{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:42:28Z","timestamp":1791312148285,"version":"4.3.1"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Suicide safety plans are widely used internationally in health and social care settings. This study aimed to co\u2010produce a framework for supporting personalised safety planning, sensitive to the needs, preferences and values of people experiencing suicidality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Phase 1 conducted semi\u2010structured interviews to explore the views and preferences of adults with lived experience of suicidality on the content and implementation of personalised suicide safety planning. In Phase 2, interactive practitioner workshops reviewed and refined a draft framework for personalised suicide safety planning. Data analysis was conducted in two steps: an inductive thematic analysis of interview data, followed by a deductive\u2013inductive approach to develop the themes using data from two workshops with practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911 adults with current or previous lived experience of suicidality participated in semi\u2010structured interviews, and\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916 practitioners from primary care, secondary care, third sector and emergency services involved in providing suicide prevention were recruited to two workshops. Two overarching themes and six sub\u2010themes were identified: (1) the\n                      <jats:italic>personalisation of safety planning (<\/jats:italic>\n                      sub\u2010themes\u2014\n                      <jats:italic>co\u2010production, involving family and friends, true personalisation)<\/jats:italic>\n                      and (2) the\n                      <jats:italic>process<\/jats:italic>\n                      of safety planning (sub\u2010themes\u2014\n                      <jats:italic>implementation, format<\/jats:italic>\n                      and\n                      <jats:italic>purpose<\/jats:italic>\n                      ) were used to inform the structure of a prototype personalised suicide safety planning framework.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Personalised suicide safety planning requires early intervention and a person\u2010centred approach. Pivotal to this is the need to move away from standardised tools towards the development of a workforce with the skills and confidence to work flexibly and collaboratively with the people they are supporting. Future research is needed to test the utility of the framework in a range of settings, including primary care, urgent care and the third sector.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study was co\u2010produced from the outset by people with personal experience of suicidality. Pre\u2010study public engagement helped inform the study design, and peer researchers on the study team collaborated in all stages of the process from design through to dissemination, including development of this manuscript. PPI involvement was included in practitioner workshops and in producing accessible dissemination materials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70423","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T12:06:24Z","timestamp":1758024384000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Developing a Co\u2010Produced Practice Framework to Support Personalised Safety Planning for Adults Experiencing Suicidality"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1714-5574","authenticated-orcid":false,"given":"Katherine","family":"McGleenan","sequence":"first","affiliation":[{"name":"The Research and Innovation Team, Cumbria Northumberland Tyne and Wear NHS Foundation Trust, St Nicholas Hospital Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4562-7680","authenticated-orcid":false,"given":"Isabel","family":"Gordon","sequence":"additional","affiliation":[{"name":"The School of Health and Life Sciences Teesside University Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3814-6702","authenticated-orcid":false,"given":"Hollie","family":"Smith","sequence":"additional","affiliation":[{"name":"Centre for Rehabilitation, School of Health and Life Sciences Teesside University  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9881-1084","authenticated-orcid":false,"given":"Jill","family":"Barker","sequence":"additional","affiliation":[{"name":"The School of Health and Life Sciences Teesside University Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2465-9240","authenticated-orcid":false,"given":"Rebecca","family":"Lilley","sequence":"additional","affiliation":[{"name":"Cumbria Northumberland Tyne and Wear NHS Foundation Trust  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5169-445X","authenticated-orcid":false,"given":"Tara","family":"Scott","sequence":"additional","affiliation":[{"name":"Carlisle Eden Mind  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Mart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1513-2273","authenticated-orcid":false,"given":"Victoria","family":"Walker","sequence":"additional","affiliation":[{"name":"Cumbria Northumberland Tyne and Wear NHS Foundation Trust  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9047-6496","authenticated-orcid":false,"given":"Nicola","family":"Clibbens","sequence":"additional","affiliation":[{"name":"Department of Nursing, Midwifery and Health Northumbria University  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4113-3857","authenticated-orcid":false,"given":"Julie","family":"Taylor","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing University of Cumbria  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2265-6521","authenticated-orcid":false,"given":"Sarah","family":"Fishburn","sequence":"additional","affiliation":[{"name":"The School of Health and Life Sciences Teesside University Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7699-0336","authenticated-orcid":false,"given":"Andrew","family":"Ramtohul","sequence":"additional","affiliation":[{"name":"The School of Health and Life Sciences Teesside University Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5413-2779","authenticated-orcid":false,"given":"Sandra Chidimma","family":"Nwokoroku","sequence":"additional","affiliation":[{"name":"The School of Health and Life Sciences Teesside University Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7390-632X","authenticated-orcid":false,"given":"Darren","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Nursing, Midwifery and Health Northumbria University  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Self\u2010Harm and Suicide in Adults: Final Report of the Patient Safety Group","author":"Royal College of Psychiatrists","year":"2020"},{"key":"e_1_2_11_3_1","unstructured":"Samaritans.Latest Suicide Data cited November 2 2021 https:\/\/www.samaritans.org\/about-samaritans\/research-policy\/suicide-facts-and-figures\/latest-suicide-data\/."