PS24 - Interventions and Management of Suicidal Behaviour in Later Life

Older Adult's Experiences of Their Contact With Health Services Before and After a Suicide Attempt: An Interpretive Phenomenological Analysis
August, 29 | 17:30 - 19:00

Introduction: In Sweden as well as internationally, older adults with suicidal behaviour often go under the radar within the health care system. When mental distress is identified, older adults receive less valid treatment options than younger adults do. While population-based studies have provided valuable input about help seeking patterns in this group, relatively few have explored the subjective experiences of suicidal older adults within the health care context. Aim: This study explores how older adults who have made a suicide attempt experience their contacts with health care services both before and after their suicidal crises. Method: Semi-structured interviews were conducted with nine persons (71-92 years old) who had received treatment, at the Geriatric Psychiatric outpatient clinic at Sahlgrenska University Hospital, in connection with a suicide attempt during the past 3-36 months. The interviews were analyzed using Interpretative Phenomenological Analysis. Results: Preliminary results emphasize difficulties experienced by participants when trying to access appropriate care. They were dependent on healthcare providers due to serious physical health problems but felt an increasing desperation when their psychological needs remained unmet. Consultations with doctors would in some cases exasperate their feelings of loneliness and worthlessness. The holistic approach to care on the geriatric psychiatry ward that followed the attempt, where both physical and mental conditions were given attention, regained trust for healthcare providers, were expressed as suicide preventive and enhanced help-seeking behaviour. However, some participants expressed negative experiences of care in the aftermath of their suicide attempt. This presentation will focus on relevant themes, subthemes and clinical implications of our findings. Conclusion: The findings indicate that the interpersonal interactions and relationships within the health care system play a crucial role for older adults, both before and after a suicidal crisis. The findings of this study can inform clinical approaches to the care and management of older adults with suicidal behaviour.

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