# Lived Experiences of Recovery from Severe Depression with Psychotic Symptoms and Suicidal Behaviors: A Phenomenological Study

## TL;DR

This study explores how people recover from severe depression with psychotic symptoms and suicidal behaviors, highlighting personal transformation and the importance of supportive care.

## Contribution

The study provides novel insights into the lived experiences and meaning-making processes of individuals recovering from severe depression with psychotic symptoms and suicidal behaviors.

## Key findings

- Recovery is described as a personal and transformative journey involving understanding and reframing internal experiences.
- Participants emphasized the importance of therapy, relationships, and self-care in their recovery process.
- Gradual regaining of agency, identity, and meaning in life was a key aspect of long-term recovery.

## Abstract

Severe depression with psychotic symptoms and suicidal behaviors is a critical mental health condition requiring comprehensive care. While clinical interventions are necessary, less is known about the lived experiences of individuals who recover from such complex states. This study explores the lived experiences of recovery among individuals diagnosed with major depressive disorder with severe depression, psychotic symptoms, and suicidal ideation or suicide attempts, focusing on how they found meaning in their journey and maintained recovery over time. A phenomenological approach was employed. In-depth interviews were conducted with nine individuals who had experienced severe depression with psychotic symptoms and suicidal behaviors, received psychiatric treatment, and later achieved recovery. Data were analyzed using interpretive phenomenological analysis. Participants described recovery as a deeply personal and transformative journey. Three core themes emerged: (1) understanding and reframing internal experiences, (2) drawing strength from therapy, relationships, and self-care, and (3) gradually regaining agency, identity, and meaning in life. Recovery from severe depression with psychotic symptoms and suicidal behaviors is possible. Mental health nurses and professionals play a vital role in supporting this journey through person-centered, holistic, and empowering care approaches.