Exploration of suicidal thinking in people with multiple sclerosis: an interpretative phenomenological analysis

Suicidal ideation and rates of suicide are higher within individuals with multiple sclerosis (MS). Despite suicidal ideation often being a precursor to suicide attempts, insufficient research has focused on people living with suicidal thoughts, especially so within MS. The current study aimed to explore the experience of suicidal ideation in individuals with MS.

Interpretative phenomenological analysis using individual semi-structured interviews was employed to explore the experiences of 8 participants who had reported having experienced suicidal ideation following their MS diagnoses.

Three overarching group experiential themes were identified, with inter-related subthemes. 'When the strain of living feels impossible' explored factors including feelings of fading identity, burdensomeness, fear and various losses. 'Living with mental conflict' reflected the internal conflict individuals faced in relation to suicidal thinking, both during and in the aftermath. 'Finding ways to get through' explored individuals' internal and external ways of coping with MS and suicidal thinking.

The findings reflect emotional distress; ongoing adjustment; and the mechanisms by which suicidal thinking can emerge, particularly at times of diagnosis, relapse and stress. The value of both peer and professional support is highlighted, indicating the importance of addressing mental health in people with MS.