THE EXPERIENCE OF SUICIDE ATTEMPT IN PATIENT WITH MAJOR DEPRESSIVE DISORDER IN SOMDET CHAOPRAYA INSTITUTE OF PSYCHIATRY: MOTIVATION AND VOLITION
Keywords:
experience, motivation, volition, suicidal attempt, major depressive disorderAbstract
Objectives: The aim of this study was to describe the experience of motivation and volition to suicide attempts in patients with Major depressive disorder.
Material and Methods: Ten informants were inpatients with Major depressive disorder with a history of suicide attempts within 1 month at Somdet Chaopraya Institute of Psychiatry, between March to August 2022 by in-depth interviews. Analysis by qualitative research method based on the concept of phenomenology.
Results: Suicidal motivation: the researchers found that patients experienced stressful life events such as conflict with family members, being stigmatized as a psychiatric patient, loss of loved ones, and financial problems resulted in negative self-concepts such as thinking of yourself as a burden to family, feeling abandoned, feeling helpless, and thinking that you were not good. These thoughts led to depressed moods or depressed moods with feelings of anger or panic. Suicidal volition: we found that patients who had attempted suicides would choose a method of suicide that was familiar or close to themselves. There were both planned and unplanned suicide attempts. They also thought positively about suicides; for instance, a suicide was a normal thing and/or a good solution. (3) The resources that patients received It was found that the patient received assistance from their family members. They help patients by comforting them by talking, keeping them company, and storing dangerous equipment away from them. The patients also received psychotherapy with specialists and performed physical activity when stressed which could reduce suicidal ideas. Preventing suicides could be happened by thinking about who you loved and who loved you, thinking about goals in life, and avoiding alcohol during the depression.
Conclusion: Suicidal motivation is the ideation of death wish whereas suicidal volition is the act causing one's death. The keys to reduce suicide attempts are to adjust the patient's thinking and understanding of family.
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