Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review
Aim: To conduct a critical review of the literature regarding adolescent self-harm services in England and Wales, with a specific focus on presentation to A&E, hospital stay, and the provision of follow-up care in order to determine if practice reflects NICE guidelines. The review question is th...
| Main Author: | |
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| Format: | Dissertation (University of Nottingham only) |
| Language: | English |
| Published: |
2011
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| Online Access: | https://eprints.nottingham.ac.uk/24816/ |
| _version_ | 1848792863693864960 |
|---|---|
| author | Chapman, Jennifer |
| author_facet | Chapman, Jennifer |
| author_sort | Chapman, Jennifer |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Aim: To conduct a critical review of the literature regarding adolescent self-harm services in England and Wales, with a specific focus on presentation to A&E, hospital stay, and the provision of follow-up care in order to determine if practice reflects NICE guidelines. The review question is therefore; are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines?
Background: The typical onset of self-harm occurs during adolescence, with 1 in 10 young people self-harming at some point (Nixon and Heath, 2009). It is a common reason for adolescents to present to hospital (Hawton, Rodham and Evans, 2002) and would appear to be on the increase (Young et al., 2007). Despite this, however, adolescent self-harm services remain inconsistent and ineffective.
Methods: 5 electronic databases including ASSIA, BNI, CINAHL, MEDLINE and PsycINFO, were investigated using identified search terms relating to self-harm and adolescence. Incremental searching was also conducted. This identified 9 relevant studies, the quality of which were then assessed using the general critical appraisal tool developed by Callaghan and Crawford (2009) and given a clear weighting using a dichotomous rating scale.
Findings: Common themes identified within NICE clinical guideline 16 were used in the identification of similar themes within the literature. These included respect, training, treatment, assessment and follow-up care. It was found that healthcare professionals exhibit negative attitudes towards young people who self-harm. Adolescents experience inconsistent treatment in hospital. Half of those who present to hospital do not receive psychosocial assessment and an even smaller proportion receive appropriate follow-up care.
Conclusion: This review of the literature determined that adolescent self-harm services do not reflect NICE clinical guideline 16. Implications for practice include
improved training specific to self-harm for healthcare staff that come into contact with self-harming adolescents. Further research of adolescents‟ experiences of self-harm services is required in order to determine improvements necessary in these services. |
| first_indexed | 2025-11-14T18:51:10Z |
| format | Dissertation (University of Nottingham only) |
| id | nottingham-24816 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T18:51:10Z |
| publishDate | 2011 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-248162018-01-23T00:38:25Z https://eprints.nottingham.ac.uk/24816/ Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review Chapman, Jennifer Aim: To conduct a critical review of the literature regarding adolescent self-harm services in England and Wales, with a specific focus on presentation to A&E, hospital stay, and the provision of follow-up care in order to determine if practice reflects NICE guidelines. The review question is therefore; are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? Background: The typical onset of self-harm occurs during adolescence, with 1 in 10 young people self-harming at some point (Nixon and Heath, 2009). It is a common reason for adolescents to present to hospital (Hawton, Rodham and Evans, 2002) and would appear to be on the increase (Young et al., 2007). Despite this, however, adolescent self-harm services remain inconsistent and ineffective. Methods: 5 electronic databases including ASSIA, BNI, CINAHL, MEDLINE and PsycINFO, were investigated using identified search terms relating to self-harm and adolescence. Incremental searching was also conducted. This identified 9 relevant studies, the quality of which were then assessed using the general critical appraisal tool developed by Callaghan and Crawford (2009) and given a clear weighting using a dichotomous rating scale. Findings: Common themes identified within NICE clinical guideline 16 were used in the identification of similar themes within the literature. These included respect, training, treatment, assessment and follow-up care. It was found that healthcare professionals exhibit negative attitudes towards young people who self-harm. Adolescents experience inconsistent treatment in hospital. Half of those who present to hospital do not receive psychosocial assessment and an even smaller proportion receive appropriate follow-up care. Conclusion: This review of the literature determined that adolescent self-harm services do not reflect NICE clinical guideline 16. Implications for practice include improved training specific to self-harm for healthcare staff that come into contact with self-harming adolescents. Further research of adolescents‟ experiences of self-harm services is required in order to determine improvements necessary in these services. 2011 Dissertation (University of Nottingham only) NonPeerReviewed application/pdf en https://eprints.nottingham.ac.uk/24816/1/JC_Dissertation.pdf Chapman, Jennifer (2011) Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review. [Dissertation (University of Nottingham only)] (Unpublished) |
| spellingShingle | Chapman, Jennifer Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review |
| title | Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review |
| title_full | Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review |
| title_fullStr | Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review |
| title_full_unstemmed | Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review |
| title_short | Are adolescent self-harm services, during and after presentation to hospital, reflective of NICE Guidelines? A Critical Review |
| title_sort | are adolescent self-harm services, during and after presentation to hospital, reflective of nice guidelines? a critical review |
| url | https://eprints.nottingham.ac.uk/24816/ |