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Person-centred suicide prevention: key elements from the perspective of people living with suicidality
Malin Rex1,2,3, Margda Waern4,5, Eric Carlström1,3
1Institute of Health and Care Sciences, Sahlgrenska Academy Gothenburg, University of Gothenburg, Gothenburg, Sweden.
Purpose:
The perspectives of individuals with lived experience are essential to understanding how care practices support or hinder person-centred suicide prevention. This study explores experiences of individuals who sought healthcare in Sweden during suicidal crises.
Methods:
In-depth interviews with 28 individuals with current or past suicidal behaviour were analysed using a phenomenological hermeneutical approach.
Results:
Six themes emerged: (1) Hoping for the best, while preparing for the worst, (2) The risks of help-seeking, (3) In need of a safe space, (4) Support from professionals, (5) "Now it's your turn", and (6) A shared journey. Findings indicate that individuals with suicidal behaviour view themselves as motivated and capable partners in shaping the care process and believe that co-creating care can help delay or lessen exacerbations. Participants who co-created their care felt better prepared for self-care during early escalation and more confident that, if their condition worsened, they and their healthcare team could address a shared challenge.
Conclusion:
According to participants, key elements of person-centred care include early engagement, long-term goals, and planning for crises. During intense suicidality, they emphasised the need for supportive environments and relationships-over mere security. Mutual trust between patient and healthcare team was seen as essential.
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