Marsh Ian, Marzano Lisa, Mosse David, Mackenzie Jay-Marie
Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, UK.
Department of Psychology, Middlesex University, UK.
BJPsych Open. 2021 Jan 20;7(1):e39. doi: 10.1192/bjo.2020.173.
The processes and planning involved in choosing and attempting to die by a particular method of suicide are not well understood. Accounts from those who have thought about or attempted suicide using a specific method might allow us to better understand the ways in which people come to think about, plan and enact a suicide attempt.
To understand from first-person accounts the processes and planning involved in a suicide attempt on the railway.
Thematic analysis was conducted of qualitative interviews (N = 34) undertaken with individuals who had contemplated or attempted suicide by train.
Participants explained how they decided upon a particular method, time and place for a suicide attempt. Plans were described as being contingent on a number of elements (including the likelihood of being seen or interrupted), rather than being fixed in advance. Participants mentally rehearsed and evaluated a particular method, which would sometimes involve imagining in detail what would happen before, during and after an attempt. The extent to which this involved others (train drivers, partners, friends) was striking.
By giving people free reign to describe in their own words the processes they went through in planning and undertaking a suicide attempt, and by not interpreting such accounts through a lens of deficit and pathology, we can arrive at important insights into how people come to think and feel about, plan and enact a suicide attempt. The findings have implications in terms of understanding suicide risk and prevention more broadly.
人们对选择特定自杀方式并试图实施自杀的过程和规划了解不足。那些曾考虑过或尝试过特定自杀方式的人的描述，可能会让我们更好地理解人们是如何思考、规划并实施自杀企图的。
通过第一人称叙述来了解铁路自杀企图中的过程和规划。
对34名曾考虑过或尝试过卧轨自杀的个体进行定性访谈，并进行主题分析。
参与者解释了他们如何决定自杀企图的特定方式、时间和地点。计划被描述为取决于多个因素（包括被看到或打断的可能性），而不是事先确定的。参与者在脑海中演练并评估特定方式，有时这会涉及详细想象自杀企图之前、期间和之后会发生什么。其中涉及他人（火车司机、伴侣、朋友）的程度令人惊讶。
通过让人们自由地用自己的语言描述他们在规划和实施自杀企图时所经历的过程，并且不通过缺陷和病理学的视角来解读这些描述，我们可以对人们如何思考、感受、规划和实施自杀企图获得重要的见解。这些发现对更广泛地理解自杀风险和预防具有启示意义。
