Experience of suicidal thoughts: a discourse analytic study

In this paper we explore the relationship between current psychiatric thinking on suicide and service users' accounts of suicidal ideation and suicide attempts. The data comes from recordings of psychiatric interviews collected in three psychiatric hospitals in Poland. Assuming a constructionist view of discourse we argue that the literature on suicide ignores and simplifies the experience of those who think about suicide and attempt to commit it, and constructs their experiences as a homogeneous group of 'thoughts' with only limited content. We also offer a preliminary insight into the complexity of 'suicide thoughts', as narrated by those reporting them. We demonstrate that they are marginalized and made relatively irrelevant in the accounts of attempted suicide. Additionally, we demonstrate that while women construct suicide attempts (whether actually attempted in the end or not) as at least potentially beyond their control, men's narratives show them in control of the attempt, as if choosing an available option. We conclude by exploring possibilities of further qualitative discourse analytic research which builds on the findings we present here.