First-person accounts of the processes and planning involved in a suicide attempt on the railway.

Marsh, I., Marzano, L., Mosse, David and Mackenzie, Jay-Marie 2021. First-person accounts of the processes and planning involved in a suicide attempt on the railway. BJPsych Open. 7 (1), p. e39 e39. https://doi.org/10.1192/bjo.2020.173

TitleFirst-person accounts of the processes and planning involved in a suicide attempt on the railway.
AuthorsMarsh, I., Marzano, L., Mosse, David and Mackenzie, Jay-Marie
AbstractThe processes and planning involved in choosing and attempting to die by a particular method of suicide are not well understood. Accounts from those who have thought about or attempted suicide using a specific method might allow us to better understand the ways in which people come to think about, plan and enact a suicide attempt. To understand from first-person accounts the processes and planning involved in a suicide attempt on the railway. Thematic analysis was conducted of qualitative interviews (N = 34) undertaken with individuals who had contemplated or attempted suicide by train. Participants explained how they decided upon a particular method, time and place for a suicide attempt. Plans were described as being contingent on a number of elements (including the likelihood of being seen or interrupted), rather than being fixed in advance. Participants mentally rehearsed and evaluated a particular method, which would sometimes involve imagining in detail what would happen before, during and after an attempt. The extent to which this involved others (train drivers, partners, friends) was striking. By giving people free reign to describe in their own words the processes they went through in planning and undertaking a suicide attempt, and by not interpreting such accounts through a lens of deficit and pathology, we can arrive at important insights into how people come to think and feel about, plan and enact a suicide attempt. The findings have implications in terms of understanding suicide risk and prevention more broadly.
KeywordsSuicide
first-person accounts
railways
suicidal process
Article numbere39
JournalBJPsych Open
Journal citation7 (1), p. e39
ISSN2056-4724
Year2021
PublisherCambridge University Press
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1192/bjo.2020.173
https://doi.org/S2056472420001738
PubMed ID33468276
Publication dates
Published online20 Jan 2021

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