Storytelling in Care: Leveraging Narrative Identity and Suicide Narratives for Advanced Suicide Risk Assessments.

IF 1.7 4区 医学 Q3 NURSING Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-03-12 DOI:10.1177/10783903251321502
Matias Gay
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Abstract

Objective: To explore how integrating Narrative Identity (NI) theory and the Suicidal Narrative (SN) framework into nursing practices can enhance suicide risk assessments and therapeutic engagement, promoting resilience, hope, and recovery among patients.

Methods: This study reviews existing literature on NI and SN frameworks, examining their theoretical foundations and applicability in nursing. It analyzes how these frameworks improve understanding of patient suicidality through qualitative assessment of personal narratives and identifies practical steps for implementation in clinical settings.

Results: The integration of NI and SN into nursing practices has shown potential in improving the quality of suicide risk assessments. It enables nurses to gain a deeper, empathetic understanding of the factors influencing each patient's suicidality, fostering enhanced therapeutic engagement. Challenges such as time constraints and the need for specific training in narrative techniques are identified.

Conclusions: Incorporating NI and SN into nursing assessments can significantly enrich the suicide risk assessment process, providing a more nuanced and empathetic approach that focuses on individual patient stories. However, effective implementation requires overcoming several barriers, including enhancing nurse training in narrative methods and adjusting clinical workflows to accommodate more in-depth patient interactions.

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在护理中讲故事:利用叙事身份和自杀叙事进行高级自杀风险评估。
目的:探讨如何将叙事认同(NI)理论和自杀叙事(SN)框架整合到护理实践中,以提高自杀风险评估和治疗参与度,促进患者的适应能力、希望和康复。方法:本研究回顾了NI和SN框架的现有文献,考察其理论基础及其在护理中的适用性。它分析了这些框架如何通过对个人叙述的定性评估来提高对患者自杀的理解,并确定了在临床环境中实施的实际步骤。结果:将NI和SN整合到护理实践中显示出提高自杀风险评估质量的潜力。它使护士能够更深入地了解影响每个病人自杀的因素,从而促进增强的治疗参与。挑战,如时间限制和需要在叙述技巧的具体培训被确定。结论:将NI和SN纳入护理评估可以显著丰富自杀风险评估过程,提供一种更细致、更感同身受的方法,关注患者的个人故事。然而,有效的实施需要克服几个障碍,包括加强护士在叙述方法方面的培训,调整临床工作流程以适应更深入的患者互动。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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