My intention this #SuicidePreventionMonth is to better myself as a researcher and advocate via a deep dive into the critical suicidology literature. I’ll be tweeting out articles I find helpful or thought-provoking all month long. Drop any suggestions below!

Today's article (9/1/20): White, J. (2017). What can critical suicidology do?. Death studies, 41(8), 472–480. https://doi.org/10.1080/07481187.2017.1332901
Main takeaways: 1/2

1: shift focus from individual risk/protective factors to the greater sociopolitical context (yay public health!)
-thus informing-
2: suicide prevention = fighting injustice
-and-
3: suicide intervention = narrative approaches focusing on community & structural context
2/2

Expanding on yesterday's read, today's article: @CorbinStandley (2020). Expanding our paradigms: Intersectional and socioecological approaches to suicide prevention. Death Studies, 1–9. https://doi.org/10.1080/07481187.2020.1725934
Research, practice, and policy implications include: 1/2

1) utilizing intersectional approaches by "authentically and meaningfully measuring social identities and their intersections," 2) considering contextual factors (including protective factors), & 3) incorporating models related to marginalized identities (e.g., minority stress).

Today's read: Hjelmeland, H., & Knizek, B. L. (2010). Why we need qualitative research in suicidology. Suicide & Life-Threatening Behavior, 40(1), 74–80. https://doi.org/10.1521/suli.2010.40.1.74
Main message: 1/2

Asserts the need to 1) use mixed-methods approaches to expand upon epidemiological, neurobiological, and RCT studies and 2) use qualitative findings, not just for theory generation, but as a follow-up to quantitative research to build better understanding and insight. 2/2

Today's read: Lewis, S. P., & Hasking, P. (2019). Putting the "Self" in self-injury research: Inclusion of people with lived experience in the research process. Psychiatric Services, 70(11), 1058–1060. https://doi.org/10.1176/appi.ps.201800488
Some highlights: 1/3

Including persons w/ lived experience in the research process: 1) recruit through organizations for those w/ lived experience, 2) include individuals w/ lived experience in project design & dissemination, 3) provide resources during the research process should distress arise* 2/3

*per a meta-analysis, participation in suicide-related research does not increase risk (Blades et al., 2018).
--> Based on my readings this week, all articles I share next week will be qualitative research with persons with lived experience. If you have a fav, drop it below! 3/3

First qual article of the week: Blanchard, M., & Farber, B. A. (2020). "It is never okay to talk about suicide": Patients' reasons for concealing suicidal ideation in psychotherapy. Psychotherapy Research, 30(1), 124–136. https://doi.org/10.1080/10503307.2018.1543977
#critsui #NSPM20 1/3

Clients avoided disclosing SI due to 1) practical impacts (e.g., hospitalization), 2) emotional impacts (e.g., stigma & shame), 3) personally-held beliefs (e.g., "disclosure won't help"), & 4) therapist-related reasons (e.g., therapist failed to ask). #critsui #NSPM20 2/3

Solutions? Clinicians need to 1) ask direct questions about SI, 2) include the client in decision-making, & 3) normalize the client's experiences. Biggest takeaway = clients need to know the clinician won't over-react (i.e., report/force hospitalization). #critsui #NSPM20 3/3

I will not be posting #critsui content today or tomorrow, but rather will be engaging with #ScholarStrike material. Check it out: @.ScholarStrike https://www.youtube.com/channel/UCu76Immw5Fuj2bajTDCXwKQ/videos?view=0&sort=da&flow=grid&view_as=subscriber

Back at it today! Williams, S. M., Frey, L. M., @deseraestage, & @juliecerel (2018). Exploring lived experience in gender and sexual minority suicide attempt survivors. American Journal of Orthopsychiatry, 88(6), 691–700. https://doi.org/10.1037/ort0000334 #critsui #NSPM20 1/3

GSM persons w/ lived experience highlighted the impact of 1) intersecting marginalized identities, 2) identity concealment, 3) internalized stigma, 4) interpersonal factors (e.g., presence/absence of family of origin & chosen family support), & 5) peer support on suicidality. 2/3

Implications: 1) at the individual level: identity-affirming resources and clinical interventions, 2) at the interpersonal level: family-oriented services & peer support, & 3) at the structural level: protection for GSM individuals. #critsui #NSPM20 3/3