Objective Describe use of services and self-care strategies by people experiencing suicidal thoughts. Methods Constituents of the Depression and Bipolar Support Alliance (n=611) completed an anonymous online survey regarding experience of suicidal ideation and use of a range of clinical services, community supports, and self-care strategies. Results Mental health providers were the most frequently used and the most favorably rated sources of support. Peer supports were less frequently used, bu also favorably rated. Emergency rooms and crisis lines were used less frequently and were rated less favorably. The most frequently-used self-care strategies included distracting activities, social activities, positive affirmations, exercise, and personal spiritual practices. Conclusions Peer support may be an under-utilized resource for coping with suicidal thoughts. Unfavorable ratings for emergency rooms and crisis clinics may indicate a need to develop more collaborative models of emergency care. Frequent use of spiritual practices suggests greater attention to spirituality in suicide prevention.
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