title: Safe clinical practice for patients hospitalised in a suicidal crisis: a study protocol for a qualitative case study.
abstract: Suicide prevention in psychiatric care is arguably complex and incompletely understood as a patient safety issue. A resilient healthcare approach provides perspectives through which to understand this complexity by understanding everyday clinical practice. By including suicidal patients and healthcare professionals as sources of knowledge, a deeper understanding of what constitutes safe clinical practice can be achieved.
  
  
  
  This planned study aims to adopt the perspective of resilient healthcare to provide a deeper understanding of safe clinical practice for suicidal patients in psychiatric inpatient care. It will describe the experienced components and conditions of safe clinical practice and the experienced practice of patient safety. The study will apply a descriptive case study approach consisting of qualitative semistructured interviews and focus groups. The data sources are hospitalised patients in a suicidal crisis and healthcare professionals in clinical practice.
  
  
  
  This study was approved by the Regional Ethics Committee (2016/34). The results will be disseminated through scientific articles, a PhD dissertation, and national and international conferences. These findings can generate knowledge to be integrated into the practice of safety for suicidal inpatients in Norway and to improve the feasibility of patient safety measures. Theoretical generalisations can be drawn regarding safe clinical practice by taking into account the experiences of patients and healthcare professionals. Thus, this study can inform the conceptual development of safe clinical practice for suicidal patients.
authors.affiliation: Division of Psychiatry, Stavanger University Hospital, Stavanger, Norway.
authors.forename: Siv Hilde
authors.initials: SH
authors.lastname: Berg
authors.affiliation: Division of Psychiatry, Stavanger University Hospital, Stavanger, Norway.|Department of Health Studies, University of Stavanger, Stavanger, Norway.
authors.forename: Kristine
authors.initials: K
authors.lastname: Rørtveit
authors.affiliation: National Center for Suicide Research and Prevention, University of Oslo, Oslo, Norway.
authors.forename: Fredrik A
authors.initials: FA
authors.lastname: Walby
authors.affiliation: Department of Health Studies, University of Stavanger, Stavanger, Norway.
authors.forename: Karina
authors.initials: K
authors.lastname: Aase
mesh_terms: D017144:Focus Groups; D006282:Health Personnel; D006760:Hospitalization; D006785:Hospitals, University; D006801:Humans; D009664:Norway; D061214:Patient Safety; D036301:Qualitative Research; D059020:Suicidal Ideation
keywords: Suicidal; patient experiences; patient safety; resilient health care; suicide prevention