About me

Joachim Eckerström is a PhD Student at Centre for Psychiatry Research, Department for Clinical Neuroscience at Karolinska Institutet.

Main supervisor is Nitya Jayaram-Lindström and co-supervisors are Lena Flyckt and Andreas Carlborg.

Research description

Patient-Initiated Brief Admission (PIBA) is an intervention that is intended to allow self-controlled admissions to psychiatric inpatient care for people with emotional instability and self-harm. The purpose of PIBA is to provide a time-out for self-management in a safe environment in situations of increased stress and threatening crisis. The aim is to promote constructive self-regulation of emotions and the use of constructive coping strategies and thereby prevent self-destructive behaviour as well as prolonged admissions.

The foundation is a room in psychiatric inpatient care that the patient could call upon under a contract made in discussion between the patient, a nurse from inpatient care and the treatment partner at outpatient care. The admission is made on the patient's initiative and is of short duration, 1-3 days. A nurse in the ward is responsible for the admission and discharge.


Eckerström, J., Carlborg, A., Flyckt, L. & Jayaram-Lindström, N. (2022) Patient-Initiated Brief Admission for Individuals with Emotional Instability and Self-Harm: An Evaluation of Psychiatric Symptoms and Health-Related Quality of Life, Issues in Mental Health Nursing, DOI: 10.1080/01612840.2021.2018530

Eckerström, J., Flyckt, L., Carlborg, A., & Jayaram‐Lindström, N. (2020), Brief admission for patients with emotional instability and self‐harm: A qualitative analysis of patients’ experiences during crisis. Int J Mental Health Nurs, 29: 962-971. https://doi.org/10.1111/inm.12736

Eckerström, J., Allenius, E., Helleman, M., Flyckt, L., & Omerov, P. (2019). Brief admission (BA) for patients with emotional instability and self-harm: nurses' perspectives - person-centred care in clinical practice. International journal of qualitative studies on health and well-being14(1), 1667133. https://doi.org/10.1080/17482631.2019.1667133