OC22 - Lived Experience in Suicide Prevention

Recovery-Related Agency in Suicide Attempt Survivors’ Accounts of Service Interactions
August, 31 | 10:30 - 11:30

The concept of agency is central to understanding how individuals in suicidal crises use services and, in turn, how services may be of better use to these individuals. However, service users’ agency in relation to their personal recovery process has rarely been elaborated on or explored in suicide-related research. We interviewed fourteen Finnish suicide attempt survivors in-depth about their interactions with helping services during a recent suicidal episode. An operationalisation of recovery-related agency as the expressed ability to take (mental or physical) action in a direction perceived as aiding recovery (i.e., as the coupling of recovery-related intentionality and power) was used to explore transcribed interviews through directed content analysis. Descriptions of recovery-related agency and non-agency were further categorised based on whether the current context was narrated as supportive or unsupportive of the service user's personally meaningful recovery tasks. While the relative frequency of agentic and non-agentic expression varied between participants, none presented themselves as consistently agentic or non-agentic in relation to the recovery process. Instead, participants expressed agency varied from task to task and situation to situation. The support provided by services was presented as highly relevant for both participants’ recovery-related intentionality and power. In participants’ accounts, perceived support often inspired or sustained empowerment towards the tasks of recovery (sustained agency), and even when it did not, it provided safety (contained non-agency). In turn, while participants could remain agentic in relation to their recovery process even when support was perceived as lacking (strained agency), such instances left participants feeling depleted. Further, a lack of perceived support left them feeling unsafe when they also found themselves lacking recovery-related intentionality and/or power (uncontained non-agency). Our findings illustrate the complex interplay of suicidal individuals’ recovery-related agency with the relational context provided by services. We discuss how the findings may inform services and professionals in providing meaningful responses to suicidal individuals’ help-seeking.

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