be addressed.
Received: 27 April 2018 / Revised: 16 May 2018 / Accepted: 24 May 2018 / Published: 29 May 2018
(This article belongs to the Special Issue Suicide Risk and Mental Disorders)
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Abstract

Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself. View Full-Text
Keywords: mental healthcare; suicide; suicide attempt; participation; sentinel event; incident; family; bereaved; incident management; incident analysis; root cause analysis mental healthcare; suicide; suicide attempt; participation; sentinel event; incident; family; bereaved; incident management; incident analysis; root cause analysis
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Bouwman, R.; de Graaff, B.; de Beurs, D.; van de Bovenkamp, H.; Leistikow, I.; Friele, R. Involving Patients and Families in the Analysis of Suicides, Suicide Attempts, and Other Sentinel Events in Mental Healthcare: A Qualitative Study in The Netherlands. Int. J. Environ. Res. Public Health 2018, 15, 1104.

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