Developing a consensus of recovery from suicidal ideations and behaviours: A Delphi study with experts by experience.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
25
11
2022
accepted:
28
08
2023
medline:
22
9
2023
pubmed:
20
9
2023
entrez:
20
9
2023
Statut:
epublish
Résumé
Understanding recovery in mental health has received significant attention and consequently, recovery has been incorporated into health policy across many countries in the Global North. In comparison, the concept of 'recovery' from suicidal thoughts and behaviours has received little attention. However, the few studies in this area appear to suggest that recovery is a complex and an idiosyncratic process with many contributing factors. This can present a challenge for clinicians and services seeking to become more recovery focused. Thus, it seems of importance to develop a consensus on how recovery from suicidal thoughts and behaviours is conceptualised. The study aimed to use the Delphi design to establish a consensus of how recovery is defined by those with lived experience of suicidal thoughts and behaviours. The Delphi method draws on the expertise of a panel, often involving clinicians, researchers and lived experience experts to develop consensus over a topic by inviting them to rate the importance of, often a series of statements to a given topic area. Lived experience experts were asked to complete two rounds of questionnaires distributed online to capture their views on recovery. A total of 196 individuals gave their views on the first round of the study and 97 gave their views on the second round. A final list of 110 statements was developed that 80% or more of participants defined as essential or important. Statements covered items that were important in defining, facilitation and hindering the process of recovery. Findings are consistent with the wider literature that suggests that recovery is an idiosyncratic process, but with many commonly shared features. Here we also show that a comprehensive definition of recovery must include factors that hinder the process of recovery. Implications and recommendations for practice, policy development and future research are discussed.
Sections du résumé
BACKGROUND
Understanding recovery in mental health has received significant attention and consequently, recovery has been incorporated into health policy across many countries in the Global North. In comparison, the concept of 'recovery' from suicidal thoughts and behaviours has received little attention. However, the few studies in this area appear to suggest that recovery is a complex and an idiosyncratic process with many contributing factors. This can present a challenge for clinicians and services seeking to become more recovery focused. Thus, it seems of importance to develop a consensus on how recovery from suicidal thoughts and behaviours is conceptualised.
AIM
The study aimed to use the Delphi design to establish a consensus of how recovery is defined by those with lived experience of suicidal thoughts and behaviours. The Delphi method draws on the expertise of a panel, often involving clinicians, researchers and lived experience experts to develop consensus over a topic by inviting them to rate the importance of, often a series of statements to a given topic area.
METHOD
Lived experience experts were asked to complete two rounds of questionnaires distributed online to capture their views on recovery.
RESULTS
A total of 196 individuals gave their views on the first round of the study and 97 gave their views on the second round. A final list of 110 statements was developed that 80% or more of participants defined as essential or important. Statements covered items that were important in defining, facilitation and hindering the process of recovery.
CONCLUSION
Findings are consistent with the wider literature that suggests that recovery is an idiosyncratic process, but with many commonly shared features. Here we also show that a comprehensive definition of recovery must include factors that hinder the process of recovery. Implications and recommendations for practice, policy development and future research are discussed.
