I'm going to crush you, and throw you to the wind!
Thank you for clarifying! Your knowledge is impeccable.The phone debate was something I wanted to clear up, this is not correct. This is another part of the video that highlights to me that she’s just rattling off lazily collated google results because she doesn’t present a very nuanced understanding of things.
UK acute inpatient facilities tend to be a mixture of formal (sectioned) and informal (voluntary) patients, sometimes divided by the particular ward sometimes mixed up. Little differentiation of restricted liberties occur in these wards, and patients are allowed their phones. In fact, the NHS highlights that it is important for patients to be allowed their phones in hospital. There are of course strict rules. Patients are treated with an individual care approach, with individual risk and needs assessments, but in acute inpatient patients are normally allowed their own chargers or headphones. I agree with the NHS that phones present more benefits than risks in hospital, for example music in headphones can be really absorbing/focusing for patients in manic episodes who might otherwise be punching walls/threatening to punch people and ending up in PICU, which makes less work for the nurses. As for ligature risks, it’s more a question of having no ligature points in the facility that a patient can hang themselves from, and a patient at high risk for self harm is likely to be being monitored 1:1 (i.e. not strictly “suicide watch” as Chloe calls it, another hiccup) or is moved to a PICU ward.
Particularly disturbed, vulnerable, violent, or otherwise challenging patients can end up placed in secure/locked PICU wards (intensive care). No informal/voluntary patients in PICU. Here patients aren’t allowed phones in the evening, but they can be the rest of the time. However, once again an individual care approach is taken: if a patient is using their phone unhealthily, or using it to access inappropriate material, or calling the police out of paranoia/ not understanding why they are in a locked facility = goodbye phone. PICU is much more grim than an acute inpatient facility for obvious reasons, much less privileges/rights and inpatients that are harder to coexist alongside.
A useful document, although it has little to do with whether a patient gets sectioned or not. It’s the system for choosing the best response before more information can be acquired. For example, you could knock back a few Sertraline (more likely to cause you to shit yourself than lose consciousness), call the emergency services in distress claiming an overdose and emergency services are still likely to come to your door and deliver you to A+E. But that doesn’t mean you will be sectioned. You are more likely to be held over night in A+E in case of complications, then a quick whizz through a psychiatric evaluation and back home with a crisis team checkup call scheduled in the diary/a referral to IAPT that will probably take months to come through because let’s face it- this wasn’t really a suicide attempt, was it, and the NHS has bigger fish to fry.
I am clarifying this because I feel like Chloe or a dissociaStan might see this doc and think ‘but she talked about a close call with a suicide attempt, so she does fall into the top high risk categories.”
Just a reminder to them that a close call with a suicide attempt in real life/NHS terms doesn’t mean feeling close to suicide, or half heartedly cutting your wrist. It means somehow surviving/being found before you die as the result of (non-exhaustive list) :
- acute poisoning from drinking antifreeze/rat poison/bleach
- consuming vast quantities of benzos/antipsychotics and washing them down with a bottle of whiskey/vodka/gin
- slicing through an artery (and potentially tendons)
- ‘near hanging’
- jumping from a significant height
- crashing your car into a wall
- throwing yourself in front of a vehicle
- deliberate carbon monoxide poisoning
Recovery from this shit can differ vastly from person to person but it never looks like Chloe Wilkinson‘s shill of a YouTube channel. But we all know that anyway!
edit: words n grammar