Gay Matias
Department of Emergency Mental Health and Addictions, IWK Health Centre.
Fam Syst Health. 2025 Jun;43(2):342-356. doi: 10.1037/fsh0000994. Epub 2025 Jun 9.
Suicide often arises from a collapse of personal identity and life narrative; yet, traditional risk assessments frequently overlook these deeper disruptions. Narrative identity theory offers a lens to understand suicidality as a crisis of selfhood and meaning.
This article introduces a clinically applicable method to assess suicide risk through three core narrative domains: character (who the person is), setting (where they come from), and script (where they believe they are going).
Drawing on narrative identity theory and existential psychology, the proposed approach guides clinicians to identify disconnections in role, belonging, and future orientation. Story-based tools for assessment and intervention are presented to support the reconstruction of narrative coherence and personal agency.
Mapping narrative disruptions across character, setting, and script enables early identification of suicide risk, especially in individuals who may not meet traditional thresholds for acute risk. Narrative reauthoring interventions help reestablish continuity, coherence, and hope.
This narrative framework enhances suicide prevention by moving beyond symptom management toward meaning-centered engagement. By helping individuals reweave fragmented life stories, clinicians can more effectively intervene in the existential and identity-based dimensions of suicidality. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
自杀往往源于个人身份认同和人生叙事的崩塌；然而，传统的风险评估常常忽视这些更深层次的混乱。叙事身份理论提供了一个视角，将自杀倾向理解为自我和意义的危机。
本文介绍一种临床适用的方法，通过三个核心叙事领域评估自杀风险：角色（这个人是谁）、背景（他们来自哪里）和脚本（他们认为自己将走向何方）。
借鉴叙事身份理论和存在心理学，所提出的方法指导临床医生识别在角色、归属感和未来取向方面的脱节。展示了基于故事的评估和干预工具，以支持叙事连贯性和个人能动性的重建。
描绘角色、背景和脚本方面的叙事混乱能够早期识别自杀风险，尤其是在可能未达到急性风险传统阈值的个体中。叙事重新创作干预有助于重新建立连续性、连贯性和希望。
这个叙事框架通过超越症状管理转向以意义为中心的参与来加强自杀预防。通过帮助个体重新编织破碎的人生故事，临床医生可以更有效地干预自杀倾向中基于存在和身份的维度。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
