That's it. 2025 and my #NewYearsResolutions is to leave this awful platform. It was useful once but now it no longer is. I'll stay on here until the end of Jan and then if you want to follow me, do so at @drknipe.bsky.social.

RT @SASHBristol: Earlier this week SASH members took part in our annual Xmas celebrations but first we spent time wrapping gifts and puttin….

RT @offlsecampusnow: CN: Sexual violence. 🚨On 14 Nov 2024, students, staff, and alumni protested LSE's systematic hishandling of sexual mi….

Findings there is more and more uninteresting content on my X feed. Starting to think I want to move from here. Where are UK academics moving to?.

RT @SASHBristol: We are looking for #PhD students interested #selfharm and #suicide research .Two great projects on offer, both with 4 year….

RT @lisa_marzano: Funded PhD opportunity in collaboration with @PAPYRUS_Charity, @laura_joyner @MiddlesexUni @CATS_Middlesex and David Moss….

RT @SASHBristol: new #PhD opportunity @BristolUni : #Gambling and #suicide .- 4 years of funding .- apply by 6th January.- Great team @Beck….

#Domesticviolence is prevalent in patients who self-harm. Without direct Qs disclosures are unlikely, & there is a need for routine enquiry for all patients presenting with self-harm Clear protocols and care pathways are needed that are both well disseminated & integrated.

We found that roughly 30% of #LiaisonPsych staff had experienced #domesticabuse themselves and that this impacted on their likelihood of questioning their patients.

@rcpsychLiaison @sarahdangar @tim_woodhouse @NCISH_UK @_prianka_ Of concern was that there appeared to be certain misassumptions guiding practice with relation to gender, ethnicity, age and socioeconomic background. These were def barriers for disclosure.

Everyone indicated a distinction between #domesticabuse & other vulnerabilities (i.e. mental ill health/substance misuse). Managing substance misuse was an integral part of @rcpsychLiaison training, but ‘there isn't a sort of ingrained culture about asking about domestic abuse’.

Staff (@rcpsychLiaison ) also spoke about feelings of shame and guilt for their patients. However, it wasn't always clear which direction the feelings originated from. This was indicated as a barrier for asking about domestic abuse experiences following #selfharm. @bristolBRC

@sarahdangar @tim_woodhouse @_prianka_ @NCISH_UK @NICEComms Some @rcpsychLiaison also reported concerns over patient suggestibility which hindered the likelihood of questioning when someone had presented to services following #selfharm.

@sarahdangar @tim_woodhouse @_prianka_ @NCISH_UK Clinicians reported using indirect questioning to elicit a disclosure so as not to offend, with a heavy reliance on looking for clues/hints and intuition. However, self-harm, one of the @NICEComms #DomesticViolence quality standards, was not spoken about as a ‘red flag’.

Confidence in knowing what to do once a disclosure was made was indicated as a barrier, BUT everyone was able to cite resources. Some suggested a need for a system to give steps on what to do. ‘opening a can of worms’ was mentioned by several participants & was a barrier.

All profs agreed asking about DA was important & within their professional role/remit. BUT routine enquiry was difficult in the time allowed & they did not know exactly what to do following a disclosure. Selective asking was common & done if there were 'clear signs'. @bristlBRC

@rcpsychLiaison @sarahdangar @tim_woodhouse @_prianka_ @NCISH_UK @DV_Bristol We spoke to both junior and senior members of staff, and those across several disciplines. The quali interviews yielded 5 main themes. Here I attempt (poorly) to summarise this #qualitative paper in a short thread . @BristolBRC

Why are #mentalhealth profs, who are trained to discuss difficult topics, not routinely asking about #domesticabuse following #selfharm? We spoke to 15 active @rcpsychLiaison staff to explore staff exps of asking about #DomesticViolence

1/2 of hosp presenting self-harm & 1/3 suicides have been affected by #domesticabuse. @NICEComms recommends asking about #DomesticViolence in ppl who #selfharm. Only 1/5 of ppl who present to services & are seen by @rcpsychLiaison have a record of DA discussions. Why not more?.

RT @SASHBristol: Commercial influence of #selfharm exists and @thelanct commission draws attention to this. More research + policy attn nee….