| Summary: | The aim of this literature review was to elucidate how suicidal and self-harming patients should be treated and cared for, mainly in the acute phase in somatic care. Searches were conducted in databases with relevant keywords. Qualitative and quantitative articles were included, would not be more than 20 years, be written in Swedish or English, and match the aim of the study. Results showed that nurses and patients felt that the treatment would be respectful, non-judgmental and characterized by active listening and clear communication. Poor care was described as disrespect and lack of understanding. Staff and relatives experienced a lack of knowledge in the subject. Difficulties staff experienced in taking care of these patients were aggressive patients, a feeling of loss of control and unclear guidelines. Staff attitudes towards patients were generally positive, and various factors of the staff affected their attitudes. The most prominent factors were age and education. Conclusion was that good treatment is emphasized by respect, confidence, knowledge, openness, and a clear communication. Bad treatment was characterized by uncertainty, stress and disrespect. It´s important that staff receive appropriate training in the subject, as this alters their attitudes from negativity, stigmatization and uncertainty to understanding, empathy and safety.
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