| Abstract [eng] |
It is well known that suicide attempters have a higher risk of death by suicide. Various interventions are applied after a suicide attempt, though we still lack empirical evidence for their effectiveness. This research aims to understand and reveal suicide attempters’ understanding of healthcare effectiveness. This research is based on qualitative methodology. Semi-structured interviews were conducted with 7 participants – 5 females, 2 males (average age was 26). All of them took part in Attempted Suicide Short Intervention Program (ASSIP). Qualitative data analysis was based on thematic analysis by Boyatzis (1998). Results revealed that impact of help was perceived as life-saving, helping to avoid further suicide attempt and providing better understanding of one‘s difficulties. Feelings related to suicide attempt, personal characteristics and unwillingness to talk about one‘s problems formed barriers to accept help even though it was sought. Participants stressed the importance of their relationship with healthcare staff – they reported benefits of an equal, collaborative, professional and safe relationship. Meanwhile, a disrespectful relationship and overly strict treatment methods (such as isolation, fixation, etc.) were evaluated as harmful. As effective elements of the suicide-specific psychological aid were named noticing signs of crisis, creation of a safety plan, realistic and short-term goals, specifity and variety of methods being used. Effectiveness of pharmacological treatment was ambigous. Needs for help after the discharge from hospital varied – some were reluctant to continue treatment and felt self-sufficient, others felt the need for further psychological help. According to participants, the effectiveness of help could be increased by its timeliness – receiving help before the onset of suicidal thoughts, knowing about help availability and also, by longer, more frequent consultations with mental health specialists. |
