The Male Experience of Suicide Attempts and Recovery: An Interpretative Phenomenological Analysis

Richardson, Cara; Dickson, Adele; Robb, Kathryn A.; O’Connor, Rory C.

doi:10.3390/ijerph18105209

Cited by 13 publications

(13 citation statements)

References 35 publications

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“…Operating in the low-level-identification modus might prevent a person from experiencing inconsistency in relation to higher-order goal conflicts (e.g., the goal of killing oneself might conflict with the goal of watching one’s children grow up and protecting them from emotional trouble) and thus might contribute to suicidal behavior being executed without interferences. This change in thinking is also demonstrated in a qualitative study with men who survived a suicide attempt ( 42 ).…”

Section: New Directions Of Conceptualizing Suicidality: the Dual-syst...mentioning

confidence: 70%

Understanding suicidal pathways through the lens of a Dual-System Model of Suicidality in real-time: The potential of ecological momentary assessments

et al. 2022

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Within the ideation-to-action framework, existing theories of suicidal thoughts and behaviors (STBs) primarily focus on the linear progression of suicide risk. This, however, neglects growing evidence that many suicidal individuals do not experience their suicide attempt as a planned action, and in some instances deny even having experienced any suicidal thoughts. Furthermore, recent research has found that risk factors differ substantially between persons and that this is reflected in the variety of suicidal pathways. Considering the strong variability of STBs, new innovative theoretical concepts and assessment methods are needed to advance our understanding of multiple suicidal pathways. In this review, we apply a dual-system framework to suicidality, the Dual-System Model of Suicidality (DSMS), which accounts for two different systems of information processing and behavior. The first of these described is the reflective system, whereby STBs are viewed from a self-regulation perspective and thusly considered as maladaptive coping behavior to perceived discrepancies regarding important goals. Applying a feedback-based view such as this to STBs provides a deeper understanding into underlying psychological processes involved in the development of STBs. The second system described by the DSMS is the impulsive system. Here, STBs are seen as a maladaptive self-organizing pattern that gets activated in high-risk situations of acute stress, negative affect, and when resources of the reflective system are depleted. In this context, the DSMS is informed by a strength model of self-regulation, which assumes that self-regulation resources are limited, an aspect with important theoretical and clinical implications for the development of STBs. In order to demonstrate the theoretical and practical utility of the DSMS, this review draws mainly on studies using ecological momentary assessment (EMA), a technology that allows to investigate moment-to-moment changes in STBs, and is therefore well suited for capturing the complex interplay of self-regulatory and impulsive processes proposed by the DSMS. The application of a dual-system framework to suicide research represents an innovative and integrative approach for expanding our knowledge about fundamental processes and how their dynamics lead to STBs. The usefulness of the DSMS, implications for future suicide research with EMA, and clinical implications are discussed.

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Section: New Directions Of Conceptualizing Suicidality: the Dual-syst...mentioning

confidence: 70%

Understanding suicidal pathways through the lens of a Dual-System Model of Suicidality in real-time: The potential of ecological momentary assessments

et al. 2022

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“…Harris et al ( 58 ) reported that talking to people and performing daily activities that demanded a level of concentration (e.g., exercising, listening to music, cooking, and playing computer games) were helpful for patients with schizophrenia diagnoses to suppress their suicidal ideation. Several other research also concluded that emotional expression through talking or writing played an essential role in a suicidal recovery process ( 29 , 71 ).…”

Section: Resultsmentioning

confidence: 99%

“…It may be adversity such as the coming-out process, stressful life events, combat distress, posttraumatic stress symptoms linked to sexual assault or childhood abuse, being in late life, depressive symptoms, and a diagnosis of schizophrenia ( 28 , 34 , 42 , 44 , 50 , 64 , 66 , 67 ). This adversity also includes events directly relating to suicide, which are the strongest predictors of future suicide, such as suicide ideation or suicide attempt ( 71 , 72 ).…”

