Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts

Purpose: In recent decades, suicide prevention initiatives have increased substantially, yet the suicide rate has continued to rise, and suicide deaths are still generally perceived as unexpected. This study sought to identify factors that might account for this discrepancy by focusing on the exhibi...

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Main Authors: Jacqueline K. Krychiw, Erin F. Ward-Ciesielski
Format: Article
Language:English
Published: Taylor & Francis Group 2019-01-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2019.1650585
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author Jacqueline K. Krychiw
Erin F. Ward-Ciesielski
author_facet Jacqueline K. Krychiw
Erin F. Ward-Ciesielski
author_sort Jacqueline K. Krychiw
collection DOAJ
description Purpose: In recent decades, suicide prevention initiatives have increased substantially, yet the suicide rate has continued to rise, and suicide deaths are still generally perceived as unexpected. This study sought to identify factors that might account for this discrepancy by focusing on the exhibition of suicide warning signs. Methods: Qualitative interviews were conducted with 15 adults [mean age = 36 (SD = 14), 93% female] who had attempted suicide at least once in their lifetime. Results: A disconnect between participants and their environment emerged as a central theme. Many expressed ambivalence about whether they wanted others to intervene before their attempts, resulting in either expression or inhibition of warning signs. Regardless of whether they wanted their attempt to be predictable, most participants expressed disappointment if they perceived a lack of intervention before their attempt. In some cases, this disappointment exacerbated distress and may have contributed to the attempt itself. Participants also expressed difficulty disclosing their suicidal ideation to others. Thus, even if they wanted help, participants were unsure how to effectively attain it. Conclusions: Findings underscore the complexity of predicting and preventing suicide; however, engaging individuals with lived experience in these efforts facilitates greater understanding toward outreach and intervention approaches.
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spelling doaj.art-54d6f95eb67b4776b3835691d894663b2024-02-01T14:39:34ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312019-01-0114110.1080/17482631.2019.16505851650585Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attemptsJacqueline K. Krychiw0Erin F. Ward-Ciesielski1Hofstra UniversityHofstra UniversityPurpose: In recent decades, suicide prevention initiatives have increased substantially, yet the suicide rate has continued to rise, and suicide deaths are still generally perceived as unexpected. This study sought to identify factors that might account for this discrepancy by focusing on the exhibition of suicide warning signs. Methods: Qualitative interviews were conducted with 15 adults [mean age = 36 (SD = 14), 93% female] who had attempted suicide at least once in their lifetime. Results: A disconnect between participants and their environment emerged as a central theme. Many expressed ambivalence about whether they wanted others to intervene before their attempts, resulting in either expression or inhibition of warning signs. Regardless of whether they wanted their attempt to be predictable, most participants expressed disappointment if they perceived a lack of intervention before their attempt. In some cases, this disappointment exacerbated distress and may have contributed to the attempt itself. Participants also expressed difficulty disclosing their suicidal ideation to others. Thus, even if they wanted help, participants were unsure how to effectively attain it. Conclusions: Findings underscore the complexity of predicting and preventing suicide; however, engaging individuals with lived experience in these efforts facilitates greater understanding toward outreach and intervention approaches.http://dx.doi.org/10.1080/17482631.2019.1650585suicideactor-observer biasbiosocial theoryinterpersonal-psychological theory of suicide
spellingShingle Jacqueline K. Krychiw
Erin F. Ward-Ciesielski
Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts
International Journal of Qualitative Studies on Health & Well-Being
suicide
actor-observer bias
biosocial theory
interpersonal-psychological theory of suicide
title Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts
title_full Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts
title_fullStr Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts
title_full_unstemmed Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts
title_short Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts
title_sort factors related to suicide s unpredictability a qualitative study of adults with lived experience of suicide attempts
topic suicide
actor-observer bias
biosocial theory
interpersonal-psychological theory of suicide
url http://dx.doi.org/10.1080/17482631.2019.1650585
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