Responses of persons at risk of suicide: A critical interpretive synthesis

Abstract

Aim: Several nursing studies focus on suicidal persons; yet, a synthesis of such research is unavailable. The aim of this review was to give an inclusive understanding of responses of persons at risk for suicide that guides clinical nursing practice and research. Design: A reflexive and iterative study design was used in this study. Method: A qualitative content analysis and a systematic review of literature guided the six-phase Critical Interpretive Synthesis. A sample consisting of 24 nursing studies published during 1994–2017 were included in this study. Results: Key concepts found were “Disengaged while fraught with affliction”; “Readiness to engage in life”; and “Engaging through caring and confirming humanity.” Contextually, there are gaps in global nursing knowledge. Conceptually, three key concepts can guide the nursing practice and give an impetus for the research. Methodologically, the Critical Interpretive Synthesis served as a helpful way to summarize and synthesize a small sample size into an aggregate body of knowledge. An evidenced-based understanding of responses of persons at risk for suicide can guide nurses to ensure safety, promote hopeful recovery, and foster resilience.