Section: Resultsmentioning

confidence: 99%

Suicide resilience: A concept analysis

Wang

Dong

2022

Front. Psychiatry

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ObjectiveSuicide resilience is gaining increasing attention from researchers because of its potential role in preventing suicide. However, it has not been clearly analyzed, and there are various meanings and terms regarding this issue. The purpose of this analysis, therefore, was to conceptualize the concept of suicide resilience.MethodsWalker and Avant's method of concept analysis was used to identify the antecedents, attributes, and consequences of suicide resilience. The literature was searched using PubMed, PsychINFO, Embase, Web of Science, CINAHL, CNKI, and WanFang databases with no limitation on publication date. The search included peer-reviewed journal articles and dissertations related to suicide resilience published in English or Chinese.Results52 articles were identified to provide information for this concept analysis. Five defining attributes of suicide resilience were identified: social support, coping strategies, psychological capital, meaning in life, and sense of responsibility. Antecedents of suicide resilience were high suicide risk events, and consequences of suicide resilience were keeping vulnerable individuals stay away from or overcoming suicidality.ConclusionsThe result of the analysis provided a more clear definition of suicide resilience. The identified defining attributes, antecedents, and consequences can be further tested and used to develop potential interventions. Future research is needed and will help to advance our understanding of the scope.

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“…Risk factors with the strongest evidence in men were alcohol and/or drug use/substance use disorder [12,13], being unmarried, single, divorced, or widowed [14,15], and a current diagnosis of depression [16]. To better understand suicidal behavior and ideation in men, some studies also examine the role and influence of gender norms, traditional gender role perceptions and problem-solving strategies [17][18][19]. In addition, it is often discussed that men show less help-seeking behavior in case of mental disorders than women.…”

Section: Introductionmentioning

confidence: 99%

Gender-Specific Aspects of Suicide-Related Communication in a High Risk Sample of Psychiatric Inpatients

Spahn¹,

Kranz²,

Teismann³

et al. 2022

JOMH

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Background: In addition to help-seeking behavior in a professional context, suicide-related communication (SRC) with that discloses suicidal thoughts and plans to relatives and significant others play a major role in suicide prevention. While studies revealed gender differences in help-seeking behavior in case of suicidal thoughts and intent in a professional context, the empirical evidence on SRC and gender is limited. The present study aims to examine gender-specific aspects of prevalence, recipients, pathways, and content of SRC in a high-risk sample of psychiatric inpatients. Results may provide information for the development of gender-specific suicide prevention measures. Methods: This study considered data on SRC among individuals who had been admitted to a psychiatric ward due to suicide attempt or to an increased suicide risk and have previously attempted suicide. In this high-risk sample of 219 psychiatric inpatients (56.2% female: n = 123), SRC was assessed using the Suicide Attempt Self Injury Interview (SASII) and was analyzed with a mixed-method design. Results: There are no significant differences (Chi 2 (4, n = 219) = 3.189, p = 0.074) in the frequencies of SCR between men and women. 34.4% (n = 33) of men and 46.3% (n = 57) of women reported SRC. Differences were found regarding the recipients. No differences in oral/written and explicit/implicit communication are evident. The most frequently addressed themes in SRC in men are exhaustion, resignation, and listlessness. For women, the suicide method is the most common topic, followed by the topics mentioned among men. Conclusions: A high proportion of participants reported having engaged in SRC. In contrast, the themes addressed are very ambiguous and not clearly suicide-related, especially among men. This can lead to difficulties in the interpretation of the statements by the recipients. Women seem to communicate more often with recipients who may provide assistance. These aspects ought to be considered for developing gender specific suicide prevention measures.

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The Male Experience of Suicide Attempts and Recovery: An Interpretative Phenomenological Analysis

Cited by 13 publications

References 35 publications

Understanding suicidal pathways through the lens of a Dual-System Model of Suicidality in real-time: The potential of ecological momentary assessments

Understanding suicidal pathways through the lens of a Dual-System Model of Suicidality in real-time: The potential of ecological momentary assessments

Suicide resilience: A concept analysis

Gender-Specific Aspects of Suicide-Related Communication in a High Risk Sample of Psychiatric Inpatients

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