{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T11:10:19Z","timestamp":1789125019174,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Post\u2010discharge suicide risk remains highest among psychiatric inpatients, yet structured safety planning is rarely embedded into inpatient care. As part of a quality improvement project, in 2022, a major metropolitan hospital in Australia rolled out the 7 SAFE STEPS Programs to address this gap. The training included safety conversations and safety plans, which were introduced to become part of the discharge process. This mixed\u2010methods study evaluated whether the structured safety planning was embedded into inpatient routine practice and explored staff and consumer experiences to identify barriers and enablers to meaningful implementation. A numerical count of the safety plans was undertaken. The quality of safety plans produced was assessed through an audit and benchmarking these to the essential components (recognising early warning signs, identifying adaptive internal coping mechanisms, engaging external supports, accessing professional services, addressing means restriction, and reaffirming reasons for living). Safety plans were given a numerical value based on if these were present or absent. Qualitative data about their experiences with the safety plans was also gathered through interviews and focus groups with nursing staff, peer workers, and recently discharged consumers. The qualitative component of the study was designed and reported according to the EQUATOR Network guidelines for qualitative research (COREQ). While there was an increase in the number of safety plans completed on the ward, the overall quality of these was low (average score of 7.67 out of 22). Themes from the qualitative data identified barriers to the introduction, which included time pressures, training gaps, and procedural drift. Nursing staff and consumers discussed the value of these plans and made suggestions for changes.<\/jats:p>","DOI":"10.1111\/inm.70345","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:51:58Z","timestamp":1789123918000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Plan to Practice: Embedding Safety Planning in Inpatient Mental Health Care"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7817-6352","authenticated-orcid":false,"given":"Erin","family":"Farmer","sequence":"first","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8877-4232","authenticated-orcid":false,"given":"Marianne","family":"Wyder","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6527-4876","authenticated-orcid":false,"given":"Nahid","family":"Choudhury","sequence":"additional","affiliation":[{"name":"Metro North Mental Health Services  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3040-443X","authenticated-orcid":false,"given":"Sarah","family":"Cox","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5784-3920","authenticated-orcid":false,"given":"Nicola","family":"Geffen","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Anson","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8880-2603","authenticated-orcid":false,"given":"Nomthandazo","family":"Masuku","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6821-2041","authenticated-orcid":false,"given":"Emma","family":"Lakin","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8497-7083","authenticated-orcid":false,"given":"Manaan Kar","family":"Ray","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1186\/s12888-021-03304-0","article-title":"Mental Health Professionals' Perceived Barriers and Enablers to Shared Decision\u2010Making in Risk Assessment and Risk Management: A Qualitative Systematic Review","volume":"21","author":"Ahmed N.","year":"2021","journal-title":"BMC Psychiatry"},{"key":"e_1_2_14_3_1","unstructured":"ATLAS.ti Scientific Software Development GmbH.2025.\u201cATLAS.ti (Version X.X)\u201d [Computer software].https:\/\/atlasti.com."},{"key":"e_1_2_14_4_1","volume-title":"Suicide and Self\u2010Harm Monitoring","author":"Australian Institute of Health And Welfare 2020\u20132022","year":"2023"},{"key":"e_1_2_14_5_1","first-page":"22","article-title":"Assessing the Quality of Patient Responses to a Psychosocial Intervention Implemented on an Adolescent Psychiatric Inpatient Unit: Devising the Safety Plan Quality Metric","volume":"105","author":"Bagatelas P. 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