What are the main factors that contribute to suicide attempts/self-harm in adolescents and young people in the UK? and what is the awareness of ment

Title

What are the main factors that contribute to suicide attempts/self-harm in adolescents and young people in the UK? and what is the awareness of mental health nurses?

Literature Review using a systematic approach.

Note: you are being asked to undertake a literature review using a systematic approach, and not a systematic literature review.

Project Guidelines

Students are required to identify an area of enquiry relating to their field of practice, and undertake a critical literature review. This is an independent enquiry-based learning (EBL) project with a word count of 6000 words.

A literature review is a comprehensive study and interpretation of the literature on a specific topic, by critically appraising evidence in a systematic way to identify what is known about an aspect of practice. Literature reviews are useful in revealing gaps in our knowledge and aspects of health care that need improvement, making an important contribution to evidence-based care. As well as informing practice decisions, literature reviews are also used as a basis for health care policy and guidelines, where they are used for the development of service user/carer resources, as articles for publication, and in applications for funding for research grants.

Suggested structure for your literature review | Section Headings

Title Page - please use the title page format in the Module Handbook. Your title should clearly tell your reader what the work that follows is about.

Acknowledgments keep these brief and remember that they will be read by people other than your markers and your family!

Contents the pages of your work should be clearly numbered throughout and the different sections identified in the contents list, along with the relevant page numbers.

Abstract - (approx. 200-300 words, not included in the wordcount) An abstract can help signpost your reader, and provide a clear overview of your project. The abstract should provide a concise summary of your literature review, using the format of the following project section headings (Introduction and background, Methodology, Results, Discussion). Your completed project will also include a reflection on your learning (see below) but you do not need to include anything about your reflection in the abstract.

Chapter 1: Introduction and Background (approx. 1000 Words) This chapter should introduce the topic / area of interest, and provide a clear rationale for your literature review. The purpose of this chapter is to outline the context in which your literature review was undertaken. You should:

Set the scene, and gives reasons for the review and its relevance to practiceOutlines the controversies, debates and challenges in relation to the specific area of enquiryEnd with the specific question(s) to be addressed in the review, and the type of primary research papers that will be used. We suggest you use either qualitative or quantitative primary research papers depending on your question.

Chapter 2: Methodology (approx. 1000 words) - The purpose of this chapter is to outline and justify the methods used to undertake your literature review, including how you have selected and sourced the primary research that you have used. The process must be rigorous and transparent. You also need to justify why a literature review is the right approach to address your question.

The chapter should present your search strategy, which should include the following aspects of your research process:

Keywords and MeSH terms (Medical Subject Headings), or Subject Headings, or Thesaurus Terms used.

The tool or framework that you may have used to help develop your research question e.g. PICOT (Patient/Population, Intervention/Issue, Comparison/Context, Outcomes, Type of studies), or PCC (Population, Concept, and Context). This may be presented as a box or flow diagram and included as an appendix to your work in addition to an explanation in this chapter.

You should identify which type of primary research papers you searched for (quantitative or qualitative) and relate this specifically to your research question.

Identify the databases used, with a clear rationale for this choice.

Outline and explain the inclusion and exclusion criteria used.

The results of your search including specific details on number of hits, how you refined the search and selected the final papers (this may be presented as a flow diagram and included as an appendix to your work).

The critiquing framework(s) you selected for appraising your papers, and the rationale for your choice (e.g. CASP; Holland and Rees).

An acknowledgement of the limitations of the material you have accessed.

Process for synthesising findings, with references.

Your literature review should be based on primary research papers, which can be a combination of UK and non-UK evidence. Note: When international research articles are utilised, consider issues of transferability and generalisability of international evidence to the UK setting, and include justification.

Articles sourced should be less than 10 years old, and ideally less than 5 years. However, for some topics/areas of interest this may not always be possible. In this instance, you will need to take further advice from your individual supervisor.

Note on number of articles / key papers:

To achieve the learning outcomes, it is anticipated that you will need to critique around eight to ten primary research papers, with the exact number depending on your topic and results of your searches. You will need to discuss this with your supervisor at the earliest opportunity.

Other types of evidence such as service evaluation, audits, guidelines and secondary research (e.g. literature review, systematic reviews) should be included to support your discussion. You do not need to critique these in detail. Please discuss this with your supervisor.

Chapter 3: Results Overview and synthesis of papers retrieved (2500 words approx.) In this chapter, you should:

Critically review the research findings. For example, what are the limitations of the research methods used within your primary research articles? Are the published results/findings reliable/trustworthy? What are the strengths and limitations of the individual studies? How can these primary research articles be interpreted in a more collective sense?

Identify, compare and contrast the findings from the papers you have selected and critiqued using a narrative synthesis (if you have quantitative papers) in which you write an overview of the findings of the papers, or a thematic synthesis (if you have qualitative papers) in which you write about the findings from the papers using themes that you have identified. This chapter should include a summary of what these papers tell you about the issue you have chosen.

You should present an overview of each paper in a summary table, which should be included as an appendix. The summary table will draw on your critical appraisal of the studies. Do not simply copy the wording from the published article.

Chapter 4: Discussion (1000 words approx.) - The purpose of this chapter is to relate what you have found from the papers to the question underpinning your literature review, considering the implications for practice. You should:

Show evidence of your ability to synthesise and discuss information by making connections between what you have found, and what is already known (as identified in your introduction) to form a coherent whole.

Consider how your review supports or debates current opinion(s).

Consider the limitations of your literature review.

Consider which of the themes or findings are the most relevant to current UK nursing practice for example, have you been able to identify areas for future service or practice improvement during your literature review?

Highlight if your review has identified the need for further research. What recommendations can be made on the basis of your literature review?

Chapter 5: Reflection on learning (approx. 500 words) reflect on what you have learnt from undertaking a literature review. You could choose to use a reflective model to help you structure this section.

Critically reflect on your learning what have been your key learning points?

In this section you might also refer back to your motivation/justification for undertaking this project.

Whilst Chapters 1-4 should be written using the third person, Chapter 5 can be written in the first person.

Reference list using UWE Harvard

Appendices Please include the following:

A flow diagram of your search strategy

A summary table of the key / selected papers reviewed in chapter 3