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In the Moment I Wanted to Kill Myself, and Then After I Didn't

A Qualitative Investigation of Suicide Planning, Method Choice, and Method Substitution Among Adolescents Hospitalized Following a Suicide Attempt

Bibliographic Data

ID2329418
AuthorsJoanna Almeida (0000-0003-3244-6923, Simmons University, Boston, MA, USA, corresponding author), Carolyn Barber (0000-0003-0414-4696, Harvard University), Catherine Barber (Harvard T.H. Chan School of Public Health, Boston, MA, USA), Rochelle K Rosen (0000-0003-1598-667X, Brown University, Providence, RI, USA), Alexandra Nicolopoulos (0000-0002-8834-8575, University of New South Wales, Randwick, Australia), Kimberly H Mcmanama O’brien (0000-0002-4744-3429, Boston Children’s Hospital, MA, USA)
Year2023
Volume55
Issue1
Pages29-43
Publication date2023-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueYouth & Society (JOURNAL)
Journal identifiersISSN: 0044-118X • E-ISSN: 1552-8499
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/0044118x211035950
OpenAlexW3197934463
LanguageEN
Citations received2
References cited16

Research on planning, method choice, and method substitution in adolescents' suicide attempts is limited. We conducted in-depth interviews with 20 adolescents following their suicide attempt to learn the extent to which the attempt was planned, why they used the method they did, and whether they would have substituted another method if the one they used had been unavailable. Applied Thematic Analysis was used to identify codes and develop themes. Attempts were largely unplanned, and planned attempts were often haphazard, as urgency to escape immediate pain was a main impetus for the attempt. Method choice was driven by easy access. Half of participants said they would not have attempted suicide if the method they used were inaccessible, but 7 of 20 said they would have, and 3 were unsure. Not all suicide attempts would be prevented by blocking access to methods that adolescent attempters would otherwise use. To understand whether restricting access to low-lethality methods could harm some attempters, future research should examine in-the-moment method substitution

Harm · Medical emergency · Poison control · Psychiatry · Qualitative research · Sociology · Suicide attempt · Suicide prevention · Thematic analysis · Gun Ownership and Violence Research · Homicide, Infanticide, and Child Abuse · Human Factors and Ergonomics · Medicine · Psychology · Social Psychology · Suicide and Self-Harm Studies

  • Working with Young People at Risk of Suicidal Behaviour and Self-Harm

    Open Access•India Bellairs-Walsh, Sadhbh J Byrne et al.•International Journal of…•2021

  • Sex Differences in Suicide, Lethal Means, and Years of Potential Life Lost Among Veterans With Substance Use Disorder

    Open Access•Amar Mandavia, Anne N Banducci et al.•Women s Health Issues•2025

  • Applied Thematic Analysis

    Greg Guest, Kathleen Macqueen et al.•Applied Thematic Analysis•2012

  • The Columbia–Suicide Severity Rating Scale

    Kelly Posner, Gregory K Brown et al.•American Journal of Psychiatry•2011

  • Why We Need Qualitative Research in Suicidology

    Open Access•Heidi Hjelmeland, Birthe Loa Knizek•Suicide and Life-Threatening…•2010

  • Method Choice in Nonfatal Self-Harm as a Predictor of Subsequent Episodes of Self-Harm and Suicide

    Matthew Miller, Katherine Hempstead et al.•American Journal of Public Health•2013

Unique citing works2
Citations per year0,4
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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