ArticleBJPsych open2022
Theoretical model of recovery following a suicidal episode (COURAGE): scoping review and narrative synthesis.
Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06686498 (Impact of a Recovery Model-based Intervention Targeting Adult Repeat Suicide Attempters), which is not on this map. Cited by 4 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Impact of a Recovery Model-based Intervention Targeting Adult Repeat Suicide Attempters: a Transformative Mixed Evaluation
Who cites it
4 citing papers in PubMed.
- Recovery from suicidality in youth aged 6 to 25: a review of 50 quantitative and qualitative studies.European child & adolescent psychiatry · 2026Review
- Evaluating continuous identity cognitive therapy for veterans with a recent suicidal episode: An open-label group pilot study.Contemporary clinical trials communications · 2025Article
- Suicide attempt survivors' recovery-related agency in the relational context of services: a qualitative analysis.BMC public health · 2024Article
- Feasibility and acceptability of continuous identity cognitive therapy as a recovery-oriented suicide treatment for Veterans: A study protocol.Contemporary clinical trials communications · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundDespite a significant need, there are currently no rigorously developed empirically based models for what personal recovery from a suicidal episode looks like.
aimsTo develop a theoretical model of personal recovery after a suicidal episode, based on a comprehensive literature review and stakeholder feedback.
methodA 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.
resultsThe 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.
conclusionsTo 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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Registered trials
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