An attempted suicide from an adult’s perspective

Authors

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2020.168837

Keywords:

Suicide, Suicide attempted, Adult, Mental health

Abstract

Objective: to analyze the experience of attempted suicide from the perspective of adults who attempted suicide. Method: a qualitative study with eight Brazilian adults assisted in a mental health service. Data was collected in 2018 through semi-directed interviews about the experience of the suicide attempt and group meetings. Symbolic Interactionism was the theoretical
framework used. Data was submitted to thematic analysis. Results: we identified three themes: Intrapsychic environment: representation and communication with the self (generalization of failures and negative expectations in the construction of meanings attributed to the self, life
and relationships); Interpersonal relationships (need to bond, belong, recognize, welcome and feel necessary for other people); and Representations of the suicide attempt: escape and the
encounter with pain (the suicide attempt is motivated by the desire to relieve pain, but results in the encounter with pain, and instigates the search for new methods, the avoidance of suicide for fear or the reconstruction of meanings). Conclusion: the study provides important findings to be explored in the clinical practice, in the design of protocols, institutional policies, as well as in the qualification of the professionals.

Downloads

Download data is not yet available.

Author Biographies

  • Andréa Cristina Alves, University of São Paulo. Ribeirão Preto College of Nursing

    Enfermeira, Docente no IFSULDEMINAS campus Passos, mestre em Educação e Saúde, atua na enfermagem em saúde mental.

  • Kelly Graziani Giacchero Vedana, University of São Paulo. Ribeirão Preto College of Nursing

    Graduada em Bacharelado em Enfermagem pela Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo (EERP-USP);Doutora pelo Programa de Pós-graduação em Enfermagem Psiquiátrica da EERP-USP;Professora Doutora da EERP-USP (Brasil);Pós-Doutorado pela Escola Superior de Enfermagem de Coimbra (ESEnfC). 
Líder do Laboratório de estudos e pesquisa em prevenção e posvenção do suicídio (LEPS).
Responsável pelo Centro de Educação em Prevenção e Posvenção do Suicídio (CEPS). 
Vice-presidente do Capítulo Rho Upsilon da Sigma Theta Tau Internacional - Sociedade Honorífica de Enfermagem. 
Coordena atividades de pesquisa, ensino e extensão relacionadas à prevenção do comportamento suicida.

References

Jarema M. Are we able to evaluate suicide risk ? Psychiatr Pol. 2018; 52(1): 7–19. doi:

12740 / PP / 74161

Organización Mundial de la Salud. Prevención del suicidio suicidio, un imperativo global.[Internet]. 2014; Organización Mundial de La Salud, 4. doi:10.1002/9780470774120

Botega NJ, Marín-León L, de Oliveira HB, Barros MBDA, da Silva VF, Dalgalarrondo P. Prevalências de ideação, plano e tentativa de suicídio: um inquérito de base populacional em Campinas, São Paulo, Brasil. Cad Saúde Pública. 2009; 25(12): 2632–8. doi:10.1590/S0102-311X2009001200010

O’Connor RC, Kirtley OJ. The integrated motivational – volitional model of suicidal behaviour. Phil Trans R Soc. 2018; (373): 1–10. doi: 10.1098 / rstb.2017.0268

Owens D, Horrocks J, House A. Fatal and non-fatal repetition of self-harm. Br J Psychiatry. 2002; 181(3): 193–9. doi:10.1192/bjp.181.3.193

Freitas APA, Borges LM. Do acolhimento ao encaminhamento: O atendimento às tentativas de suicídio nos contextos hospitalares. Est Psicol. 2017; 22(1): 50-60. doi:10.22491/1678-4669.201700006

Vieira LP, Santana, VTP, Suchara EA. Caracterização de tentativas de suicídios por substâncias exógenas. Cad Saúde Coletiva. 2015; 23(2): 118–23. doi: 10.1590/1414-462x201500010074

Silva RM, Souza GS, Vieira LJE S, Caldas JMP, Minayo MCS. Suicidal ideation and attempt of older women in Northeastern. Rev Bras Enferm. 2018;71(2):755–62. doi:10.1590/0034-6137-2017-0413

Machado DB, Santos DN. Suicídio no Brasil, de 2000 a 2012. J Bras Psiquiatria. 2015; 64(1): 45-54. doi:10.1590/0047-2085000000056

Rocha MAS, Boris GDJB, Moreira V. A experiência suicida numa perspectiva humanista-fenomenológica. 69 Rev Abordagem Gestáltica. 2012; 18(1): 69–78.

Vedana KGG, Magrini DF, Miasso AI, Zanetti ACG, Souza, J, Borges TL. (2017). Emergency Nursing Experiences in Assisting People With Suicidal Behavior: A Grounded Theory Study. Arch Psychiatric Nurs. 2017; 31(4):345-51. doi:10.1016/j.apnu.2017.04.003

Rendón-Quintero E, Rodríguez-Gómez R. . Artículo original Vivencias y experiencias de individuos con ideación e intento suicida. Rev Colombiana Psiquiatría. 2016; 45(2): 92–100. doi:10.1016/j.rcp.2015.08.003

Karman P, Kool N, Poslawsky IE, Van Meijel B. Nurses’ attitudes towards self-harm: A literature review. J Psychiatr Mental Health Nurs. 2015; 22(1): 65–75. doi:10.1111/jpm.12171

Ouzouni C, Nakakis K. Nurses attitudes towards attempted suicide. Health Sci J. 2013; 7(1):119–34.

