Theoretical model of recovery following a suicidal episode (COURAGE): scoping review and narrative synthesis.
Suicide
individual psychotherapy
personal recovery
qualitative research
recovery framework
Journal
BJPsych open
ISSN: 2056-4724
Titre abrégé: BJPsych Open
Pays: England
ID NLM: 101667931
Informations de publication
Date de publication:
17 Nov 2022
17 Nov 2022
Historique:
entrez:
17
11
2022
pubmed:
18
11
2022
medline:
18
11
2022
Statut:
epublish
Résumé
Despite a significant need, there are currently no rigorously developed empirically based models for what personal recovery from a suicidal episode looks like. To develop a theoretical model of personal recovery after a suicidal episode, based on a comprehensive literature review and stakeholder feedback. A scoping review of all empirical studies on this topic was conducted, followed by a thematic analysis to create a preliminary framework. Consultation-based revisions were then made based on feedback from a stakeholder panel to develop the final theoretical model. The final model comprised seven themes: choosing life, optimising identity, understanding oneself, rediscovering meaning, acceptance, growing connectedness and empowerment (acronym 'COURAGE'). Although there are some similarities between COURAGE and other models of personal recovery, there are components, such as 'choosing life' and 'understanding oneself', that are specific to recovery after an acute suicidal episode. To our knowledge, this is the first study to use a comprehensive literature review with stakeholder feedback to develop a conceptual model of personal recovery after an acute suicidal episode. This model has important implications for both researchers and clinicians to consider. Looking ahead, COURAGE can inform the reconceptualisation of assessment, research and clinical care of individuals who have experienced a suicidal episode.
Sections du résumé
BACKGROUND
BACKGROUND
Despite a significant need, there are currently no rigorously developed empirically based models for what personal recovery from a suicidal episode looks like.
AIMS
OBJECTIVE
To develop a theoretical model of personal recovery after a suicidal episode, based on a comprehensive literature review and stakeholder feedback.
METHOD
METHODS
A scoping review of all empirical studies on this topic was conducted, followed by a thematic analysis to create a preliminary framework. Consultation-based revisions were then made based on feedback from a stakeholder panel to develop the final theoretical model.
RESULTS
RESULTS
The final model comprised seven themes: choosing life, optimising identity, understanding oneself, rediscovering meaning, acceptance, growing connectedness and empowerment (acronym 'COURAGE'). Although there are some similarities between COURAGE and other models of personal recovery, there are components, such as 'choosing life' and 'understanding oneself', that are specific to recovery after an acute suicidal episode.
CONCLUSIONS
CONCLUSIONS
To our knowledge, this is the first study to use a comprehensive literature review with stakeholder feedback to develop a conceptual model of personal recovery after an acute suicidal episode. This model has important implications for both researchers and clinicians to consider. Looking ahead, COURAGE can inform the reconceptualisation of assessment, research and clinical care of individuals who have experienced a suicidal episode.
Identifiants
pubmed: 36384945
doi: 10.1192/bjo.2022.599
pii: S2056472422005993
pmc: PMC9707512
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e200Subventions
Organisme : RRD VA
ID : IK2 RX003571
Pays : United States
Références
Transcult Psychiatry. 2019 Apr;56(2):305-326
pubmed: 30608027
Alcohol Res. 2021 Jul 22;41(1):09
pubmed: 34377618
J Adv Nurs. 2013 Sep;69(9):2030-40
pubmed: 23294336
Psychiatr Serv. 2014 Apr 1;65(4):442-53
pubmed: 24487405
BMC Med Res Methodol. 2018 Nov 19;18(1):143
pubmed: 30453902
J Cogn Psychother. 2021 Jan 4;:
pubmed: 33397785
Aust Fam Physician. 2012 Aug;41(8):593-7
pubmed: 23145400
Lancet Psychiatry. 2016 Jul;3(7):646-59
pubmed: 27289303
BJPsych Open. 2019 Sep 09;5(5):e79
pubmed: 31496458
J Affect Disord. 2013 May;147(1-3):34-43
pubmed: 23182591
J Clin Nurs. 2014 Jun;23(11-12):1751-9
pubmed: 24251862
Health Qual Life Outcomes. 2021 Apr 13;19(1):119
pubmed: 33849558
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Br J Psychiatry. 2011 Dec;199(6):445-52
pubmed: 22130746
Suicide Life Threat Behav. 2020 Dec;50(6):1105-1114
pubmed: 32744356