The interplay between suicidal experiences, psychotic experiences and interpersonal relationships: a qualitative study.
Interpersonal relationships
Interviews
Non-affective psychosis
Qualitative methods
Schizophrenia
Suicidal behaviours
Suicidal experiences
Suicidal thoughts
Suicidality
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
24 Nov 2023
24 Nov 2023
Historique:
received:
11
05
2023
accepted:
04
09
2023
medline:
27
11
2023
pubmed:
25
11
2023
entrez:
24
11
2023
Statut:
epublish
Résumé
Suicidal thoughts, acts, plans and deaths are considerably more prevalent in people with non-affective psychosis, including schizophrenia, compared to the general population. Social isolation and interpersonal difficulties have been implicated in pathways which underpin suicidal experiences in people with severe mental health problems. However, the interactions between psychotic experiences, such as hallucinations and paranoia, suicidal experiences, and the presence, and indeed, absence of interpersonal relationships is poorly understood and insufficiently explored. The current study sought to contribute to this understanding. An inductive thematic analysis was conducted on transcripts of 22, individual, semi-structured interviews with adult participants who had both non-affective psychosis and recent suicidal experiences. A purposive sampling strategy was used. Trustworthiness of the analysis was assured with researcher triangulation. Participants relayed both positive and negative experiences of interpersonal relationships. A novel conceptual model is presented reflecting a highly complex interplay between a range of different suicidal experiences, psychosis, and aspects of interpersonal relationships. Three themes fed into this interplay, depicting dynamics between perceptions of i. not mattering and mattering, ii. becoming disconnected from other people, and iii. constraints versus freedom associated with sharing suicidal and psychotic experiences with others. This study revealed a detailed insight into ways in which interpersonal relationships are perceived to interact with psychotic and suicidal experiences in ways that can be both beneficial and challenging. This is important from scientific and clinical perspectives for understanding the complex pathways involved in suicidal experiences. ClinicalTrials.gov (NCT03114917), 14
Sections du résumé
BACKGROUND
BACKGROUND
Suicidal thoughts, acts, plans and deaths are considerably more prevalent in people with non-affective psychosis, including schizophrenia, compared to the general population. Social isolation and interpersonal difficulties have been implicated in pathways which underpin suicidal experiences in people with severe mental health problems. However, the interactions between psychotic experiences, such as hallucinations and paranoia, suicidal experiences, and the presence, and indeed, absence of interpersonal relationships is poorly understood and insufficiently explored. The current study sought to contribute to this understanding.
METHODS
METHODS
An inductive thematic analysis was conducted on transcripts of 22, individual, semi-structured interviews with adult participants who had both non-affective psychosis and recent suicidal experiences. A purposive sampling strategy was used. Trustworthiness of the analysis was assured with researcher triangulation.
RESULTS
RESULTS
Participants relayed both positive and negative experiences of interpersonal relationships. A novel conceptual model is presented reflecting a highly complex interplay between a range of different suicidal experiences, psychosis, and aspects of interpersonal relationships. Three themes fed into this interplay, depicting dynamics between perceptions of i. not mattering and mattering, ii. becoming disconnected from other people, and iii. constraints versus freedom associated with sharing suicidal and psychotic experiences with others.
CONCLUSION
CONCLUSIONS
This study revealed a detailed insight into ways in which interpersonal relationships are perceived to interact with psychotic and suicidal experiences in ways that can be both beneficial and challenging. This is important from scientific and clinical perspectives for understanding the complex pathways involved in suicidal experiences.
TRIAL REGISTRATION
BACKGROUND
ClinicalTrials.gov (NCT03114917), 14
Identifiants
pubmed: 38001403
doi: 10.1186/s12888-023-05164-2
pii: 10.1186/s12888-023-05164-2
pmc: PMC10668454
doi:
Banques de données
ClinicalTrials.gov
['NCT03114917']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
873Subventions
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Organisme : Efficacy and Mechanism Evaluation Programme
ID : 13/161/25
Informations de copyright
© 2023. The Author(s).
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