Psychosocial Profiles of Patients Who Attempted Suicide: A Qualitative Analysis Based on Psychiatric Consultation Records
Psychosocial Profiles of Patients Who Attempted Suicide: A Qualitative Analysis Based on Psychiatric Consultation Records

Summary/Abstract: Objective: The aim of this study was to qualitatively evaluate the psychosocial characteristics, triggering factors, and help-seeking behaviors of individuals who attempted suicide and to identify patterns that could inform clinical interventions. Method: The sample of our study, which was designed as a retrospective thematic qualitative analysis, consists of 20 people with suicide attempt or suicidal ideation. The past records of all patients admitted to the university hospital who had attempted suicide or reported suicidal ideation were analyzed. Structured consultation records in the hospital electronic system were used in the analyses. Sociodemographic information, attempt triggers, method of attempt, psychiatric history and mental examination findings were analysed and manually coded according to Braun and Clarke's thematic analysis steps. Results: Four main themes were identified: (1) triggering after interpersonal conflict, (2) accumulated stress and helplessness, (3) planned attempts and impulsive attempts, and (4) help seeking behaviour. Suicide attempts usually developed impulsively after sudden conflicts and regret and help-seeking behaviour were frequently observed. In a small number of individuals, attempts were planned, related to chronic family/economic problems and more determined. In older individuals, themes of loneliness, worthlessness and being a burden were prominent. Some patients described the suicide attempt as a ‘final exit’ or ‘honourable withdrawal’. Conclusion: Suicide attempts occur with different triggers and emotional dynamics from person to person. Therefore, sociodemographic characteristics and the presence of mental illness should be taken into account in clinical assessment and interventions; especially social support, crisis management and referral to psychiatric treatment should be individualised.

• Details
• Contents