Identifiants
pubmed: 37729121
doi: 10.1371/journal.pone.0291377
pii: PONE-D-22-32530
pmc: PMC10511083
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0291377Informations de copyright
Copyright: © 2023 Ropaj et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Lancet Public Health. 2021 Jan;6(1):e6-e7
pubmed: 33417848
Int J Ment Health Nurs. 2017 Apr;26(2):200-207
pubmed: 27417106
Int J Prison Health. 2014;10(4):212-27
pubmed: 25764290
Int J Nurs Stud. 2006 Sep;43(7):791-802
pubmed: 16289065
Ann Intern Med. 2019 Sep 3;171(5):334-342
pubmed: 31450239
BMC Psychiatry. 2018 Oct 16;18(1):334
pubmed: 30326878
Transcult Psychiatry. 2019 Apr;56(2):305-326
pubmed: 30608027
Psychol Psychother. 2017 Dec;90(4):511-529
pubmed: 28217913
Psychiatr Serv. 2010 Dec;61(12):1248-50
pubmed: 21123410
Int J Ment Health Nurs. 2018 Dec;27(6):1756-1766
pubmed: 29847010
Nurs Ethics. 2018 Jun;25(4):444-457
pubmed: 27521246
Psychol Rev. 2010 Apr;117(2):575-600
pubmed: 20438238
BMC Health Serv Res. 2022 Jun 17;22(1):788
pubmed: 35715780
Indian J Psychol Med. 2015 Apr-Jun;37(2):117-9
pubmed: 25969592
J Adv Nurs. 2013 Sep;69(9):2030-40
pubmed: 23294336
Crisis. 2017 Mar;38(2):73-81
pubmed: 27561224
Psychiatr Serv. 2014 Sep 1;65(9):1167-9
pubmed: 24933125
J Adv Nurs. 2008 Oct;64(2):114-26
pubmed: 18990092
PLoS One. 2018 Nov 15;13(11):e0206584
pubmed: 30439958
Philos Trans R Soc Lond B Biol Sci. 2018 Sep 5;373(1754):
pubmed: 30012735
Int J Ment Health Syst. 2014 Jan 28;8(1):6
pubmed: 24467923
Behav Modif. 2008 Jan;32(1):77-108
pubmed: 18096973
Br J Psychiatry. 2017 Aug;211(2):103-108
pubmed: 28642259
Front Psychiatry. 2017 Mar 08;8:35
pubmed: 28337154
Schizophr Bull. 2014 Nov;40(6):1347-55
pubmed: 24727194
Cogn Behav Ther. 2017 Sep;46(5):353-374
pubmed: 28621202
Epidemiol Psychiatr Sci. 2012 Dec;21(4):353-64
pubmed: 22794507
Aust N Z J Psychiatry. 2015 Oct;49(10):887-97
pubmed: 26296368
BMC Public Health. 2016 Feb 24;16:180
pubmed: 26912256
BMC Psychiatry. 2017 Jun 29;17(1):234
pubmed: 28662694
JMIR Mhealth Uhealth. 2020 Jan 15;8(1):e12516
pubmed: 31939744
Int J Nurs Stud. 2008 Jun;45(6):942-53
pubmed: 17400229
BMJ Open. 2021 May 23;11(5):e044434
pubmed: 34024759
Suicide Life Threat Behav. 2020 Jun;50(3):631-642
pubmed: 32115757
J Clin Nurs. 2014 Jun;23(11-12):1751-9
pubmed: 24251862
Psychiatr Serv. 2011 Dec;62(12):1470-6
pubmed: 22193795
Am J Psychiatry. 2005 Mar;162(3):441-9
pubmed: 15741458
Nurs Ethics. 2016 May;23(3):294-307
pubmed: 25539632
Psychol Med. 2015 Dec;45(16):3441-51
pubmed: 26165919
Adm Policy Ment Health. 2018 Jul;45(4):635-648
pubmed: 29411173
BMC Psychiatry. 2019 Jan 7;19(1):6
pubmed: 30616582
J Adv Nurs. 2000 Oct;32(4):1008-15
pubmed: 11095242
Int J Environ Res Public Health. 2015 Feb 23;12(3):2359-72
pubmed: 25711358
Int J Ment Health Syst. 2016 Aug 30;10(1):53
pubmed: 27579055
BMC Psychiatry. 2017 Feb 13;17(1):69
pubmed: 28193192
Br J Psychiatry. 2011 Dec;199(6):445-52
pubmed: 22130746
J Adv Nurs. 2004 Apr;46(1):95-109
pubmed: 15030446
Child Adolesc Ment Health. 2018 Nov;23(4):341-350
pubmed: 32677146
Psychiatr Serv. 2001 Apr;52(4):482-5
pubmed: 11274493
BMJ. 2021 Jun 14;373:n1478
pubmed: 34226175
Issues Ment Health Nurs. 2016 Oct;37(10):715-726
pubmed: 27327200
Int J Ment Health Nurs. 2007 Aug;16(4):257-65
pubmed: 17635625
Lancet Psychiatry. 2020 Dec;7(12):1046-1053
pubmed: 33189221