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Involving patients who attempt suicide in suicide prevention: a focus groups study
Author(s) -
GHIO L.,
ZANELLI E.,
GOTELLI S.,
ROSSI P.,
NATTA W.,
GABRIELLI F.
Publication year - 2011
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/j.1365-2850.2011.01697.x
Subject(s) - suicide prevention , interpersonal communication , psychological intervention , suicide attempt , psychology , human factors and ergonomics , psychotherapist , focus group , interpersonal relationship , clinical psychology , poison control , medicine , psychiatry , social psychology , medical emergency , marketing , business
Accessible summary• The main risk factor related to suicide lies in a patient's history of previous episodes of deliberate self‐harm, including suicide attempts. • Patients who attempted suicide were involved in a qualitative research in order to identify, through their experience, possible strategies to reduce the risk of repetition of self‐harm. • Patients proved themselves competent and cooperative. Many suggestions were made, regarding the triggers and the communication of suicidal intent, the role of the relational factor throughout the therapeutic process and the possible prevention strategies. • This study demonstrates the usefulness and effectiveness of patient involvement as a tool for improving the quality of health care in psychiatry, when following clinical governance principles.Abstract The aim of this study is to gain insight into the individual experiences of patients who attempt suicide in order to better understand the reasons for and emotions behind a suicide attempt, thus also gaining insight, through the patients' own input, into the risk and protective factors which might influence possible repeat attempts and the attitude towards the assistance they receive. Two focus groups were conducted involving 17 participants, all hospitalized at the time of research for attempting suicide. The patients proved themselves competent, even expert in indicating reasons for, risk factors of and prevention strategies for suicide. The main findings suggest that the relational factor represents a key point both as a trigger for the suicide attempt and for promoting the communication of the intent or for preventing a repeat suicide attempt, as interpersonal relationships and an empathic environment were, in essence, what was perceived as therapeutic and protective and enabled the expression of thoughts and self‐understanding. Accordingly psychotherapy, non‐specific relationship ‘monitoring’ after discharge and tutored self‐help groups have been suggested. Feasibility and implementing methods as well as the role of the nurse for such interventions were discussed.