Theoretical model of recovery following a suicidal episode (COURAGE): scoping review and narrative synthesis.
Theoretical model of recovery following a suicidal episode (COURAGE): scoping review and narrative synthesis.
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DOI：
10.1192/bjo.2022.599
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发表时间：
2022-11-17
期刊：
影响因子：
5.4
通讯作者：
Goodman, Marianne
中科院分区：
文献类型：
--
作者：
Sokol, Yosef;Levin, Chynna;Linzer, Mairav;Rosensweig, Chayim;Hubner, Shifra;Gromatsky, Molly;Walsh, Samantha;Dixon, Lisa;Goodman, Marianne
尽管有很大的需求，但目前还没有严格开发的基于经验的模型来说明自杀事件后的个人恢复是什么样子。在综合文献回顾和利益相关者反馈的基础上，建立自杀事件后个人康复的理论模型。对关于这一专题的所有经验研究进行了范围审查，然后进行了专题分析，以建立一个初步框架。然后根据利益攸关方小组的反馈进行了基于磋商的修订，以开发最终的理论模型。最终的模型包括七个主题：选择生活、优化身份、了解自己、重新发现意义、接受、不断增长的联系和赋权(缩写为“勇气”)。尽管勇气和其他个人康复模式之间有一些相似之处，但也有一些组成部分是针对急性自杀事件后的康复，比如选择生活和了解自己。据我们所知，这是第一次使用全面的文献回顾和利益相关者反馈来开发急性自杀事件后个人康复的概念模型。这个模型对研究人员和临床医生都有重要的意义。展望未来，勇气可以帮助经历过自杀经历的个人重新构思评估、研究和临床护理。
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.
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