PROTECT: Relational Safety based Suicide Prevention Training Frameworks

Article


Kar Ray, M., Wyder, M., Crompton, D., Kousoulis, A. A., Arensman, E., Hafizi, S., Van Bortel, T. and Lombardo, C. 2019. PROTECT: Relational Safety based Suicide Prevention Training Frameworks. International Journal of Mental Health Nursing. 29 (3), pp. 533-543.
AuthorsKar Ray, M., Wyder, M., Crompton, D., Kousoulis, A. A., Arensman, E., Hafizi, S., Van Bortel, T. and Lombardo, C.
Abstract

Preventing suicide is a global priority and staff training is a core prevention strategy. However frontline pressures make translating training into better care and better outcomes difficult. The aim of the paper is to highlight challenges in suicide risk assessment and management and introduce training frameworks to assist with mindful practice so professionals can strike a balance between risk and recovery. We combined the scientific literature with contemporary practice from two successful initiatives from Cambridgeshire, UK; 333 – a recovery oriented model of inpatient/community crisis care and PROMISE – a programme to reduce coercion in care by enhancing patient experience. The resulting PROTECT (PROactive deTECTion) frameworks operationalise ongoing practice of relational safety in these programmes. PROTECT is a combination of novel concepts and adaptations of well-established therapeutic approaches. It has four training frameworks: AWARE for reflection on clinical decisions; DESPAIR for assessment; ASPIRE for management; NOTES
for documentation. PROTECT aims to improve self-awareness of mental shortcuts, risk taking thresholds and increase rigour through time efficient crosschecks. The training frameworks should support a relational approach to self-harm/suicide risk detection, mitigation and documentation, making care safer and person-centred. The goal is to enthuse practitioners with recovery oriented practice that draws on the strengths of the person in distress and their natural circle of support. It will provide the confidence to engage in participatory approaches to seek out unique individualised solutions to the overwhelming psychological pain of suicidal distress. Future collaborative research with people with lived and carer experience is needed for fine-tuning.

JournalInternational Journal of Mental Health Nursing
Journal citation29 (3), pp. 533-543
ISSN1445-8330
Year2019
PublisherWiley
Accepted author manuscript
License
File Access Level
Anyone
Digital Object Identifier (DOI)doi:10.1111/inm.12685
Web address (URL)https://doi.org/10.1111/inm.12685
Publication dates
Online26 Dec 2019
Publication process dates
Accepted02 Dec 2019
Deposited06 Dec 2019
Copyright holder© 2019 Australian College of Mental Health Nurses Inc.
Copyright informationThis is the peer reviewed version of the following article: Kar Ray, M., Wyder, M., Crompton, D., Kousoulis, A.A., Arensman, E., Hafizi, S., Van Bortel, T. and Lombardo, C. (2019) 'PROTECT: Relational Safety based Suicide Prevention Training Frameworks', International Journal of Mental Health Nursing, 29 (3) pp. 533-543, which has been published in final form at https://doi.org/10.1111/inm.12685. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
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