Experiences of responding to suicidality

Section A: A systematic literature review, which synthesises and critically evaluates qualitative research into how “supporters” (professionals and non-professionals) describe their responses to adults experiencing suicidality when risk is identified, and what aspects of care they prioritise. The quality of the eleven identified papers is assessed and findings are considered within the context of limitations and generalisability. The findings are considered as they relate to psychological theory, their implications for practice and policy, and suggestions for future research are made.

Section B: Uses grounded theory methodology to explore how suicidality is identified in autistic adults, and how it is discussed with them, as understood by people who have completed these tasks (including carers, voluntary sector, health care professionals). The generated theory found discussions take place when an overwhelmed autistic is provided with a safe environment to express distress. Supporters draw upon various knowledge to negotiate stages from identification of suicidality (usually through direct disclosure from the autistic person), to planning, exploring meaning and providing immediate responses to reduce distress. Risk assessment runs parallel to these processes. The theory is discussed in relation to diathesis stress theories of suicidality and existing literature, and clinical and research implications are described.

Section C: Appendices