title: A self-destructive care: self-reports of people who experienced coercive measures and their suggestions for alternatives.
abstract: Coercive measures are commonly used as a method of intervention, despite insufficient evidence for their effectiveness and benefits. The aim of this study was to describe how people who self-harm perceive alternatives to coercive measures in relation to actual experiences of psychiatric care. A total of 19 self-reports have been analysed with qualitative content analysis, resulting in three categories: a wish for understanding instead of neglect; a wish for mutual relation instead of distrust; a wish for professionalism instead of a counterproductive care. In conclusion, if the caregivers can understand and collaborate with the patient, there is seldom any need for coercive measures.
authors.affiliation: Department of Health Sciences, Luleå University of Technology , Luleå , Sweden.
authors.forename: Git-Marie
authors.initials: GM
authors.lastname: Ejneborn Looi
authors.forename: Åsa
authors.initials: Å
authors.lastname: Engström
authors.forename: Stefan
authors.initials: S
authors.lastname: Sävenstedt
mesh_terms: D014150:Antipsychotic Agents / Q000008:administration & dosage; D003068:Coercion; D003134:Commitment of Persons with Psychiatric Disorders; D005260:Female; D006801:Humans; D007267:Injections / Q000523:psychology; D009723:Nurse-Patient Relations; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D036301:Qualitative Research; D012149:Restraint, Physical; D016728:Self-Injurious Behavior / Q000451:nursing* / Q000523:psychology*; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D013548:Sweden; D016896:Treatment Outcome; D035502:Trust
chemical_list: D014150:Antipsychotic Agents