Abstract：
OBJECTIVE: To systematically review and synthesize primary research on experiences and needs of adult informal caregivers of adults at risk of suicide.
METHODS: Systematic review with a data-based convergent synthesis.
METHODS: MEDLINE, PsychINFO and CINAHL were searched in April 2022 and February 2023. English language research focusing on experiences of adult carers of adults was included.
METHODS: Articles were screened by title (n = 9077) and abstract (n = 132) with additional articles (n = 6) obtained via citation and hand searching. Thirty-one included studies were quality assessed using the Mixed Methods Appraisal Tool and study data were systematically extracted prior to thematic synthesis.
RESULTS: Five interconnected themes resulted: transitions; living with fear and uncertainty; changing relationships; interface with healthcare professionals and services; what carers need and want. Caring impacts mental, physical and social wellbeing. Relationships are affected in ways which might not be evident when caring for a minor. Repeated suicidal behaviour is particularly challenging with ongoing hypervigilance contributing to burden, burnout and interpersonal strain. Poor carer support exacerbates negative effects; carers need to feel informed, educated, involved and holistically supported.
CONCLUSIONS: Timely support for carers is essential. Interventions should address emotional responses, relational changes and effective care recipient support. Longitudinal research is required to understand effects of ongoing caring where there are multiple suicide attempts.
CONCLUSIONS: Nurses can provide carers with early support and information and longer term psychosocial interventions. If carers are adequately equipped and supported patient safety and wellbeing will be improved.
CONCLUSIONS: Findings of this systematic review include relational changes due to carer hypervigilance reducing autonomy and living with the possibility of suicide. Clinician awareness of the potential for relational shifts will help them prepare and support carers.
UNASSIGNED: There was no patient or public contribution.
METHODS: Systematic review with a data-based convergent synthesis.
METHODS: MEDLINE, PsychINFO and CINAHL were searched in April 2022 and February 2023. English language research focusing on experiences of adult carers of adults was included.
METHODS: Articles were screened by title (n = 9077) and abstract (n = 132) with additional articles (n = 6) obtained via citation and hand searching. Thirty-one included studies were quality assessed using the Mixed Methods Appraisal Tool and study data were systematically extracted prior to thematic synthesis.
RESULTS: Five interconnected themes resulted: transitions; living with fear and uncertainty; changing relationships; interface with healthcare professionals and services; what carers need and want. Caring impacts mental, physical and social wellbeing. Relationships are affected in ways which might not be evident when caring for a minor. Repeated suicidal behaviour is particularly challenging with ongoing hypervigilance contributing to burden, burnout and interpersonal strain. Poor carer support exacerbates negative effects; carers need to feel informed, educated, involved and holistically supported.
CONCLUSIONS: Timely support for carers is essential. Interventions should address emotional responses, relational changes and effective care recipient support. Longitudinal research is required to understand effects of ongoing caring where there are multiple suicide attempts.
CONCLUSIONS: Nurses can provide carers with early support and information and longer term psychosocial interventions. If carers are adequately equipped and supported patient safety and wellbeing will be improved.
CONCLUSIONS: Findings of this systematic review include relational changes due to carer hypervigilance reducing autonomy and living with the possibility of suicide. Clinician awareness of the potential for relational shifts will help them prepare and support carers.
UNASSIGNED: There was no patient or public contribution.
摘要：
目的：系统回顾和综合关于有自杀风险的成人非正式照顾者的经验和需求的初步研究。
方法：基于数据的会聚综合的系统综述。
方法：MEDLINE，PsychINFO和CINAHL在2022年4月和2023年2月进行了搜索。包括英语语言研究，重点是成人照顾者的经验。
方法：通过标题（n=9077）和摘要（n=132）筛选文章，并通过引用和手工搜索获得其他文章（n=6）。使用混合方法评估工具对31项纳入的研究进行了质量评估，并在主题综合之前系统地提取了研究数据。
结果：产生了五个相互关联的主题：过渡；生活在恐惧和不确定性中；改变关系；与医疗保健专业人员和服务的接口；护理人员需要和想要什么。关爱会影响精神，身体和社会福祉。关系受到影响，在照顾未成年人时可能不明显。反复的自杀行为尤其具有挑战性，持续的过度警惕会增加负担，倦怠和人际关系紧张。较差的照顾者支持会加剧负面影响；照顾者需要感到知情，受过教育，参与和整体支持。
结论：对护理人员的及时支持至关重要。干预应该解决情绪反应，关系变化和有效的护理接受者支持。需要进行纵向研究，以了解有多次自杀企图的持续护理的影响。
结论：护士可以为护理人员提供早期支持和信息以及长期的心理社会干预。如果护理人员有足够的装备和支持，患者的安全和福祉将得到改善。
结论：本系统综述的结果包括由于照顾者过度警惕性降低自主性和生活有自杀可能性而引起的关系变化。临床医生对关系转变潜力的认识将帮助他们准备和支持护理人员。
■没有患者或公共捐款。
方法：基于数据的会聚综合的系统综述。
方法：MEDLINE，PsychINFO和CINAHL在2022年4月和2023年2月进行了搜索。包括英语语言研究，重点是成人照顾者的经验。
方法：通过标题（n=9077）和摘要（n=132）筛选文章，并通过引用和手工搜索获得其他文章（n=6）。使用混合方法评估工具对31项纳入的研究进行了质量评估，并在主题综合之前系统地提取了研究数据。
结果：产生了五个相互关联的主题：过渡；生活在恐惧和不确定性中；改变关系；与医疗保健专业人员和服务的接口；护理人员需要和想要什么。关爱会影响精神，身体和社会福祉。关系受到影响，在照顾未成年人时可能不明显。反复的自杀行为尤其具有挑战性，持续的过度警惕会增加负担，倦怠和人际关系紧张。较差的照顾者支持会加剧负面影响；照顾者需要感到知情，受过教育，参与和整体支持。
结论：对护理人员的及时支持至关重要。干预应该解决情绪反应，关系变化和有效的护理接受者支持。需要进行纵向研究，以了解有多次自杀企图的持续护理的影响。
结论：护士可以为护理人员提供早期支持和信息以及长期的心理社会干预。如果护理人员有足够的装备和支持，患者的安全和福祉将得到改善。
结论：本系统综述的结果包括由于照顾者过度警惕性降低自主性和生活有自杀可能性而引起的关系变化。临床医生对关系转变潜力的认识将帮助他们准备和支持护理人员。
■没有患者或公共捐款。
