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Cited by 9Suicide and Self-Harm StudiesMental Health via WritingGrief, Bereavement, and Mental Health

An analysis of young clients’ Communications about their suicidality on a text message helpline:”I’m scared of what I might do to myself

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Van Wyk, Jeanne, Gibson, Kerry·2022·Frontiers in Psychiatry
DOI 10.3389/fpsyt.2022.925830PMC PMC9333268
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Abstract

Background: Youth suicide is a major international concern and prevention is a priority. In most cases suicidal behavior would be preceded by a period of suicidal ideation. Although feeling suicidal is recognized as a risk factor for suicide, there is little research which captures young people's own experience of suicidality in a moment of crisis. Aims: This study aimed to explore young people's own accounts of their suicidality in the moment in which they experienced it. Method: This qualitative study examined clients' experience of suicidality as communicated during a text message helpline counseling interaction. The data consisted of 125 text transcripts of an interaction during which a client was experiencing suicidality. These were obtained from a New Zealand based youth helpline service. The data was analyzed using thematic analysis. Findings: The analysis showed that clients' experienced suicidality as a normal part of their life; that it was understood as a form of coping and that it was seen as a legitimate way to communicate distress. Clients described rapid fluctuations in the intensity of their suicidality and a feeling of being out of control. Despite this, they also communicated ambivalence about acting on their suicidality, and a recognition of the need to get help. Conclusions: This study offered unique insights into young people's experience of suicidality and opens up opportunities for prevention. It underlines the importance of identifying chronic suicidality early and providing intervention and support prior to a suicidal crisis. The findings point to the potential that text counseling services might have in providing support to young people who are experiencing suicidality in the moment that they need this.

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  • Ambivalence can vary greatly in intensity and some individuals may not explicitly express ambivalence, but ambivalence rather reveals itself through the usage of words such as "maybe", "not now", and "possibly" when talking about suicidal intentions.

    “Of course, ambivalence can vary greatly in intensity and some individuals may not explicitly express ambivalence, but ambivalence rather reveals itself through the usage of words such as “maybe”, “not now”, and “possibly” when talking about suicidal intentions (33).”

    From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [33]

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Authors
Van Wyk, J., & Gibson, K.
Affiliations
University of Auckland (NZ)
Corresponding author
Gibson, Kerry
ORCID
Gibson, Kerry
Venue
Frontiers in Psychiatry
Publisher
Frontiers Media SA
Published
2022-07-14
Volume
13
Pages
925830-925830
ISSN
1664-0640 (ISSN-L)
DOI
10.3389/fpsyt.2022.925830
PMC
PMC9333268
OpenAlex
W4285388640
Cited by
9
References
61
Citations by year
2026: 4 · 2024: 4 · 2023: 1
FWCI
1.14
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health via Writing
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Keywords
youth suicide, suicidality, suicidal ideation, crisis counseling, coping, help-seeking, suicide prevention

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