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Being suicidal as a coping mechanism: the presentation of suicidality among callers to a national emotional support helpline Kristian Pollock, John Moore,

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Presentation on theme: "Being suicidal as a coping mechanism: the presentation of suicidality among callers to a national emotional support helpline Kristian Pollock, John Moore,"— Presentation transcript:

1 Being suicidal as a coping mechanism: the presentation of suicidality among callers to a national emotional support helpline Kristian Pollock, John Moore, Catherine Coveney & Sarah Armstrong 1

2 Crisis service To support callers in despair and suicidal To prevent suicide Non-directive listening Self determination Suicidal thoughts and feelings should be discussed at every contact Samaritans

3 The Evaluation Mixed methods observation in 9 branches Interviews with Callers (48) Volunteers (66) Analysis of (55) and texts (3) Online survey (1309) open responses Researcher training

4 Suicidal thoughts and actions 19% Samaritans calls 0.6% report calling during suicidal act Compared with 46% of online survey respondents 9 % report calling during suicidal act 15% of caller interviewees – 75% reported established history of suicidal thoughts and actions

5 Being suicidal as a regular occurrence...most of the callers who phone up, even the ones who are saying theyre attempting, at the back of your mind, you feel that theyre probably not going to. V219...there are some callers who phone very regularly who are quite often quite dramatically suicidal, so theyll explain that theyre sitting with, sitting, you know, next to a railway line or the bridge, or next to a bottle of pills, or something. V270

6 Being suicidal as a chronic state I think Samaritans are the best thing since sliced bread and I have been dealing with suicidal thoughts on a daily basis for 15 years and they are crucial to my survival. S104 Not many people know that I am struggling with death fantasies on a daily basis either, and I cant talk to anyone except you. ES544

7 Being suicidal as a way of coping Sometimes I take overdoses of tablets just to take the edge of things. Its a way of carrying on. ES514 Not sure what I am going to do tonight, as Overdosing was on the cards, probably just do it and sleep it off, then there isnt really a point in doing it, not sure whats going on. ES503

8 Being suicidal but not wanting to die I do take overdoses and I have threatened to jump off the suspension bridge and all things like that. But its more to get rid of the pain rather than having a long-standing plan to actually kill myself. So, I sometimes try and explain that to them. S135 The closest I have gotten would be somewhat planning it. I wouldnt do it, but I would want to. I think about it a lot. Im not dangerous, but I could admit it, even though I dont like saying it, that I am suicidal. When I say Im not dangerous I mean that I dont really attempt to kill myself when I plan to. ES530

9 Contacting Samaritans as a pre-emptive measure...the only time when I dont ring Samaritans is when Im...those rare occasions when Im basically in advanced planning mode. Im really suicidal and just sort of working out how and when and stuff. And at those times the only person...I can talk to...basically, its my professional mental health team. (S161)

10 Selective disclosure and concealment I have been taking one less diazapam than I am supposed to take and hidingit. It's one of my many plans for killingmyself… I have not mentioned any of this to the team because, this morning, I was in danger of being sectioned. I lied and said that I had suicidal ideations but that that was all. (ES533) And there isnt any kind of threat, I think, that whatever you say will be sort of written down and used as evidence, as it were. Its not going to go on your notes, and I think some people are worried what theyll say will go on their notes and then be used against them in some way. (S113)

11 A port in a storm but not a crutch for life Samaritans value callers who express suicidal thoughts and feelings But on an episodic rather than ongoing basis Caller dependency is discouraged Callers value Samaritans As a place to express suicidal thoughts and feelings As an on going resource to help them cope Samaritans supports the construction of an identity of being suicidal among callers which has little bearing on its overriding project of preventing the occurrence of suicide

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