Why suicidal thoughts may not lead to suicide mortality among young people in Hong Kong

Intro

Suicide is a public health concern globally. While suicide ideation and suicide attempts are strong risk factors for fatal suicide, most people with suicidal thoughts do not proceed to making a suicide attempt, and most people who have survived a suicide attempt do not eventually die by suicide. Researchers have established theories that describe an ideation-to-action framework, distinguishing suicide attempts from suicide ideation. Understanding this distinction is vital for developing and implementing effective suicide prevention strategies. It highlights the importance of early identification and intervention, and the need for ongoing mental health support and resources for individuals at risk of suicide.

Methods

Sixteen participants with suicide ideation were interviewed to explore what protected against death by suicide despite different levels of suicidal thoughts.

Results

Three recurrent themes were identified from interviewees’ stories: 1) suicidal thoughts as a space; 2) fear and concerns; and 3) coping strategies.

Conclusion

We found synchronicity between our findings and common clinical intervention strategies that highlight protective factors in promoting mental health and saving lives from at-risk groups.