Siau CS, Wee LH, Yacob S, Yeoh SH, Binti Adnan TH, et al. The Attitude of Psychiatric and Non-psychiatric Health-care Workers Toward Suicide in Malaysian Hospitals and Its Implications for Training. Acad Psychiatry. 2017; 41(4): 503–9. doi:10.1007/s40596-017-0661-0

Giacchero Vedana KG, Pereira CCM, Santos JC, Ventura C, Moraes SM, Miasso AI, et al. The meaning of suicidal behaviour from the perspective of senior nursing undergraduate students. Int J Mental Health Nurs. 2017; 27(3): 1149-61. doi:10.1111/inm.12431

Hu DY, Huang D, Xiong Y, Lu CH, Han YH, Ding XP, et al. Risk factors and precautions of inpatient suicide from the perspective of nurses: A qualitative study. J Huazhong Univ Sci Technol - Med Sci. 2015; 35(2): 295–301. doi:10.1007/s11596-015-1427-0

Osafo J, Knizek BL, Akotia CS, Hjelmeland H. Attitudes of psychologists and nurses toward suicide and suicide prevention in Ghana: A qualitative study. Int J Nurs Stud. 2012; 49(6): 691–700. doi:10.1016/j.ijnurstu.2011.11.010

Zadravec T, Grad O. Origins of suicidality: Compatibility of lay and expert beliefs - Qualitative study. Psychiatria Danubina. 2013; 25(2): 149–57.

Blumer H. Symbolic interactionism. In: Collins R. Four sociological traditions: Selected readings; 1969. p. 304–21.

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 3(2): 77–101. doi:10.1191/1478088706qp063oa

Mersky JP, Topitzes J, Reynolds AJ. Child Abuse & Neglect Impacts of adverse childhood experiences on health , mental health , and substance use in early adulthood : A cohort study of an urban , minority sample in the U . S . Child Abuse Neglect. 2013; 37(11): 917–25. doi:10.1016/j.chiabu.2013.07.011

Elroy SM, Hevey D. Child Abuse & Neglect Relationship between adverse early experiences , stressors , psychosocial resources and wellbeing. Child Abuse Neglect. 2014; 38(1): 65–75. doi:10.1016/j.chiabu.2013.07.017

Pinto VCP, Alves JFC, Maia ÂC. Adversidade na infância prediz sintomas depressivos e tentativas de suicídio em mulheres adultas portuguesas Adversity in childhood predicts depressive adult Portuguese women. Est Psicol. 2015; 32(4): 617–26.

Andrade ICS, Gomes NP, Correia CM, Lírio JG, Virgens IR, Gomes NP, et al. Social Support from family and friends: discourse of people with suicidal behavior. Cogitare Enferm. 2019; 24 (e64230): 1-9.

Fogarty AS, Spurrier M, Player MJ, Wilhelm K, Whittle EL, Shand Ff, et al. Tensions in perspectives on suicide prevention between men who have attempted suicide and their support networks : Secondary analysis of qualitative data. Health Expect. 2018; 21: 261–9. doi:10.1111/hex.12611

Naherniak B, Bhaskaran J, Sareen J, Wang Y, Bolton JM. Ambivalence About Living and the Risk for Future Suicide Attempts: A Longitudinal Analysis. Prim Care Companion CNS Disord. 2019; 21(2): 18m02361.doi: 10.4088 / PCC.18m02361.

Kim H, Kim B, Kim SH, Park HK, Kim EY, Ahn YM Classification of attempted suicide by cluster analysis : A study of 888 suicide attempters presenting to the emergency department. J Affect Disord. 2018; 235:184–90. doi:10.1016/j.jad.2018.04.001

Yeum T, Kim B, Kim EY, Kim SH, Ha K, Ahn YM. Factors Affecting Suicide Method Lethality Among Suicide Attempters in the Korea National Suicide Survey. J Nervous Mental Dis. 2018; 206(3): 202–10. doi:10.1097/NMD.0000000000000735

Jamison EC, Bol KA. Previous Suicide Attempt and Its. Am J Preventive Med. 2016; 51(5): S226–S33.doi:10.1016/j.amepre.2016.07.023

Berrouiguet S, Le Moal V, Guillodo E, Floch A, Lenca P, Billot R, et al. Prévention du suicide et santé connectée. Med Sci. 2018; 34: 730-4. doi:10.1051/medsci/20183408021

Published

2020-08-31

How to Cite

Alves, A. C., Silva, A. C., & Vedana, K. G. G. (2020). An attempted suicide from an adult’s perspective. SMAD Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 16(4), 49-57. https://doi.org/10.11606/issn.1806-6976.smad.2020.168837