Wavering between life and death: a qualitative study into the perceived causes and needs of persons with persistent suicidality
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View abstract on PubMed
Summary
This summary is machine-generated.Persistent suicidality, often linked to trauma, requires care focused on acceptance and managing thoughts, not just recovery. Key needs include continuous therapeutic relationships and open discussion of suicidal ideation.
Area Of Science
- Psychiatry
- Psychology
- Clinical Practice
Background
- Persistent suicidality is underrepresented in scientific literature compared to clinical experience.
- Subjective understandings of chronic suicidality can offer insights into care strategies.
Purpose Of The Study
- To identify perceived causes of persistent suicidality.
- To determine the needs of individuals with persistent suicidality and supporting professionals.
Main Methods
- Semi-structured interviews with 12 individuals with lived experience and 10 occupational experts.
- Reflexive thematic analysis of interview data.
Main Results
- Perceived causes include childhood trauma and psychopathology.
- Suicidality may persist due to perceived functionality or treatment failure.
- Key needs: care continuity, feeling heard, open discussion, and acceptance of suicidal thoughts.
Conclusions
- Care should integrate acceptance and management of suicidal thoughts alongside recovery.
- Effective strategies include teaching coping/communication skills and addressing therapeutic dynamics.
- Continuity of care and addressing transference are crucial.
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