The meaning of suicidal behaviour from the perspective of senior nursing undergraduate students

The purpose of this systematic review was to locate and synthesize peer-reviewed evidence regarding the effectiveness of providing suicide prevention education to nursing students. Systematic searches were conducted in seven databases (EMBASE, EmCare, Joanna Briggs, MEDLINE, PsycINFO, Scopus, and Web of Science). Results were screened in duplicate at two stages: title and abstract, and full text. Critical appraisal and data extraction were also completed in duplicate. Initial database searching yielded 303 results. Following the addition of seven records from relevant reference lists, and the removal of duplicates, a total of 118 results were included for screening. Eight articles were deemed eligible for inclusion in this review; most (n = 5) were quantitative. While all were conducted within university settings, half were stand-alone education sessions, while the remaining were integrated with existing programmes/courses. The types of education programmes varied considerably across studies, with only three being established, evidence-based programmes. The studies explore a range of outcomes, which have been narratively categorized as enhanced skills, abilities, and self-confidence; development of positive attitudes and beliefs; acquisition of knowledge; and programme experience and evaluation. While there is a small body of evidence indicating that suicide prevention education programmes contribute to improvements in skills, abilities, self-confidence, and attitudes among nursing students, the variability in educational interventions and outcomes, coupled with short-term evaluation time frames, makes it difficult to fully understand the impact of this important suicide prevention strategy.

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“…2013; Vedana & Zanetti 2019) and apprehension towards suicide (Scheckel & Nelson 2014; Vedana et al . 2018) experienced by some students.…”

Section: Discussionmentioning

confidence: 99%

“…2013; Vedana & Zanetti 2019), have reported being fearful and avoidant of interactions with people experiencing suicidal states (Scheckel & Nelson 2014; Vedana et al . 2018), and have negative attitudes towards suicide (Mamta et al . 2013; Vedana & Zanetti 2019).…”

Section: Introductionmentioning

confidence: 99%

The impact of suicide prevention education programmes for nursing students: A systematic review

Ferguson

Reis

Rabbetts

et al. 2020

Int J Mental Health Nurs

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“…In addition, studies across continents uncovered elements of the sociocultural context (e.g. religious beliefs, stigma, criminalization of suicide) that can influence the individuals' lived experiences of SI, the (student) nurses' attitudes towards suicide and suicide attempts and the (student) nurses' engagement in recognizing and discussing suicide (Flood et al, 2018;Osafo, Akotia, Boakye, & Dickson, 2018;Vedana et al, 2018).…”

Section: Limitationsmentioning

confidence: 99%

Contact and communication with patients experiencing suicidal ideation: A qualitative study of nurses’ perspectives

Vandewalle

Beeckman

Hecke

et al. 2019

Journal of Advanced Nursing

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Aim To uncover and understand the core elements of how nurses in psychiatric hospitals make contact with patients experiencing suicidal ideation. Design A qualitative study based on the principles of grounded theory was performed. Methods Nineteen nurses on wards of four psychiatric hospitals were interviewed between May 2017 – February 2018. The Qualitative Analysis Guide of Leuven was used to facilitate the constant comparison of data. Findings Nurses make contact with patients experiencing suicidal ideation by “creating conditions for open and genuine communication” while maintaining a focus on “developing an accurate and meaningful picture of patients”. These interconnected core elements represent nurses’ attention to relational processes like building trust as well as their predominant focus on assessing suicide risk. Nurses put other emphases in their contacts with patients depending on whether their approach is guided more by checking and controlling suicide risk or by acknowledging and connecting (with) the person. Conclusion The study enhances the conceptual understanding of how nurses on psychiatric wards can involve in compassionate and considerate contact and communication with patients experiencing suicidal ideation. These findings can be used to underpin the nurses’ role in and contribution to suicide prevention. Impact The core elements “creating conditions for open and genuine communication” while maintaining a focus on “developing an accurate and meaningful picture of patients” can inform policies for nursing practice and education that aim to preserve and improve the capacity of nurses to involve in compassionate and considerate contact and communication with patients experiencing suicidal ideation.

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“…A study conducted with Brazilian nursing students revealed that undergraduates consider suicidal behavior as complex and challenging (Vedana et al, 2017c). In addition, students reported that they want to avoid situations related to this topic as a form of self-protection, as well as pointed divergences between their own beliefs and the behaviors required in health care (Vedana et al, 2017b).…”

Section: Introductionmentioning

confidence: 99%

Hope and attitudes related to suicidal behavior among nursing students

Chiarelo

Silva

et al. 2021

RSD

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Objective: to investigate, among nursing undergraduate students, the predictors of hope, suicidal thoughts and attitudes related to suicidal behavior. Methodology: Cross-sectional study, with a quantitative approach, developed in 2018 with 337 undergraduates from a Brazilian public university. We applied a sociodemographic, clinical and psychosocial questionnaire; the Suicide Behavior Attitude Questionnaire and the Herth Hope Scale. We used mean comparison tests, Pearson’s correlation test and binary logistic regression. Results: Predictors of hopelessness were psychiatric diagnoses, mental health treatment, absence of religious beliefs and dissatisfaction with the received social support. The chances of suicidal thoughts were higher among people with psychiatric diagnoses, dissatisfaction with the received social support, more understanding of the right to suicide and hopelessness. Predictors of more negative feelings about suicidal behavior were less professional competence and non participation in scientific events. Older students and those with less suicidal thoughts increased the chances of condemnatory attitudes. Predictors of fewer self-perceived competence were negative feelings about suicidal behavior, dissatisfaction with social support and less educational exposure (previous reading of suicide prevention materials or participation in events) and not having friends/relatives at suicide risk. Conclusion: it is important to develop and evaluate undergraduate support and educational strategies that consider the factors investigated in this study, in order to promote hope and training for suicide prevention.

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The meaning of suicidal behaviour from the perspective of senior nursing undergraduate students

Cited by 12 publications

References 42 publications

The impact of suicide prevention education programmes for nursing students: A systematic review

The impact of suicide prevention education programmes for nursing students: A systematic review

Contact and communication with patients experiencing suicidal ideation: A qualitative study of nurses’ perspectives

Hope and attitudes related to suicidal behavior among nursing students

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