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A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

Authors :
Rebecca Owen
Robert C. Dempsey
Patricia A. Gooding
Steven Jones
Owen, Rebecca
Gooding, Patricia
Dempsey, Robert
Jones, Steven
Source :
Journal of Affective Disorders. 176:133-140
Publication Year :
2015
Publisher :
Elsevier BV, 2015.

Abstract

Background: The prevalence rate of completed suicide in bipolar disorder is estimated to be as high as 19%. Social factors or influences, such as stigmatisation and family conflict, contribute to the development of suicidal ideation in clinical and non-clinical populations. Yet, there is a lack of studies examining suicidality from a psychosocial perspective in people who experience bipolar disorder.\ud \ud Method: Semi-structured interviews were used to collect qualitative data from 20 participants with bipolar disorder. The interview focused on the effects of social factors upon participants‟ experiences of suicidality (suicidal thoughts, feelings or behaviours). A thematic analysis was used to understand the data.\ud \ud Results: Social or interpersonal factors which participants identified as protective against suicidality included, 'the impact of suicide on others' and, 'reflecting on positive social experiences'. Social factors which triggered suicidal thoughts included, 'negative social experiences' and, 'not being understood or acknowledged'. Social factors which worsened suicidal thoughts or facilitated suicidal behaviour were, 'feeling burdensome,‟ and 'reinforcing negative self-appraisals'.\ud \ud Limitations: Some participants had not experienced suicidal thoughts for many years and were recalling experiences which had taken place over ten years ago. The accuracy and reliability of these memories must therefore be taken into consideration when interpreting the results.\ud \ud Conclusions: The themes help to enhance current understanding of the ways in which social factors affect suicidality in people who experience bipolar disorder. These results highlight the importance of considering the social context in which suicidality is experienced and incorporating strategies to buffer against the effects of negative social experiences in psychological interventions which target suicide risk in bipolar disorder.

Details

ISSN :
01650327
Volume :
176
Database :
OpenAIRE
Journal :
Journal of Affective Disorders
Accession number :
edsair.doi.dedup.....3638d67712c915cec7dece17bf7889d8
Full Text :
https://doi.org/10.1016/j.jad.2015.02.002