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Client-reported impact of the Attempted Suicide Short Intervention Program.

Selma Gaily-Luoma1, Jukka Valkonen2, Juha Holma1

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Suicide attempt survivors found the Attempted Suicide Short Intervention Program (ASSIP) helpful for positive change but desired more support. They highlighted needs for sustained gains and better post-intervention care.

Keywords:
ASSIPbrief treatmentclients' perspectivequalitativesuicide attempt

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Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • A history of suicide attempts is a primary predictor of suicide death.
  • Brief interventions for tertiary suicide prevention have been studied, but survivor experiences are underreported.
  • Understanding survivor perspectives is crucial for refining suicide prevention strategies.

Purpose of the Study:

  • To explore suicide attempt survivors' perceptions of the impact of the Attempted Suicide Short Intervention Program (ASSIP).

Main Methods:

  • Qualitative study involving semi-structured interviews with 14 Finnish adults who received ASSIP.
  • Interviews were conducted 4-10 weeks post-intervention.
  • Conventional content analysis was used to analyze interview data.

Main Results:

  • Three core categories of perceived impact: life-affirming change (feeling/thinking/acting differently, new resources), collateral effects (difficult feelings, cognitive overload), and incompleteness of change (lack of desired change, need for sustenance).
  • Participants reported ASSIP facilitated positive changes but acknowledged the need for ongoing support.
  • Key areas for improvement included predictable post-intervention services and support for involving loved ones.

Conclusions:

  • ASSIP is perceived as effective in initiating life-affirming changes.
  • Survivors require continued support to maintain and enhance intervention gains.
  • Enhanced post-intervention care pathways and family involvement are critical for optimizing outcomes.