Sustainable Career Transitions and Mental Health Support in Elite Sport: A Systematic Review of Evidence and Practices
Francesca Di Rocco, Cristian Romagnoli, Simone Ciaccioni, Laura Capranica, Elvira Padua, Flavia Guidotti

TL;DR
This paper reviews how elite athletes can smoothly transition out of sports while maintaining mental health, highlighting the need for better support systems.
Contribution
The study provides a systematic review of sustainable career transitions in elite sports, emphasizing mental health and dual-career strategies.
Findings
Mental health support is crucial during career transitions for elite athletes.
Dual-career planning and proactive identity negotiation are key to successful transitions.
There are significant gaps in psychological support and structured transition planning across countries and sports.
Abstract
The present systematic review aims to provide a comprehensive synthesis of evidence and practices regarding sustainable career transitions in elite sport. Following PRISMA guidelines, an extensive literature search was conducted in SPORTDiscus (EBSCOhost), PsycINFO, Scopus, Web of Science, and Google Scholar databases, resulting in 117 manuscripts, published from January 2015 to May 2025, and meeting the defined inclusion criteria. The review focused on mental health, dual-career pathways, transition readiness, and identity-related issues among elite athletes, Olympians, and Paralympians. Methodologies included qualitative, quantitative, and mixed-methods designs, with multisport and mixed-gender samples prevailing. The most commonly used instruments were semi-structured interviews and surveys. The main findings highlighted the centrality of mental health support, the role of…
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Taxonomy
TopicsSport Psychology and Performance · Sports, Gender, and Society · Knee injuries and reconstruction techniques
