Experiences of Adolescent Suicide Attempters and their Parents in Isfahan, Iran: A Phenomenological Study
Abstract
Background: The number of suicide attempts has increasingly grown over the last few years. Describing and stating the experiences suicide attempters have undergone and the consequences of such actions is of significant importance. Hence, this study was performed to uncover and communicate the experiences of young suicide attempters and their parents through a qualitative method and with a phenomenological approach.
Materials and Methods: This study was conducted based on the descriptive phenomenological method. The data collection method was an in‑depth, semi‑structured interview, and 8 adolescents and 8 parents were interviewed. The collected data were then analyzed using Colaizzi’s method.
Results: As a result of scrutinizing the data through Colaizzi’s analysis, 14 subthemes and 4 main themes (helplessness and feeling unsupported, poor self‑esteem, generation gaps, and negative emotions and inappropriate emotional reactions) were derived. The lived experiences of adolescent suicide attempters and their parents indicate that suicide is a complex, painful, and bitter ordeal, and comprehending all of its aspects is not feasible and is hardly achievable.
Conclusions: The findings show that the adolescents were suffering from undesirable and irritating emotional experiences and agitation arising from different factors such as problematic and unsupportive emotional relationships inside and outside the family, generation gap, and losing control of negative emotions.
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World Health Organization. Suicide in the World: Global Health Estimates. World Health Organization; 2019.
Bachmann S. Epidemiology of suicide and the psychiatric perspective. International journal of environmental research and public health. 2018;15:1425.
World Health Organization. One in 100 deaths is by suicide: WHO guidance to help the world reach the target of reducing suicide rate by 1/3 by 2030. Geneva: WHO; 2021. Available from: https://www.who.int/news/item/17-06-2021-one-in-100-deaths-is-by-suicide.
Centers for Disease Control and Prevention Web-based Injury Statistics Query and Reporting System (WISQARS). Available from: https://wisqars.cdc.gov/data/explore-data/home. [Last accessed on 2022 Apr 27].
Hua LL, Lee J, Rahmandar MH, Sigel EJ, Committee on adolescence, council on injury, violence, and poison prevention. Suicide and suicide risk in adolescents. Pediatrics. 2024;153:e2023064800.
Veisani Y, Delpisheh A, Sayehmiri K, Moradi G, Hassanzadeh J. Seasonality and time patterns in attempted suicide in Ilam province of Iran: An appraisal of current data of 2010-2014. Medical journal of the Islamic Republic of Iran. 2017;31:11.
Uddin R, Burton NW, Maple M, Khan SR, Khan A. Suicidal ideation, suicide planning, and suicide attempts among adolescents in 59 low-income and middle-income countries: a population-based study. The Lancet Child & Adolescent Health. 2019;3:223-33.
Hassanian-Moghaddam H, Zamani N. Suicide in Iran: The facts and the figures from nationwide reports. Iranian journal of psychiatry. 2017;12:73.
Bilsen J. Suicide and youth: risk factors. Frontiers in psychiatry. 2018 Oct 30;9:407738.
Mérida-López S, Quintana-Orts C, Pekaar KA, Pineda-Galán C, Extremera N. Knowing is half the battle: Regulating and appraising emotions co-protect from suicidal ideation. Death Studies. 2024 Jan 24:1-9.
Tasfi JT, Mostofa SM. Understanding complex causes of suicidal behaviour among graduates in Bangladesh. BMC public health. 2024;24:1-2.
Jang H-Y, Yang J-E, Shin Y-S. A phenomenological study of nurses' experience in caring for COVID-19 patients. Int J Environ Res Public Health. 2022;19:2924.
Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative: Lippincott Williams & Wilkins; 2011.
Van Manen M. Researching lived experience: Human science for an action sensitive pedagogy: Routledge; 2016.
Bliss LA. Phenomenological research: Inquiry to understand the meanings of people's experiences. International Journal of Adult Vocational Education and Technology (IJAVET). 2016;7:14-26.
Shosha GA. Employment of Colaizzi's strategy in descriptive phenomenology: A reflection of a researcher. European Scientific Journal. 2012;8.
Dörfler V, Stierand M. Bracketing: A phenomenological theory applied through transpersonal reflexivity. Journal of Organizational Change Management. 2021 Sep 16;34(4):778-93.
Habibullah KM, Mohammed BU, Hamza M. Conceptual Framework in Reflexive Bracketing Techniques in Qualitative Methodology. Research Review. 2023;4:849-57.
McGrath C, Palmgren PJ, Liljedahl M. Twelve tips for conducting qualitative research interviews. Medical teacher. 2019;41:1002-6.
Holloway I, Galvin K. Qualitative research in nursing and healthcare. John Wiley & Sons; 2023.
