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Article

‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study

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Department of Clinical Sciences Lund, Psychiatry, Lund University, 22100 Lund, Sweden
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Office of Psychiatry and Habilitation, Psychiatric Clinic Lund, Region Skåne, 22185 Lund, Sweden
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Office for Psychiatry and Habilitation, Psychiatry Research Skåne, Region Skåne, 22185 Lund, Sweden
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Psychiatry, Habilitation and Aid, Child and Adolescent Psychiatry, Regional Inpatient Care, Emergency Unit, Region Skåne, 20502 Malmö, Sweden
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Department of Health Sciences, Lund University, 22240 Lund, Sweden
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2022, 19(1), 300; https://doi.org/10.3390/ijerph19010300
Received: 29 November 2021 / Revised: 20 December 2021 / Accepted: 22 December 2021 / Published: 28 December 2021
(This article belongs to the Section Mental Health)
Evidence is lacking on how to manage imminent suicidality in adolescents with self-harm. Brief Admission by Self-referral (BA) is a crisis-management intervention, developed for adults with self-harm at risk for suicide. Structured, individualized and based on responsible autonomy, BA aims to provide a respite while minimizing negative effects of hospitalization. This qualitative interview study illuminates adolescents’ experiences of BA, adapted for this target group. Nineteen adolescents aged 14 to 19 years, described BA as helpful for timely rest and recovery to save themselves from impulses to self-harm. The individual contract, which is a prerequisite for access to BA, was perceived to give access to professional support in a safe environment, also among adolescents not using their contract. Being trusted with responsibility to self-admit was also hard work with struggles of self-doubt. Challenges included experiencing distrust from staff and fear of not being able to abstain from self-harm, which BA is conditioned upon. However, this condition was also perceived to induce self-motivation and growth. BA appeared well-adapted to the target group, fulfilling needs of predictability, autonomy, and opportunity for recovery to prevent self-harm. Suggestions for improvement included continually informing staff about important features of BA. To further evaluate benefits and challenges of BA, future research may evaluate clinical and health-economic outcomes and perspectives from parents and caregivers. View Full-Text
Keywords: self-referral; self-admission; brief admission; self-harm; child & adolescent psychiatry; adolescents (young adults) self-referral; self-admission; brief admission; self-harm; child & adolescent psychiatry; adolescents (young adults)
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MDPI and ACS Style

Lindkvist, R.-M.; Westling, S.; Eberhard, S.; Johansson, B.A.; Rask, O.; Landgren, K. ‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study. Int. J. Environ. Res. Public Health 2022, 19, 300. https://doi.org/10.3390/ijerph19010300

AMA Style

Lindkvist R-M, Westling S, Eberhard S, Johansson BA, Rask O, Landgren K. ‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study. International Journal of Environmental Research and Public Health. 2022; 19(1):300. https://doi.org/10.3390/ijerph19010300

Chicago/Turabian Style

Lindkvist, Rose-Marie, Sofie Westling, Sophia Eberhard, Björn Axel Johansson, Olof Rask, and Kajsa Landgren. 2022. "‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study" International Journal of Environmental Research and Public Health 19, no. 1: 300. https://doi.org/10.3390/ijerph19010300

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