Introduction: Visual methodologies are a collection of methods used to understand and interpret images. These methods have been used for a long time in anthropology and sociology; however, they are a relatively new way to research for the majority of disciplines, especially health research. Two effective visual methodologies that could be used in health research are autophotography and photo elicitation. Autophotography: Autophotography is asking participants to take photographs of their environment and then using the photographs as actual data. Autophotography captures the world through the participant’s eyes with subsequent knowledge production. Photo Elicitation: Photo elicitation is using photographs or other visual mediums in an interview to generate verbal discussion to create data and knowledge. Different layers of meaning can be discovered as this method evokes deep emotions, memories, and ideas. Photo elicitation interviews contribute to trustworthiness and rigor of the findings through member checking. Mental Health Research: This article aims to describe the use of autophotography and photo elicitation to compare people with clinically diagnosed depression and people without depression and their ideas about sources of meaning in life and beliefs about the meaning of life. The analytical approach incorporates eight steps. Firstly, data analysis began during the interviews, then came organizing the data, coding the data, structured analysis, detailed analysis, interpretative analysis, creating themes, and the write-up. The steps taken to ensure trustworthiness were Shenton’s credibility, transferability, confirmability, and dependability. This method is a new, innovative, and viable method for mental health researchers.

Objective. To determine the adverse event (AE) rate for surgical patients in Australia. Design. A two-stage retrospective medical record review was conducted to determine the occurrence of AEs in hospital admissions. Medical records were screened for 18 criteria and positive records were reviewed by two medical officers using a structured questionnaire. Setting. Admissions in 1992 to 28 randomly selected hospitals in Australia. Study participants. Five hundred and twenty eligible admissions were randomly selected from in-patient databases in each hospital. A total of 14 179 medical records were reviewed, with 8747 medical and 5432 surgical admissions. Main outcome measures. Measures included the rate of AEs in surgical and medical admissions, the proportion resulting in permanent disability and death, the proportion determined to be highly preventable, and the identification of risk factors associated with AEs. Results. The AE rate for surgical admissions was 21.9%. Disability that was resolved within 12 months occurred in 83%, 13% had permanent disability, and 4% resulted in death. Reviewers found that 48% of AEs were highly preventable. The risk of an AE depended on the procedure and increased with age and length of stay. Conclusion. The high AE rate for surgical procedures supports the need for monitoring and intervention strategies. The 18 screening criteria provide a tool to identify admissions with a greater risk of a surgical AE. Risk factors for an AE were age and procedure, and these should be assessed prior to surgery. Prophylactic interventions for infection and deep vein thrombosis could reduce the occurrence of AEs in hospitals.

The aim of this integrative literature review was to identify high quality empirical research and theoretical literature on the sources of meaning in life and people's beliefs regarding the meaning of life. This will inform current mental health clinical practice and research by providing a synthesis of empirical and theoretical literature. Failure to address meaninglessness or the existential crisis can lead to psychopathologies such as depression, anxiety, addiction, aggression, hopelessness, apathy, lower levels of well-being, physical illness, and suicide. Integrative literature reviews incorporate empirical research and theoretical literature. The inclusion criteria were primary research and theoretical papers and books by prominent theorists. Thirty-nine items underwent the critical appraisal process. Thirty-two papers or books were included. Overwhelmingly the results revealed that relationships, particularly relationships with family, are cited as the most important source of meaning in people's lives in all cultures and age groups. There was no consensus identified to answer the meaning of life question. These results and future research will allow mental health clinicians to help patients deepen their understanding of themselves, identify where they find meaning and understand their beliefs about meaning of life, contributing to a reduction in symptomatology and meaninglessness, and an increase in happiness, life satisfaction, positive affect, better coping, psychosocial health and well-being, and more meaningfulness in life.