Suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural Vietnamese community
Open accessAbstract
The study aimed to explore the suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural community in Hanoi, Vietnam. Semi-structured interviews were conducted, in a community setting, with 19 suicide attempters aged 15-24 who had been consecutively hospitalized in an intensive care unit. In 12 of 19 cases, the first pressing, distinct and constant suicidal thoughts appeared less than one day before the suicide attempt in question. However, distress and mild, fleeting suicidal thoughts had been present up to six months before the suicide attempt in 16 cases. Five respondents had a suicide plan one to three days before attempting suicide. Altogether, 13 engaged in some form of suicidal communication before their attempt. This communication was, however, difficult for outsiders to interpret. Twelve of the respondents were victims of regular physical abuse and 16 had suffered psychological violence for at least one year before attempting suicide. Eighteen of the respondents used pesticides or raticides in their suicide attempts. None sought advice or consultation in the community despite long-standing psychosocial problems. The strategy of reducing the availability of suicide means (e.g., pesticides or raticides) in Asian countries should be complemented with a long-term suicide-preventive strategy that targets school dropouts and domestic violence, and promotes coping abilities and communication about psychological and social problems as well as recognition of signs of distress and suicidal communication.
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Suicidal thoughts generally precede suicide behaviors.
“Although suicidal thoughts generally precede suicide behaviors, some preadolescents may endorse suicide behaviors but not thoughts,42,43 which would not have been captured in the present study.”
From Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts (2026) · cites this paper as [43]
Some preadolescents may endorse suicide behaviors but not thoughts.
“Although suicidal thoughts generally precede suicide behaviors, some preadolescents may endorse suicide behaviors but not thoughts,42,43 which would not have been captured in the present study.”
From Asking Preadolescents About Suicide Is Not Associated With Increased Suicidal Thoughts (2026) · cites this paper as [43]
The Subjects section reports an age range of 15–24, so the study did not include preadolescents. The section on previous suicidal thoughts describes thoughts before the attempts and says the presence of thoughts was unclear for one participant; it does not report participants endorsing suicidal behavior while denying suicidal thoughts. (LLM, conf=0.76)
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- Authors
- WASSERMAN, D., THANH, T. T. H., MINH, P. T. D., GOLDSTEIN, M., NORDENSKIÖLD, A., & WASSERMAN, C.
- Affiliations
- Karolinska Institutet (SE)
- Hanoi Medical University (VN)
- ORCID
- WASSERMAN, DANUTA
- Venue
- World Psychiatry
- Publisher
- Wiley
- Published
- 2008-02
- Volume
- 7
- Issue
- 1
- Pages
- 47-53
- ISSN
- 1723-8617 (ISSN-L)
- 2051-5545
- PMC
- PMC2359725
- OpenAlex
- W1942058609
- Cited by
- 58
- References
- 32
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 1 · 2012: 4
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- World Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- suicide attempts, youth, psychosocial situation, rural communities, Hanoi, suicide planning, suicidal ideation, physical abuse, psychological violence, domestic violence, suicide prevention, school dropout, coping capacity, intensive care unit
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