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The Meaning of Mental Imagery in Acute Suicidal Episodes

A Qualitative Exploration of Lived Experiences

Datos Bibliográficos

ID13628520
AutoresAnna Maria Nilsson (0000-0002-9493-5821, University of Gothenburg, autor de correspondencia), Margda Waern (0000-0002-8330-6915, University of Gothenburg), Anna Ehnvall (0000-0002-5202-7593, University of Gothenburg), Ingela Skärsäter (0000-0001-7838-6802, Halmstad University)
Año2023
Volumen92
Número4
Páginas1989-2011
Fecha de publicación2023-11-25
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaOMEGA - Journal of Death and Dying (JOURNAL)
Identificadores de la revistaISSN: 0030-2228 • E-ISSN: 1541-3764
EditorialSAGE Publishing (PUBLISHER • US)
DOI10.1177/00302228231218562
PMID38006244
OpenAlexW4389002570
IdiomaEN
Referencias citadas35

Clinical assessment of suicidal ideation focuses on cognitions in the form of verbal thoughts. However, cognitions also take the shape of mental imagery. The aim of this qualitative study was to explore the meaning of mental imagery in acute suicidal episodes (ASEs). Eight persons with severe previous ASEs participated in repeated in-depth interviews and in the semi-structured Suicidal Cognitions Interview. Textual data from both sources underwent content analysis. All participants experienced suicide-related imagery during ASEs. Analysis resulted in two themes. (1) Suicide-approaching imagery: intrusive looming images that contributed to loss of control, flashforwards that clarified the suicidal solution, or desirable but unattainable images. (2) Suicide preventive imagery: death-alienating, life-affirming, or potentially helpful images. The meaning of mental imagery in ASEs is suggested to be understood in relation to the context of the individual ASE. A narrative approach is encouraged, as is an increased clinical focus on mental imagery in general

Art · Cognition · Context (archaeology · Meaning (existential · Medical emergency · Mental image · Narrative · Poison control · Psychiatry · Psychotherapist · Suicidal ideation · Suicide prevention · History · Medicine · Psychology · Psychosomatic Disorders and Their Treatments · Suicide and Self-Harm Studies · Traumatic Brain Injury Research

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