[In Press] The impact of outdoor therapeutic recreation on suicidality : a mixed-method systematic review

T. Yousiph; C. Patterson; R. Fernandez; Stewart Alford; L. Moxham

doi:10.1080/00222216.2023.2298490

[In Press] The impact of outdoor therapeutic recreation on suicidality : a mixed-method systematic review

T. Yousiph, C. Patterson, R. Fernandez, Stewart Alford, L. Moxham

Western Sydney University

Research output: Contribution to journal › Article › peer-review

Abstract

The aim of this systematic review was to synthesize the evidence on the impact of outdoor therapeutic recreation (TR) on suicidality. Five databases were interrogated, and critical appraisal, data extraction and synthesis for included articles were conducted according to the Joanna Briggs Institute (JBI) guidelines. Nine studies met the inclusion criteria. Synthesised themes included: Interpersonal Relationships; Self-Discovery; The Therapeutic Milieu; Future-Focused Ways of Thinking; and Program Structure. Meta-analysis revealed no significant difference in suicidal ideation scores among those who received TR and those who did not, however, a reduction in depression rates were observed in people who received TR (SMD –0.74; 95% CI –1.24 to –0.24; p = 0.92; I2 0%). While there was no significant difference in suicidal ideation scores, there was a reduction in depression rates among individuals who participated in TR. Further research is needed to ascertain the effectiveness of outdoor TR in reducing suicidality.

Original language	English
Number of pages	21
Journal	Journal of Leisure Research
DOIs	https://doi.org/10.1080/00222216.2023.2298490
Publication status	Published - 2024

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http:// creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

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10.1080/00222216.2023.2298490

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title = "[In Press] The impact of outdoor therapeutic recreation on suicidality : a mixed-method systematic review",

abstract = "The aim of this systematic review was to synthesize the evidence on the impact of outdoor therapeutic recreation (TR) on suicidality. Five databases were interrogated, and critical appraisal, data extraction and synthesis for included articles were conducted according to the Joanna Briggs Institute (JBI) guidelines. Nine studies met the inclusion criteria. Synthesised themes included: Interpersonal Relationships; Self-Discovery; The Therapeutic Milieu; Future-Focused Ways of Thinking; and Program Structure. Meta-analysis revealed no significant difference in suicidal ideation scores among those who received TR and those who did not, however, a reduction in depression rates were observed in people who received TR (SMD –0.74; 95% CI –1.24 to –0.24; p = 0.92; I2 0%). While there was no significant difference in suicidal ideation scores, there was a reduction in depression rates among individuals who participated in TR. Further research is needed to ascertain the effectiveness of outdoor TR in reducing suicidality.",

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AU - Moxham, L.

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AB - The aim of this systematic review was to synthesize the evidence on the impact of outdoor therapeutic recreation (TR) on suicidality. Five databases were interrogated, and critical appraisal, data extraction and synthesis for included articles were conducted according to the Joanna Briggs Institute (JBI) guidelines. Nine studies met the inclusion criteria. Synthesised themes included: Interpersonal Relationships; Self-Discovery; The Therapeutic Milieu; Future-Focused Ways of Thinking; and Program Structure. Meta-analysis revealed no significant difference in suicidal ideation scores among those who received TR and those who did not, however, a reduction in depression rates were observed in people who received TR (SMD –0.74; 95% CI –1.24 to –0.24; p = 0.92; I2 0%). While there was no significant difference in suicidal ideation scores, there was a reduction in depression rates among individuals who participated in TR. Further research is needed to ascertain the effectiveness of outdoor TR in reducing suicidality.

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[In Press] The impact of outdoor therapeutic recreation on suicidality : a mixed-method systematic review

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