How do health care services help and hinder recovery after a suicide attempt? A qualitative analysis of Finnish service user perspectives
Gaily-Luoma, S., Valkonen, J., Holma, J., & Laitila, A. (2022). How do health care services help and hinder recovery after a suicide attempt? A qualitative analysis of Finnish service user perspectives. International journal of mental health systems, 16, Article 52. https://doi.org/10.1186/s13033-022-00563-6
Julkaistu sarjassa
International journal of mental health systemsPäivämäärä
2022Tekijänoikeudet
© The Author(s) 2022
Background
Suicide attempt survivors are at high risk of re-attempts and suicide death. Previous research has shown that service users’ experiences of post-attempt care are related to future treatment engagement and re-attempts. In-depth understanding of how current services meet service users’ needs in the period immediately following a suicide attempt is thus imperative for the development of more effective tertiary prevention practices in real-life health care systems.
Method
In this qualitative study, Finnish suicide attempt survivors’ experiences of and perspectives on mental health services were explored through a semi-structured interview. Participants were seven female and seven male service users interviewed 3–6 months after the index suicide attempt. A conventional content analysis of these service user interviews is presented.
Results
Participants’ experiences of care ranged from helping to hindering recovery. Seven key aspects of services were described as helpful when present and hindering when absent. These included (1) meeting the service user as worthy of help, (2) supporting the exploration of personal meanings, (3) supporting the exploration of suicidality, (4) psychological continuity and predictability, (5) offering a responsive partnership in navigating recovery, (6) inviting service user involvement in medication decisions, and (7) accounting for service users’ relational context.
Conclusions
Current health care services are inconsistent in meeting suicide attempt survivors’ subjective needs, leaving clear room for improvement in tertiary suicide prevention. To be perceived as meaningful by service users, services should strive to offer opportunities for both biomedical, psychological, and social interventions, with responsivity to individual needs and preferences. A focus on the social aspects of recovery (e.g., offering support to loved ones affected by the suicidal incident; facilitating peer support and social belonging) was most often found to be lacking in current services.
...
Julkaisija
Biomed CentralISSN Hae Julkaisufoorumista
1752-4458Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/160119289
Metadata
Näytä kaikki kuvailutiedotKokoelmat
Lisätietoja rahoituksesta
This study was funded by a grant from the Emil Aaltonen Foundation.Lisenssi
Samankaltainen aineisto
Näytetään aineistoja, joilla on samankaltainen nimeke tai asiasanat.
-
Client-reported impact of the Attempted Suicide Short Intervention Program
Gaily-Luoma, Selma; Valkonen, Jukka; Holma, Juha; Laitila, Aarno (Routledge, 2023)Background A history of attempted suicide is the most significant predictor of suicidal death. Several brief interventions aimed at tertiary suicide prevention have been investigated in clinical trials. However, suicide ... -
A 5-Year Suicide Rate of Adolescents Who Enrolled to an Open Dialogue-Based Services : A Nationwide Longitudinal Register-Based Comparison
Bergström, Tomi; Seikkula, Jaakko; Gaily-Luoma, Selma; Miettunen, Jouko; Kurtti, Mia (Springer, 2023)In the Open Dialogue (OD) based psychiatric services adolescent patients receive less medication and are more often treated within an outpatient setting as compared to standard services. An evaluation of the possible risks ... -
Out-of-home interventions for adolescents who were treated according to the Open Dialogue model for mental health care
Bergström, Tomi; Kurtti, Mia; Miettunen, Jouko; Yliruka, Laura; Valtanen, Kari (Elsevier, 2023)Abstract Background The Open Dialogue approach (OD) emphasizes community-based psychiatric treatment for adolescents, but its success in achieving this is poorly documented. Objective To analyse out-of-home intervention ... -
Effect of weight on depression using multiple genetic instruments
Viinikainen, Jutta; Böckerman, Petri; Willage, Barton; Elovainio, Marko; Kari, Jaana T.; Lehtimäki, Terho; Pehkonen, Jaakko; Pitkänen, Niina; Raitakari, Olli (Public Library of Science (PLoS), 2024)A striking global health development over the past few decades has been the increasing prevalence of overweight and obesity. At the same time, depression has become increasingly common in almost all high-income countries. ... -
Longitudinal Changes in Suicide Bereavement Experiences : A Qualitative Study of Family Members over 18 Months after Loss
Chen, Yan; Laitila, Aarno (MDPI AG, 2023)Family members bereaved by their loved ones’ suicidal death normally undergo a complicated and lengthy bereavement process. In this qualitative case study, we explored longitudinal changes in the suicide bereavement process ...
Ellei toisin mainittu, julkisesti saatavilla olevia JYX-metatietoja (poislukien tiivistelmät) saa vapaasti uudelleenkäyttää CC0-lisenssillä.