Table 1 Overview of workshop

1. LELAN video in a 360° immersion room and psychiatrist-led discussion

The “Care not Treatment” video produced by LELAN was edited for viewing in a 360° immersion room with permission^a

A discussion about the content of the video was guided by a consultant psychiatrist at the conclusion of the video

ILO1: Describe in detail the impact that healthcare professionals have on patient progress through health systems

2. 360° Virtual Reality (VR) immersive experiences (x²) with psychiatrist-led discussion

Using VR headsets, students viewed two contrasting versions of a distressed patient’s journey from home to a hospital emergency department. The patient is attended to by ambulance officers after a self-harm incident (superficial cutting to the upper leg). In the first version, staff are disrespectful and do not address the patient’s concerns, compounding distress, and resulting in a behavioral escalation in the hospital. In debriefing, students are encouraged to reflect on the patient experience and how the interaction could be improved. Students are then shown a version with optimized, patient-centered, and trauma-informed care, and the contrast is discussed in debriefing

ILO2: Describe in detail the impact that healthcare professionals have on patient progress through health systems

ILO3: Describe the roles and responsibilities of different members of the healthcare team in managing patients exhibiting behaviors of concern

3. Simulated patient (SP) interaction and debrief

The SP from the 360° VR films was central to Station 3. In this station, a pair of students are invited to interview the SP at the point in their journey when they have been in the Emergency Department for 4 h. Students were expected to undertake a structured assessment and to explore safety and risk with the SP

Feedback from the SP, tutor, and observers was encouraged and respectfully provided in a discussion and debrief after the simulation scenario concluded

ILO4: Demonstrate confidence and capacity to engage with people with self-harm behaviors, suicidal ideation, or who have attempted suicide

ILO5: Demonstrate a structured assessment of a patient presenting with signs and symptoms of a mental illness and present an accurate handover and risk assessment to a colleague