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Cited by 115Suicide and Self-Harm StudiesPsychiatric care and mental health servicesEmotions and Moral Behavior

Shame reactions after suicide attempt.

Wiklander, Maria, Samuelsson, Mats, Åsberg, Marie·2003·Scandinavian Journal of Caring Sciences
DOI 10.1046/j.1471-6712.2003.00227.x
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Abstract

Shame reactions were spontaneously described by 13 of 18 patients interviewed in a qualitative study investigating experiences of care following a suicide attempt. The shame data from the interview study were extracted, analysed separately, and are reported in this article. The shame reactions often occurred in conjunction with the suicide attempt. Feelings of shame were accompanied by impulses to hide or flee, i.e., fear of seeking help or impulses to leave the hospital. The attempted suicide patients often experienced the initial encounter at the hospital as difficult. Having attempted suicide and survived was often perceived as yet another failure, in addition to the problems leading to the attempt. The attempted suicide patients were sensitive to the attitudes and behaviours of the personnel. Experiencing the personnel as kind, respectful, and nonjudgemental seemed to contribute to a relief from shame for some patients. Some respondents expressed that a tolerant and flexible atmosphere in the psychiatric ward, with low demands on the attempted suicide patient, helped them accept treatment and made them feel less ashamed for not living up to the expectations of everyday life. On the other hand, feeling too exposed to others or experiencing negative attitudes from the personnel seemed to contribute to an exacerbation of shame for some patients. Being aware of possible shame reactions after a suicide attempt might help caring personnel to understand and interact with attempted suicide patients in a way that could make it easier for these patients to accept and benefit from psychiatric care after a suicide attempt.

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  • Individuals can swiftly move into a state of heightened shame and regret soon after a non-fatal suicide attempt, due to an increased awareness of the potential impact on their goals following the attempt.

    “In some cases, individuals can swiftly move into a state of heightened shame and regret soon after a non-fatal suicide attempt (Wiklander et al., 2003), due to an increased awareness of the potential impact on their goals following the attempt.”

    From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Wiklander et al., 2003

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Authors
Wiklander, M., Samuelsson, M., & Åsberg, M.
Affiliations
Karolinska Institutet (SE)
ORCID
Venue
Scandinavian Journal of Caring Sciences
Publisher
Wiley
Published
2003-08-14
Volume
17
Issue
3
Pages
293-300
ISSN
  • 0283-9318 (ISSN-L)
  • 1471-6712
DOI
10.1046/j.1471-6712.2003.00227.x
OpenAlex
W2003978980
Cited by
115
References
20
Citations by year
2026: 2 · 2025: 1 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 8 · 2020: 9 · 2019: 7 · 2018: 9 · 2017: 8 · 2016: 9 · 2015: 7 · 2014: 3 · 2013: 5 · 2012: 4
FWCI
2.44
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Scandinavian Journal of Caring Sciences (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Vårdalstiftelsen
  • Vetenskapsrådet
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Social Psychology › Emotions and Moral Behavior
Keywords
shame, suicide attempts, psychiatric inpatient care, patient experience, employee attitudes, help-seeking, patient acceptance of treatment, psychiatric nursing
MeSH terms
Adolescent, Adult, Attitude of Health Personnel, Attitude to Health, Avoidance Learning, Female, Humans, Inpatients, Male, Medical Staff, Hospital, Middle Aged, Negativism, Nursing Staff, Hospital, Professional-Patient Relations, Psychiatric Nursing, Surveys and Questionnaires, Shame, Suicide, Attempted, Sweden, Nursing Methodology Research, Survivors, Qualitative Research

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