Table 2.
AE Thematic Content From the 1285 Codes (From Original 593 Reported Events)
| Adverse Consequence Theme | Description | Overall Occurrence, n, (%) | Paraphrased Examples From Dataset | Category |
|---|---|---|---|---|
| Psychiatric admission | Describes admission either voluntary or involuntary to a psychiatric ward | 284 (22.1) | “Patient was admitted to the psychiatric inpatient unit” | Mental healthcare |
| Unscheduled mental health care (noncrisis) | Requiring increased mental health care, but not at the level of crisis care or psychiatric admission | 56 (4.36) | “Participant received closer contact with care coordinator” | Mental healthcare |
| Crisis care (nonadmission) | Describes accessing crisis care not in an inpatient site | 34 (2.65) | “Client accessed crisis team as they were having a rough time” | Mental healthcare |
| Psychosis exacerbation | Describes an increase in psychotic symptoms | 281 (21.9) | “Increasing expression of psychotic symptoms, stating that animals were coming out of parts of the body” | Psychosis symptoms |
| Affective exacerbation | Describes an increase in affective symptoms | 132 (10.3) | “Participant stated they are having a lot of anxiety” | Affective symptoms |
| Physical health admission | Describes an admission to a hospital for physical health problems | 69 (5.37) | “Participant admitted to Cardiology department” | Physical healthcare |
| Physical health treatment | Describes unscheduled physical health treatment | 51 (3.97) | “Attended Accident and Emergency for treatment for physical health problem, discharged” | Physical healthcare |
| Substance misuse | Describes using nonprescribed psychoactive substances | 70 (5.45) | “Participant was using marijuana and meth” | Substance misuse |
| Suicide ideation | Describes patient experiences of suicidal ideation | 99 (7.70) | “Participant had suicidal ideation” | Suicide and non-suicidal self-injury (NSSI) |
| Suicide plan | Describes suicide planning | 26 (2.02) | “Participant reported a plan to end their life” | Suicide and NSSI |
| Self-harm | Describes self-harm not in the context of a suicide attempt | 31 (2.41) | “Participant reported self-harm by cutting” | Suicide and NSSI |
| Suicide attempts | Describes suicide attempts | 13 (1.01) | “Participant attempted suicide by overdose” | Suicide and NSSI |
| Death by suicide | Describes deaths due to suicide. | 1 (0.07) | “Participant died by suicide” | Death |
| Death (Other) | Describes deaths not due to suicide | 2 (0.15) | “Participant died due to medical problems” | Death |
| Interactions with criminal justice system | Describes interactions with the police | 44 (3.42) | “Clinic staff called police who took patient to hospital due to increased aggression” | Legal system |
| Harm to others | Reports of a patient harming another person | 33 (2.57) | “Collateral obtained from patient’s sibling stated that patient had been threatening to harm them” | Harm |
| Harm from others | Describes a patient being abused by another person | 6 (0.47) | “Participant described being attacked unprovoked on the street by a stranger” | Harm |
| Stopping psychiatric medication | Describes a patient ceasing to take prescribed medication without support from a clinical team | 44 (3.42s) | “Abrupt stop to medication regime” | Medication |
| Other | Idiosyncratic | 9 (0.70) | “Participant was yelling while eating” | Other |