Application of an accident approach to the study of acute suicidal episodes through repeated in-depth interviews
2022; Taylor & Francis; Volume: 47; Issue: 1 Linguagem: Inglês
10.1080/07481187.2021.2021566
ISSN1091-7683
AutoresAnna Maria Nilsson, Ingela Skärsäter, Anna Ehnvall, Jan Beskow, Margda Wærn,
Tópico(s)Psychosomatic Disorders and Their Treatments
ResumoWe modified an accident analysis model for the study of acute suicidal episodes (ASEs). Our aim was to use this model (SCREAM, Suicidal Cognitions’ Reliability and Error Analysis Method) as a lens to understand the worst-ever ASEs of nine patients who took part in repeated in-depth interviews. Guided by the theory of SCREAM including four predetermined categories, nine themes were identified. ASEs were triggered by interactions with the interpersonal and physical environment and spiraled into a state of lost control. Timing and the availability of promoters and barriers in the environment were salient features. Findings may aid person-centered safety planning.
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