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Article

Healthcare Professionals’ Experiences of Brief Admission by Self-Referral for Adolescents with Self-Harm at Risk of Suicide—A Qualitative Interview Study

1
Department of Psychiatry, Skåne University Hospital, 221 85 Lund, Sweden
2
Psychiatry, Department of Clinical Sciences Malmö, Lund University, 221 00 Lund, Sweden
3
Psychiatry, Habilitation and Aid, Child and Adolescent Psychiatry, Regional Inpatient Care, Emergency Unit, Region Skåne, 205 02 Malmö, Sweden
4
Department of Clinical Sciences Lund, Division of Child & Adolescent Psychiatry, Lund University, 221 85 Lund, Sweden
*
Author to whom correspondence should be addressed.
Behav. Sci. 2025, 15(9), 1210; https://doi.org/10.3390/bs15091210
Submission received: 23 June 2025 / Revised: 23 August 2025 / Accepted: 1 September 2025 / Published: 5 September 2025
(This article belongs to the Special Issue Suicide Risk Assessment, Management and Prevention in Adolescents)

Abstract

Brief Admission by Self-referral (BA), a standardized crisis intervention for individuals with repeated self-harm or suicidal behavior, was adapted for adolescents from 13 years in Region Skåne, Sweden, in 2018. BA aims to offer access to support based on autonomy and has been associated with reduced need of emergency care. Interviews with adolescents and legal guardians have pointed to BA as valuable and challenging, and professional support as key. This study aims to describe healthcare professionals’ (HCPs) experiences of BA for adolescents with self-harm at risk of suicide. Interviews six years after implementation with fourteen HCPs from outpatient and inpatient psychiatric care were analyzed with qualitative content analysis. BA was perceived as valuable caretaking without taking over, promoting mental growth and agency by being brief and granting access. It was described as offering relief to families and HCPs, although perceived to lack a sufficient level of legal guardian participation. Key work processes included being grounded in leadership and outpatient treatment. Challenges included system inflexibility and fitting BA into the physical care context. The results of this study may support future implementation of BA for adolescents with self-harm at risk of suicide and add guidance around potential pitfalls.
Keywords: brief admission; child & adolescent psychiatry; experiences; healthcare professionals; non-suicidal self-injury; prevention; self-harm; self-referral; suicide attempt; suicide ideation brief admission; child & adolescent psychiatry; experiences; healthcare professionals; non-suicidal self-injury; prevention; self-harm; self-referral; suicide attempt; suicide ideation

Share and Cite

MDPI and ACS Style

Lindkvist, R.-M.; Landgren, K.; Eberhard, S.; Johansson, B.A.; Rask, O.; Westling, S. Healthcare Professionals’ Experiences of Brief Admission by Self-Referral for Adolescents with Self-Harm at Risk of Suicide—A Qualitative Interview Study. Behav. Sci. 2025, 15, 1210. https://doi.org/10.3390/bs15091210

AMA Style

Lindkvist R-M, Landgren K, Eberhard S, Johansson BA, Rask O, Westling S. Healthcare Professionals’ Experiences of Brief Admission by Self-Referral for Adolescents with Self-Harm at Risk of Suicide—A Qualitative Interview Study. Behavioral Sciences. 2025; 15(9):1210. https://doi.org/10.3390/bs15091210

Chicago/Turabian Style

Lindkvist, Rose-Marie, Kajsa Landgren, Sophia Eberhard, Björn Axel Johansson, Olof Rask, and Sofie Westling. 2025. "Healthcare Professionals’ Experiences of Brief Admission by Self-Referral for Adolescents with Self-Harm at Risk of Suicide—A Qualitative Interview Study" Behavioral Sciences 15, no. 9: 1210. https://doi.org/10.3390/bs15091210

APA Style

Lindkvist, R.-M., Landgren, K., Eberhard, S., Johansson, B. A., Rask, O., & Westling, S. (2025). Healthcare Professionals’ Experiences of Brief Admission by Self-Referral for Adolescents with Self-Harm at Risk of Suicide—A Qualitative Interview Study. Behavioral Sciences, 15(9), 1210. https://doi.org/10.3390/bs15091210

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