Experiences of staff and the support received following incidents of high-risk behaviours in acute mental health inpatient wards: a qualitative exploration

Abstract

Staff working in acute mental health inpatient environments are frequently exposed to patients who display high-risk behaviours. The aim of the study was to explore the experiences of staff working with patients with high-risk behaviours in acute mental health inpatient wards, and the support that staff receive following exposure to these incidents. A total of 10 participants were recruited from two acute mental health hospitals in England. Data were gathered using semi-structured interviews and analysed using inductive thematic analysis. Three themes were identified: the direct impact of incidents; attempts to manage the impact of incidents; and current systems for managing incidents. Overall, staff felt that support was lacking, and there was a fear that seeking support was a sign of weakness. Clear differences in staff reactions and responses to varying high-risk behaviours were revealed. Person-centred reflective support spaces, debriefing support, and skills training for staff, especially for self-harm and suicide, are required. Staff also require emotional support and emotion management skills.