ArticleBMJ open2025
Experiences of healthcare interactions before and after suicidal behaviour among older adults attending geropsychiatric services: an interpretative phenomenological analysis.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The meaning of being suicidal - a reflective lifeworld research.International journal of qualitative studies on health and well-being · 2026Article
- Age matters: a narrative review and machine learning analysis on shared and separate multidimensional risk domains for early and late onset suicidal behavior.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Advances in the assessment and study of suicide in late-life depression.Frontiers in psychiatry · 2025Review
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPhysical illness and functional disability are common in older adult populations and strongly linked to suicidal behaviour. The aim was to explore how older adults who engaged in a suicidal act experienced their interactions with healthcare providers.
designThis study re-examined transcripts from a broader study involving experiences of older adults who took part in two separate semi-structured interviews focusing on their experiences before and after a suicidal act. Interpretative phenomenological analysis was applied.
settingA geriatric psychiatric outpatient clinic in a large Swedish city.
participantsParticipants (70+) were recruited among consecutive Swedish-speaking patients in outpatient treatment following a suicidal act within the last 3-36 months. Exclusion criteria were personality disorder, ongoing psychosis, aphasia, delirium, clinical dementia or Montreal Cognitive Assessment score indicating moderate/severe cognitive impairment. Out of 22 eligible, nine accepted participation (four women and five men, age range 71-92 years). Prior to the suicidal act, all had their main care contact in primary care, and all but one were on antidepressants.
resultsParticipants described interactions with healthcare services that amplified their feelings of alienation, loneliness, worthlessness and self-stigma. Difficulties accessing care increased their sense of powerlessness. Some participants were cognizant of their mental health needs but experienced obstacles that hindered them from managing their illness, which reduced their sense of agency. These situations increased frustration and hopelessness and contributed to the development of suicidal behaviour. On the contrary, feeling listened to in trustful and validating relationships helped restore self-respect and agency and fostered engagement in their individual suicide preventative strategies.
conclusionsThe findings can inform educational interventions and clinical approaches to the care and management of older adults with symptoms of common mental disorders. Exploring experiences of care interactions before and after suicidal acts across different clinical settings and cultures could be areas for future research.
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