PROTECT: Relational safety based suicide prevention training frameworks
- 26 December 2019
- journal article
- research article
- Published by Wiley in International Journal of Mental Health Nursing
- Vol. 29 (3), 533-543
- https://doi.org/10.1111/inm.12685
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 was 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 operationalize 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; and NOTES for documentation. PROTECT aims to improve self‐awareness of mental shortcuts and risk‐taking thresholds and increase rigour through time‐efficient cross‐checks. 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 individualized solutions to the overwhelming psychological pain of suicidal distress. Future collaborative research with people with lived and carer experience is needed for fine‐tuning.Keywords
This publication has 55 references indexed in Scilit:
- Safety Planning Intervention: A Brief Intervention to Mitigate Suicide RiskCognitive and Behavioral Practice, 2012
- Towards an Integrated Motivational–Volitional Model of Suicidal BehaviourPublished by Wiley ,2011
- Suicide mitigation: time for a more realistic approachBritish Journal of General Practice, 2010
- Getting to the Heart of Clinical Supervision: A Theoretical Review of the Role of Emotions in Professional DevelopmentBehavioural and Cognitive Psychotherapy, 2009
- Reasons for Living, Hopelessness, and Suicide Ideation Among Depressed Adults 50 Years or OlderAmerican Journal of Geriatric Psychiatry, 2008
- Self‐determination theory, motivational interviewing, and the treatment of clients with acute suicidal ideationJournal of Clinical Psychology, 2007
- Promoting recovery through therapeutic risk takingMental Health Practice, 2006
- Advances in the assessment of suicide riskJournal of Clinical Psychology, 2005
- Linehan's Dialectical Behaviour Therapy (DBT) for borderline personality disorder: Overview and adaptationJournal of Mental Health, 2000
- Hopelessness as a Predictor of Eventual SuicideAnnals of the New York Academy of Sciences, 1986