Mental Health Crisis: An Evolutionary Concept Analysis.

Autor: Hudson E; Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada., Pariseau-Legault P; Department of Nursing Sciences, Université du Québec en Outaouais, Gatineau, Quebec, Canada., Cassivi C; Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada., Chouinard C; Peer Support Worker, Société Québécoise de la Schizophrénie et des Psychoses Apparentées, Montreal, Quebec, Canada., Goulet MH; Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.
Jazyk: angličtina
Zdroj: International journal of mental health nursing [Int J Ment Health Nurs] 2024 Dec; Vol. 33 (6), pp. 1908-1920. Date of Electronic Publication: 2024 Aug 29.
DOI: 10.1111/inm.13412
Abstrakt: The term 'mental health crisis' is a widely used concept in clinical practice and research, appearing prominently in mental health literature across healthcare and social science disciplines. Within these contexts, the term is frequently either left undefined or defined rather narrowly, confined to clinical observations or guidelines targeted at healthcare providers and negating the multifaceted nature of crisis as described by those with lived experience. Therefore, the aim of this paper is to explore the characteristics of and provide a conceptual definition for the concept of 'mental health crisis'. Rodgers' method of evolutionary concept analysis was employed and 34 articles, ranging from 1994 to 2021 and a variety of disciplines, were analysed. The results highlighted the contrast between clinically oriented surrogate terms and related concepts and those used by individuals with lived crisis experience. Antecedents of crisis included underlying vulnerabilities, relational dysfunction, collapse of life structure and struggles with activities of daily living. The concept's attributes encompassed the temporality of crisis, signs and symptoms of crisis, functional decline and crisis in family and caregivers. Finally, the consequences comprised looking inward for help, looking outward for help, and opportunities and dangers. This concept analysis serves as a foundational step in understanding 'mental health crisis' and its various dimensions, facilitating more nuanced discussions and interventions in the realm of mental healthcare.
(© 2024 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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