Emergency department nurses’ perceptions of caring for patients with intentional self-poisoning: a qualitative study


Submitted: 27 January 2023
Accepted: 27 February 2023
Published: 28 March 2023
Abstract Views: 733
PDF: 307
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Authors

  • Salar Sharifi Tohid Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran, Islamic Republic of.
  • Sina Valiee Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj; Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran, Islamic Republic of. https://orcid.org/0000-0002-5419-1004

Nurses have an important role in caring for patients with intentional self-poisoning. This study was attempted to explore the emergency department nurses' perception of caring for patients with intentional self-poisoning. The present qualitative study was performed using phenomenological method. This study was done on 14 emergency department nurses with experience in caring for patients with intentional self-poisoning. Data were collected through semi-structured interviews and transcribed verbatim. Data were analyzed using Colaizzi's method. Following data analysis, two themes and five sub-themes were extracted, which included being reluctant to provide care for patients with intentional self-poisoning (discomfort in providing care, and lack of desire to care for these patients) and comprehensive patient support (providing complete care and emotional support). Given that emergency department nurses are the first medical staff who face with intentional self-poisoning patients and play an important role in the care and treatment of these patients, it is necessary to improve their understanding of caring for these patients. In addition, their comprehensive support for these patients should be strengthened. Psychological support for nurses and training them on how to communicate with intentional self-poisoning patients and their families are also recommended.


Shakeri MT, Afshari R, Aghajani H, et al. Study geographical distribution of poisoning cases referred to the emergency department of Imam-Reza Hospital Mashhad: 2013. Med J Mashhad Univ Med Sci 2016;59:171-8.

Kumar A, Verma A, Jaiswal K, et al. Emergence of entirely new poisoning in rural india; an upcoming health hazard to the community health. Indian J Community Health 2012;24:248-51.

Singh S, Singh B, Kumar V, Chauhan A. A study of socio-demographic profile and outcome of poisoning cases reported at tertiary care teaching hospital of Northern India. Medico-Legal Update 2014;14:216-9. DOI: https://doi.org/10.5958/j.0974-1283.14.1.050

Senarathna L, Jayamanna SF, Kelly PJ, et al. Changing epidemiologic patterns of deliberate self poisoning in a rural district of Sri Lanka. BMC Public Health 2012;12:593. DOI: https://doi.org/10.1186/1471-2458-12-593

Lipnik-Štangelj M. Hospitalizations due to poisonings in Slovenia–epidemiological aspects. Wiener Klinische Wochenschrift 2010;122:54-8. DOI: https://doi.org/10.1007/s00508-010-1338-9

Perboell PW, Hammer NM, Oestergaard B, Konradsen H. Danish emergency nurses’ attitudes towards self-harm – a cross-sectional study. Int Emerg Nurs 2015;23:144-9. DOI: https://doi.org/10.1016/j.ienj.2014.07.003

Finkelstein Y, Macdonald EM, Hollands S, et al. Risk of suicide following deliberate self-poisoning. JAMA Psychiatry 2015;72:570-5. DOI: https://doi.org/10.1001/jamapsychiatry.2014.3188

Cooper J, Steeg S, Bennewith O, et al. Are hospital services for self-harm getting better? An observational study examining management, service provision and temporal trends in England. BMJ Open 2013;3:e003444. DOI: https://doi.org/10.1136/bmjopen-2013-003444

Chen Y-Y, Chien-Chang Wu K, Yousuf S, Yip PS. Suicide in Asia: opportunities and challenges. Epidemiol Rev 2011;34:129-44. DOI: https://doi.org/10.1093/epirev/mxr025

Wu KC-C, Chen Y-Y, Yip PS. Suicide methods in Asia: implications in suicide prevention. Int J Environ Res Public Health 2012;9:1135-58. DOI: https://doi.org/10.3390/ijerph9041135

Zamani N, Mitra Rahimi M, Shahin Shadnia M. Acute adult and adolescent poisoning in Tehran, Iran; the epidemiologic trend between 2006 and 2011. Arch Iran Med 2014;17:534.

Khodabandeh F, Emamhadi M, Mostafazadeh B. Epidemiological assessment of acute poisoning death–one year survey. Int J Med Toxicol Forensic Med 2012;2:103-9.

Moradinazar M, Najafi F, Baneshi MR, Haghdoost AA. Estimation of the rate and number of underreported deliberate self-poisoning attempts in western Iran in 2015. Epidemiol Health 2017;39. DOI: https://doi.org/10.4178/epih.e2017023

Hendrix L, Verelst S, Desruelles D, Gillet JB. Deliberate self-poisoning: characteristics of patients and impact on the emergency department of a large university hospital. Emerg Med J 2013;30:e9. DOI: https://doi.org/10.1136/emermed-2011-201033

Jones S, Krishna M, Rajendra RG, Keenan P. Nurses attitudes and beliefs to attempted suicide in Southern India. J Ment Health. 2015;24:423-9. DOI: https://doi.org/10.3109/09638237.2015.1019051

Karman P, Kool N, Poslawsky IE, van Meijel B. Nurses’ attitudes towards self‐harm: a literature review. J Psychiatr Ment Health Nurs 2015;22:65-75. DOI: https://doi.org/10.1111/jpm.12171

National Collaborating Centre for Mental H. National Institute for Health and Clinical Excellence: Guidance. Self-harm: the short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. Leicester (UK): British Psychological Society The British Psychological Society & The Royal College of Psychiatrists; 2004.