Sadath A, Kavalidou K, McMahon E, Malone K, McLoughlin A. Associations between humiliation, shame, self-harm and suicidality among adolescents and young adults: A systematic review. PLoS one. 2024;19:e0292691.
Ahmadpanah M, Astinsadaf S, Akhondi A, Haghighi M, Bahmani DS, Nazaribadie M, et al. Early maladaptive schemas of emotional deprivation, social isolation, shame and abandonment are related to a history of suicide attempts among patients with major depressive disorders. Comprehensive psychiatry. 2017;77:71-9.
McClelland H, Evans JJ, Nowland R, Ferguson E, O'Connor RC. Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies. Journal of affective disorders. 2020;274:880-96.
Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner Jr TE. The interpersonal theory of suicide. Psychological review. 2010;117:575.
Davies P, Veresova M, Bailey E, Rice S, Robinson J. Young peopleʼs disclosure of suicidal thoughts and behavior: A scoping review. Journal of Affective Disorders Reports. 2024:100764.
Alvarez-Subiela X, Castellano-Tejedor C, Villar-Cabeza F, Vila-Grifoll M, Palao-Vidal D. Family factors related to suicidal behavior in adolescents. International journal of environmental research and public health. 2022;19:9892.
Burnett S, Gatrell C, Cooper C, Sparrow P. Well‐balanced families? A gendered analysis of work‐life balance policies and work family practices. Gender in Management: An International Journal. 2010.
Bahr S. Balanced Parenting: The Effects of Family Functioning on Suicide and Non-Suicidal Self-Injury in Adolescents. Intuition: The BYU Undergraduate Journal of Psychology. 2019;14:2.
Cuesta I, Montesó‐Curto P, Metzler Sawin E, Jiménez‐Herrera M, Puig‐Llobet M, Seabra P, et al. Risk factors for teen suicide and bullying: An international integrative review. International journal of nursing practice. 2021;27:e12930.
Stone DM, Simon TR, Fowler KA, Kegler SR, Yuan K, Holland KM, et al. Vital signs: trends in state suicide ratesUnited States, 19992016 and circumstances contributing to suicide27 states, 2015. Morbidity and Mortality Weekly Report 2018;67:617.
Mruk CJ. Self-esteem and positive psychology: Research, theory, and practice. Springer Publishing Company; 2013.
Park Y. Effects of depression, self-esteem, and social support on suicidal ideation in college students. Child Health Nursing Research. 2017;23:111-6.
Steinhoff A, Bechtiger L, Ribeaud D, Eisner M, Shanahan L. Stressful life events in different social contexts are associated with self-injury from early adolescence to early adulthood. Frontiers in psychiatry. 2020;11:487200.
Stewart JG, Shields GS, Esposito EC, Cosby EA, Allen NB, Slavich GM, et al. Life stress and suicide in adolescents. Journal of abnormal child psychology. 2019 Oct 15;47:1707-22.
Koyanagi A, Oh H, Carvalho AF, Smith L, Haro JM, et al. Bullying victimization and suicide attempt among adolescents aged 1215 years from 48 countries. Journal of the American Academy of Child & Adolescent Psychiatry. 2019;58:907-18.
Ati NA, Paraswati MD, Windarwati HD. What are the risk factors and protective factors of suicidal behavior in adolescents? A systematic review. Journal of child and adolescent psychiatric nursing. 2021;34:7-18.
Maple M, Frey LM, McKay K, Coker S, Grey S. “Nobody hears a silent cry for help”: Suicide attempt survivorsʼ experiences of disclosing during and after a crisis. Archives of suicide research. 2020;24:498-516.
Gniwa OR, Ben Soussia R, Bouali W, Sriha Belguith A, Younes S, Zarrouk L. Psychiatric emergencies: Factors associated with suicide attempts. Tunis Med 2019;97:910917.
Madubata I, Spivey LA, Alvarez GM, Neblett EW, Prinstein MJ. Forms of Racial/Ethnic Discrimination and Suicidal Ideation: A Prospective Examination of African-American and Latinx Youth. J Clin Child Adolesc Psychol 2022;51:2331.
Carballo J, Llorente C, Kehrmann L, Flamarique I, Zuddas A, Purper-Ouakil D, et al. Psychosocial risk factors for suicidality in children and adolescents. European child & adolescent psychiatry. 2020;29:759-76.
Sheftall AH, Mathias CW, Furr RM, Dougherty DM. Adolescent attachment security, family functioning, and suicide attempts. Attachment & human development. 2013;15:368-83.
DrHC DEGM. Youth suicide: History, epidemiology, risks, and management. International Journal of Child Health and Human Development. 2017;10:285-97.
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