AffiliationUniversity of Huddersfield ; University of Chester
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AbstractThe present study examined genuine and simulated suicide notes aiming to identify the measures of content that best differentiate between the two. Thirty- three genuine and thirty-three simulated suicide notes were content-analysed and data subjected to Smallest Space Analysis (SSA), a Multidimensional Scaling Procedure. The core of all suicide notes was discovered to be constructed with the use of three variables: expressions of love, positive construction of partner and apologies. Furthermore, four different genuine suicide note themes (‘planned escape’, ‘negative affect and self-mitigation’, ‘positive affect and failed relationship’, ‘lack of self-acceptance’) and three simulated suicide note themes (‘escape’, ‘positive affect and self-blame’, ‘purposeless life’) were identified revealing that authentic suicide note themes were more internally consistent and clearer to interpret.
CitationForensic Science International, 2014, 245, pp. 151-160.
JournalForensic Science International
DescriptionNOTICE: this is the author’s version of a work that was accepted for publication in Forensic Science International. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Forensic Science International, 245, December 2014, doi: 10.1016/j.forsciint.2014.10.035
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Working with suicide: An exploration of the tensions that may exist if counsellors’ beliefs and agency suicide policy conflictJones, Elaine (University of Chester, 2015-10)This research explores the experiences of counsellors working with suicidal clients with a focus on how counsellors respond to, and are affected by, a suicide policy with which they have disagreements. A comprehensive review of the literature was conducted. Four counsellors who have tensions with their agency’s suicide policy were interviewed and their experiences explored. The data was analysed using Interpretative Phenomenological Analysis. The research concludes that counsellors who would otherwise feel confident in their work with suicidal clients feel anxious and concerned for the safety of their clients as a result of working within a policy that feels inadequate. The research also demonstrates that counsellors feel isolated when in this position and points to the need for counsellor organisations, such as the BACP, to provide a forum in which such issues can be addressed. The research has also resulted in the production of suggestions as to how policy could be improved and demonstrated that the implementation of these changes would alleviate the stress felt by counsellors and provide more support to clients experiencing a suicidal crisis. In addition the conclusions of the research suggest, controversially, that it is ethical for counsellors to breach policy if they believe that the policy does not have the best interest of the client at its heart, and if it does not protect the client in times of crisis.
Exploring the 'talk' of suicide: Using discourse-informed approaches in exploring suicide riskReeves, Andrew; University of ChesterThis chapter considers how discourse-based approaches can help facilitate mental health work with clients/patients who present at risk of suicide. This is discussed in the context of a predominant and traditional risk assessment questionnaire approach, increasingly acknowledged as having low predictive quality.
A psychological intervention for suicide applied to non-affective psychosis: the CARMS (Cognitive AppRoaches to coMbatting Suicidality) randomised controlled trial protocolGooding, Patricia A.; orcid: 0000-0002-7458-4462; email: firstname.lastname@example.org; Pratt, Daniel; Awenat, Yvonne; Drake, Richard; Elliott, Rachel; Emsley, Richard; Huggett, Charlotte; Jones, Steven; Kapur, Navneet; Lobban, Fiona; et al. (BioMed Central, 2020-06-16)Abstract: Background: Suicide is a leading cause of death globally. Suicide deaths are elevated in those experiencing severe mental health problems, including schizophrenia. Psychological talking therapies are a potentially effective means of alleviating suicidal thoughts, plans, and attempts. However, talking therapies need to i) focus on suicidal experiences directly and explicitly, and ii) be based on testable psychological mechanisms. The Cognitive AppRoaches to coMbatting Suicidality (CARMS) project is a Randomised Controlled Trial (RCT) which aims to investigate both the efficacy and the underlying mechanisms of a psychological talking therapy for people who have been recently suicidal and have non-affective psychosis. Methods: The CARMS trial is a two-armed single-blind RCT comparing a psychological talking therapy (Cognitive Behavioural Suicide Prevention for psychosis [CBSPp]) plus Treatment As Usual (TAU) with TAU alone. There are primary and secondary suicidality outcome variables, plus mechanistic, clinical, and health economic outcomes measured over time. The primary outcome is a measure of suicidal ideation at 6 months after baseline. The target sample size is 250, with approximately 125 randomised to each arm of the trial, and an assumption of up to 25% attrition. Hence, the overall recruitment target is up to 333. An intention to treat analysis will be used with primary stratification based on National Health Service (NHS) recruitment site and antidepressant prescription medication. Recruitment will be from NHS mental health services in the North West of England, UK. Participants must be 18 or over; be under the care of mental health services; have mental health problems which meet ICD-10 non-affective psychosis criteria; and have experienced self-reported suicidal thoughts, plans, and/or attempts in the 3 months prior to recruitment. Nested qualitative work will investigate the pathways to suicidality, experiences of the therapy, and identify potential implementation challenges beyond a trial setting as perceived by numerous stake-holders. Discussion: This trial has important implications for countering suicidal experiences for people with psychosis. It will provide definitive evidence about the efficacy of the CBSPp therapy; the psychological mechanisms which lead to suicidal experiences; and provide an understanding of what is required to implement the intervention into services should it be efficacious. Trial registration: ClinicalTrials.gov (NCT03114917), 14th April 2017. ISRCTN (reference ISRCTN17776666 https://doi.org/10.1186/ISRCTN17776666); 5th June 2017). Registration was recorded prior to participant recruitment commencing.