Donley E. Psychiatric assessment in the emergency department: preliminary data from consumers about risk assessment following a suicide attempt or deliberate self-harm. Emerg Med Health Care 2015;3:1. DOI: https://doi.org/10.7243/2052-6229-3-1

Teherani A, Martimianakis T, Stenfors-Hayes T, et al. Choosing a qualitative research approach. J Grad Med Educ 2015;7:669-70. DOI: https://doi.org/10.4300/JGME-D-15-00414.1

Laverty SM. Hermeneutic phenomenology and phenomenology: A comparison of historical and methodological considerations. Int J Qual Methods 2003;2:21-35. DOI: https://doi.org/10.1177/160940690300200303

Saunders B, Sim J, Kingstone T, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 2018;52:1893-907. DOI: https://doi.org/10.1007/s11135-017-0574-8

Burns N, Grove S. The practice of nursing research. 5th ed ed. Conduct, critique and utilization, . St Louis, MO: Elsevier Saunders. Carper, B 2005.

Houghton C, Casey D, Shaw D, Murphy K. Rigour in qualitative case-study research. Nurs Res 2013;20. DOI: https://doi.org/10.7748/nr2013.03.20.4.12.e326

Thomas E, Magilvy JK. Qualitative rigor or research validity in qualitative research. J Spec Pediatr Nurs 2011;16:151-5. DOI: https://doi.org/10.1111/j.1744-6155.2011.00283.x

Faan D, Polit D, Beck C. Study guide for essentials of nursing research. LWW 2013.

Parsapoor A, Bagheri A, Larijani B. Patient’s rights charter in Iran. Acta Med Iran 2014:24-8.

Nursing and Midwifery Council. The Code: Professional standards of practice and behaviour for nurses and midwives. NMC, London 2015.

Rutto J, Chepchirchir A, Odero T. Nurse’s knowledge, attitude and practice on the initial management of acute poisoning among adult casualties: Study at Kenyatta National Hospital, Kenya. Open J Nurs 2012;2:149-56. DOI: https://doi.org/10.4236/ojn.2012.23023

Ouzouni C, Nakakis K. Nurses’ attitudes towards attempted suicide. Health Sci J 2013;7:119.

Martin C, Chapman R. A mixed method study to determine the attitude of Australian emergency health professionals towards patients who present with deliberate self-poisoning. Int Emerg Nurs 2014;22:98-104. DOI: https://doi.org/10.1016/j.ienj.2013.09.002

Tofthagen R, Talseth A-G, Fagerström L. Mental Health Nurses’ Experiences of Caring for Patients Suffering from Self-Harm. Nurs Res Pract 2014;2014:905741. DOI: https://doi.org/10.1155/2014/905741

Beaver B. Nursing Attitudes towards Suicidal Patients in the Emergency Department: Assessment Interview Training. (Doctoral dissertation) 2016. Available from: https://scholarcommons.sc.edu/etd/3932

Chapman R, Martin C. Perceptions of Australian emergency staff towards patients presenting with deliberate self-poisoning: a qualitative perspective. Int Emerg Nurs 2014;22:140-5. DOI: https://doi.org/10.1016/j.ienj.2014.03.002

Hodgson K. Nurses’ attitudes towards patients hospitalised for self-harm. Nurs Stand 2016;30:38-44. DOI: https://doi.org/10.7748/ns.30.31.38.s44

Rayner G, Blackburn J, Edward Kl, et al. Emergency department nurse’s attitudes towards patients who self‐harm: A meta‐analysis. Int J Ment Health Nurs 2019;28:40-53. DOI: https://doi.org/10.1111/inm.12550

Zakeri Moghadam M, Sadeghi S, Ghyasvandian S, Kazemnejad A. Effects of comprehensive-care program on patients’ satisfaction with trauma in emergency department. Cardiovasc Nurs J 2013;2:54-62.

Molina-Mula J, Gallo-Estrada J. Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. Int J Environ Res Public Health 2020;17:835. DOI: https://doi.org/10.3390/ijerph17030835

Sayed YE, Youssef W, Alshekhepy HA, Elfeky H. Nurses’ knowledge and practices regarding detaction and management of acute drug poisoning at Cairo University Hospitals. Egypt J Nurs 2015;10.

Abebe AM, Kassaw MW, Shewangashaw NE. Assessment of knowledge and practice of nurses on initial management of acute poisoning in Dessie referral hospital Amhara region, Ethiopia, 2018. BMC Nurs 2019;18:60. DOI: https://doi.org/10.1186/s12912-019-0387-2

Finkelstein Y, Macdonald EM, Hollands S, et al. Long-term outcomes following self-poisoning in adolescents: a population-based cohort study. Lancet Psychiatry 2015;2:532-9. DOI: https://doi.org/10.1016/S2215-0366(15)00170-4

Sharifi, S., & Valiee, S. (2023). Emergency department nurses’ perceptions of caring for patients with intentional self-poisoning: a qualitative study. Emergency Care Journal, 19(1). https://doi.org/10.4081/ecj.2023.11220

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