A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
How do health care services help and hinder recovery after a suicide attempt? A qualitative analysis of Finnish service user perspectives (2022)
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
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Gaily-Luoma, Selma; Valkonen, Jukka; Holma, Juha; Laitila, Aarno
Lehti tai sarja: International journal of mental health systems
eISSN: 1752-4458
Julkaisuvuosi: 2022
Ilmestymispäivä: 16.11.2022
Volyymi: 16
Artikkelinumero: 52
Kustantaja: Biomed Central
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1186/s13033-022-00563-6
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/83976
Tiivistelmä
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.
YSO-asiasanat: itsemurha; itsetuho; itsetuhokäyttäytyminen; terveydenhuolto; kokemukset; asiakaskokemus; mielenterveys; psykiatria; ensiapu
Vapaat asiasanat: suicide attempt; self-harm; health care; service user; experience; mental health; psychiatry; emergency services; qualitative; recovery
Liittyvät organisaatiot
OKM-raportointi: Kyllä
Raportointivuosi: 2022
JUFO-taso: 0
