{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T20:01:41Z","timestamp":1774728101063,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T00:00:00Z","timestamp":1577059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Accessible Summary<\/jats:title><jats:sec><jats:title>What is known on the subject<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Existing qualitative research has found inpatient service users to experience seclusion as highly distressing, with feelings of vulnerability, abuse and neglect often featuring in participants\u2019 accounts.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>The physical environment of the seclusion room and the interaction with clinical staff shape service users\u2019 personal seclusion experience.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What the paper adds to existing knowledge<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>The majority of research on this topic focuses on seclusion within other restrictive practices. This paper provides new knowledge on one specific component of seclusion, the experience of being in the room, and draws attention to the specific psychological needs of service users during that aspect of their experience.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>This research provides new knowledge by exclusively exploring forensic inpatients\u2019 experience of the seclusion room, an under researched and often stigmatized population.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the implications to practice<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>The findings support the need for a caring and non\u2010threatening therapeutic interaction with a secluded service user for the duration of time they are in the seclusion room.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>The findings suggest that necessary nursing procedures, such as observations, should be carried out discretely and sensitively to avoid service users feeling abused and frightened.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Contemporary qualitative research has explored service users\u2019 experience of seclusion and has found it to be a highly distressing and potentially traumatizing experience for service users. The majority of the existing literature has researched seclusion within the context of other restrictive practices, resulting in findings that can only be considered an overview of the experience. The studies also rarely access participants with histories of considerable violence and imprisonment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Question<\/jats:title><jats:p>What is forensic psychiatric inpatients\u2019 experience of being in a seclusion room?<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Seven inpatients in a medium secure hospital were interviewed, and interpretative phenomenological analysis (IPA) was used to analyse the data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four superordinate themes were identified: \u201cintense fear,\u201d \u2018not getting the care I needed,\u201d \u2018I am being abused\u201d and \u201cpower struggle.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>While participants were in the seclusion room, they experienced extreme fear. Staff interaction played a considerable role in shaping the participants\u2019 experience. Staff actions were interpreted as neglectful and abusive. Participants experienced struggling for power with staff, seeking out power when left in a powerless position.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>These findings suggested that a carefully tailored therapeutic interaction is required during seclusion in order to safeguard the mental health of forensic inpatients.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/jpm.12576","type":"journal-article","created":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T12:00:30Z","timestamp":1574424030000},"page":"272-280","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Being in a Seclusion Room: The Forensic Psychiatric Inpatients\u2019 Perspective"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4626-8865","authenticated-orcid":false,"given":"Louise","family":"Askew","sequence":"first","affiliation":[{"name":"University of East Anglia Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Fisher","sequence":"additional","affiliation":[{"name":"University of East Anglia Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Beazley","sequence":"additional","affiliation":[{"name":"University of East Anglia Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1997.1997025786.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2010.09.005"},{"key":"e_1_2_6_4_1","volume-title":"Successful qualitative research: A practical guide for beginners","author":"Braun V.","year":"2013"},{"key":"e_1_2_6_5_1","unstructured":"British Psychological Society. 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