Suicide prevention: A study of patients' views

Eagles, John M.; Carson, Dawn P.; Begg, Annabel; Naji, Simon Alexander

doi:10.1192/bjp.182.3.261

Cited by 73 publications

(50 citation statements)

References 27 publications

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“…This finding is consistent with previous work exploring the negative effects of mental health stigma, in which individuals with severe mental illness have cited stigma, defined as being negatively judged or made to feel ashamed due to negative views of those with mental health problems in society, such as, being weak or inferior, as triggering suicidal thoughts (e.g., Eagles et al, 2003;Pompili et al, 2003). To the best of our knowledge, this is the first study to consider a direct link between stigma and facets of suicide within bipolar disorder.…”

Section: Discussionsupporting

confidence: 82%

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

Owen

Gooding

Dempsey

et al. 2015

Journal of Affective Disorders

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. AbstractBackground: The prevalence rate of completed suicide in bipolar disorder is estimated to be as high as 19%. Social factors or influences, such as stigmatisation and family conflict, contribute to the development of suicidal ideation in clinical and non-clinical populations. Yet, there is a lack of studies examining suicidality from a psychosocial perspective in people who experience bipolar disorder.Method: Semi-structured interviews were used to collect qualitative data from 20 participants with bipolar disorder. The interview focused on the effects of social factors upon participants" experiences of suicidality (suicidal thoughts, feelings or behaviours). A thematic analysis was used to understand the data.Results: Social or interpersonal factors which participants identified as protective against suicidality included, 'the impact of suicide on others' and, 'reflecting on positive social experiences'. Social factors which triggered suicidal thoughts included, 'negative social experiences' and, 'not being understood or acknowledged'. Social factors which worsened suicidal thoughts or facilitated suicidal behaviour were, 'feeling burdensome," and 'reinforcing negative self-appraisals'.Limitations: Some participants had not experienced suicidal thoughts for many years and were recalling experiences which had taken place over ten years ago. The accuracy and reliability of these memories must therefore be taken into consideration when interpreting the results. Conclusions:The themes help to enhance current understanding of the ways in which social factors affect suicidality in people who experience bipolar disorder. These results highlight the importance of considering the social context in which suicidality is experienced and incorporating strategies to buffer against the effects of negative social experiences in psychological interventions which target suicide risk in bipolar disorder.

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Section: Discussionsupporting

confidence: 82%

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

Owen

Gooding

Dempsey

et al. 2015

Journal of Affective Disorders

View full text Add to dashboard Cite

show abstract

“…This normally causes them to strongly internalize the stigma, increases their internalized stigma, and reduces their empowerment (Rüsch et al, 2014). Public stigma is related to suicidal behavior (Eagles et al, 2003;Pompili et al, 2003), and we found that internalized stigma is also correlated with suicidal behavior. An important linkage between stigma and suicide is suggested to be "help seeking" (Reynders et al, 2014); help seeking for psychological problems is suggested as protecting people from suicide.…”

Section: Discussionmentioning

confidence: 88%

Comparing Self-stigma Between People With Different Mental Disorders in Taiwan

Chang

Chen

et al. 2016

J Nerv Ment Dis

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Internalized stigma (or self-stigma), one of the most painful effects of stigma, causes people with mental health problems profound negative consequences, for example, psychological adversity, demoralization, and feelings of hopelessness. However, knowledge about self-stigma in people with different mental disorders is insufficient. We hypothesized that people with different psychiatric diagnoses have different levels of self-stigma. Through convenience sampling, we used the Internalized Stigma of Mental Illness Scale to compare people diagnosed with schizophrenia (n = 161), depressive disorder (n = 98), bipolar disorder (n = 43), and anxiety disorder (n = 45) in southern Taiwan. We found that people with schizophrenia (mean, 2.09-2.30) and those with bipolar disorder (mean, 2.16-2.38) had significantly higher levels of self-stigma, except for the Stigma Resistance, than did those with anxiety disorder (mean, 1.74-1.87). Our results suggest that clinicians should use different interventions to reduce self-stigma for populations with different psychiatric diagnoses.

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“…However, such strategies are often developed without regard to the subjective experiences of the patients, and a better understanding is needed of the suicidal patients' personal experiences in relation to the suicide process (Eagles, Carson, Begg, & Naji, 2003;Lakeman & FitzGerald, 2008). The aim of this literature review has therefore been to synthesize the existing research while focusing on suicidal patients' experiences in relation to the suicide process.…”

Section: Introductionmentioning

confidence: 98%

Patients’ Experiences After Attempted Suicide: A Literature Review

Berglund¹,

Åström²

2016

Issues in Mental Health Nursing

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The aim of this study has been to synthesize research on suicidal patients' experiences of the suicide process. A literature search was performed in CINAHL, PubMed, and PsycINFO, and the analysis of the 15 articles covered was based on meta-synthesis. Patients experience a wide variety of feelings regarding their situation during the suicide process, and these exist on two levels: they relate to the different aspects of care that the patients receive and the patients' need to communicate with others and regain hope. The patients in this study described the struggle to maintain hope when life became too difficult and their suffering despite a sense of security, and they sought to achieve emotional balance. A good understanding of how suicidal individuals live with and manage suicidal ideation, while maintaining hope is important for planning effective nursing care. Further research from the patient perspective is needed to further develop psychiatric care for people at risk of suicide.

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Suicide prevention: A study of patients' views

Cited by 73 publications

References 27 publications

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

Comparing Self-stigma Between People With Different Mental Disorders in Taiwan

Patients’ Experiences After Attempted Suicide: A Literature Review

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