},{"key":"e_1_2_11_4_1","unstructured":"Zero Suicide Alliance (ZSA).Risk Factors for Suicide cited April 3 2024 https:\/\/www.zerosuicidealliance.com\/ZSA-Resources\/facts-for-action\/suicide-incidence#Riskfactora."},{"key":"e_1_2_11_5_1","unstructured":"World Health Organisation. Factsheet (28th August 2023) Suicide accessed June 17 2024 Suicide (who.int)."},{"key":"e_1_2_11_6_1","unstructured":"Office for National Statistics (ONS). Statistical Bulletin2022Registrations. Registered Deaths in England and Wales From Suicide Analysed by Sex Age Area of Usual Residence of the Deceased and Suicide Method."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12333"},{"key":"e_1_2_11_8_1","unstructured":"Department of Health and Social Care.Suicide Prevention in England: 5\u2010Year Cross\u2010Sector Strategy.2023."},{"key":"e_1_2_11_9_1","unstructured":"NHS Confederation. The NHS Long Term Plan 2019."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-019-0121-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/ipm.2021.76"},{"key":"e_1_2_11_12_1","unstructured":"The National Confidential Inquiry Into Suicide and Safety in Mental Health (NCISH). \u201cThe Assessment of Clinical Risk in Mental Health Services \u201d cited April 3 2024 https:\/\/sites.manchester.ac.uk\/ncish\/reports\/the-assessment-of-clinical-risk-in-mental-health-services\/."},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30381-3"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0033294120945178"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.1006"},{"key":"e_1_2_11_16_1","unstructured":"Centre for Suicide Prevention. \u201cSafety Plans to Prevent Suicide. A Suicide Prevention Toolkit \u201d cited May 11 2021 https:\/\/www.suicideinfo.ca\/local_resource\/safety-plans\/."},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2011.01.001"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2018.1776"},{"key":"e_1_2_11_19_1","volume-title":"Self\u2010Harm: Assessment, Management and Preventing Recurrence","author":"National Institute for Health and Care Excellence (NICE)","year":"2022"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2021.1915217"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-022-01081-5"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2021.50"},{"key":"e_1_2_11_23_1","volume-title":"Safety Plan Treatment Manual to Reduce Suicide Risk: Veteran Version","author":"Stanley B.","year":"2008"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2020.150"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558689814533157"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11217-010-9191-x"},{"key":"e_1_2_11_28_1","unstructured":"NIHR Guidance on Co\u2010Producing Research Projects. February 2018 https:\/\/www.learningforinvolvement.org.uk\/content\/resource\/nihr-guidance-on-co-producing-a-research-project\/?https:\/\/research.hscni.net\/sites\/default\/files\/Copro_Guidance_Mar18.pdf."},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1956.00250230079008"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10728-021-00432-2"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.07.001"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12602"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_11_34_1","doi-asserted-by":"crossref","unstructured":"J.Swain \u201cA Hybrid Approach to Thematic Analysis in Qualitative Research: Using a Practical Example \u201d January 12 2018.","DOI":"10.4135\/9781526435477"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690600500107"},{"key":"e_1_2_11_36_1","first-page":"39","article-title":"Thematic Analysis: A Critical Review of Its Process and Evaluation","volume":"1","author":"Alhojailan M. I.","year":"2012","journal-title":"West East Journal of Social Sciences"},{"key":"e_1_2_11_37_1","first-page":"3351","article-title":"Doing a Thematic Analysis: A Practical, Step\u2010by\u2010Step Guide for Learning and Teaching Scholars","volume":"9","author":"Maguire M.","year":"2017","journal-title":"AISHE\u2010J"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.2003.00573.x"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.1982026"},{"key":"e_1_2_11_42_1","doi-asserted-by":"crossref","unstructured":"L.McKenna T.Brown L.Oliaro B.Williams andA.Williams 2020 \u201cListening in Health Care \u201d inThe Handbook of Listening 373\u2013383.","DOI":"10.1002\/9781119554189.ch25"},{"key":"e_1_2_11_43_1","volume-title":"Personalised Care and Support Planning: A Brief Summary Guide","author":"NHS England"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2019-000714"},{"key":"e_1_2_11_45_1","unstructured":"E.Rogan.2022.Dialogue and Change Award https:\/\/arc-nenc.nihr.ac.uk\/pice\/the-dialogue-and-change-award\/."}],"container-title":["Health Expectations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.70423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T12:12:26Z","timestamp":1766146346000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.70423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,16]]},"references-count":44,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/hex.70423"],"URL":"https:\/\/doi.org\/10.1111\/hex.70423","archive":["Portico"],"relation":{},"ISSN":["1369-6513","1369-7625"],"issn-type":[{"value":"1369-6513","type":"print"},{"value":"1369-7625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,16]]},"assertion":[{"value":"2025-05-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70423"}}