Funding sourcesThe Belgian Health Care Knowledge Centre (KCE) funded and sponsored the trial via the KCE Trials Programme (study ID KCE16012), a national public funding programme of noncommercial trials. No funding from the manufacturers of the study devices was received. Involvement of the sponsor included refinement of the study design and statistical analyses but they were not involved in data collection. KCE members reviewed the manuscript for statistical correctness and interpretation. The corresponding author had the final responsibility for the decision to publish.

Involvement of family members of adults with suicidal ideation is a key area of improvement in inpatient mental health services. To support family involvement in this context, it is crucial to understand what care and treatment family members expect for their relative. This qualitative study based on grounded theory involved interviews with 14 family members, including partners, parents, adult children and siblings. The family members' expectations of care and treatment in inpatient mental health services were captured by the core element 'Struggling to remain hopeful while looking through the lens of uncertainty'. This core element interacted with four sub-elements: assuming safety as a priority, looking for a healing approach and environment, counting on continuity of care and wanting to be involved and supported. The family members fluctuated between hope and uncertainty depending on whether their expectations were met or unmet. Unmet expectations were common and underpinned by a sense of being marginalized during the admission of their relative with suicidal ideation. Mental health professionals, including nurses, can be more empathetic towards the family members and attuned to their expectations. This can underpin partnerships that help families to deal with their feelings of uncertainty and disempowerment. Such partnerships can flourish in recovery-oriented mental health services that allow meaningful family involvement.

AimTo identify the associated factors of hope during treatment in cancer patients.BackgroundHope is very important to cancer patients at all stages of the disease process. Hope is seen as an important coping mechanism. Most research about hope in cancer patients considered the end of life or in palliative care. Several and different factors are associated with hope. It is not yet sufficiently clear which factors are associated with hope during the treatment.DesignA systematic literature review of quantitative empirical studies on hope in cancer patients during treatment.Data SourcesSearch in MEDLINE (PubMed interface), CINAHL (EBSCO interface), Psychinfo and Cochrane (January 2009–December 2018).Review MethodsEmpirical quantitative studies were included regardless of the disease stage, written in English or Dutch, measuring hope from the perspective of cancer patients. Two authors independently screened all the studies and assessed their quality.ResultsThirty‐three studies were included. Positive relationship has been established between hope and quality of life, social support, spiritual and existential well‐being. Hope appears to be negatively associated with symptom burden, psychological distress and depression. There appears to be no relationship between hope and demographic and clinical variables. The relationship between anxiety and hope remains unclear.ConclusionsHope primarily seems to be a process that takes place in a person's inner being rather than being determined from outside.ImpactHealth professionals may want to focus on the meaning of hope for cancer patients in relation to the associated factors. A better understanding of the meaning of hope during treatment can be of great value in supporting cancer patients with regard to treatment decisions, psychosocial support, the experienced quality of life and symptom burden and any wishes they may have with regard to advanced care planning.

Suicide is a global public health problem that extracts enormous personal, societal and economic burdens. Consequently, suicide prevention has become a high priority on the global public health agenda (Turecki & Brent, 2016; Zalsman et al., 2016). The current study focused on suicidal ideation, a phenomenon that is often overlooked in suicide-related research and refers to the range of thoughts and feelings associated with thinking about, considering or planning sui