A phenomenological inquiry of stressful life events, personality factors and mental illness contributing to suicidality among youth in Khyber Pakhtukhwa, Pakistan
Abstract
Relevance of the issue of suicidal behaviour among youth had been underscored by its growing prevalence and the lack of comprehensive studies into psychological factors within specific cultural and regional contexts. Particular attention had been needed to explore the subjective experiences of individuals who had encountered suicidal ideation. The aim of this study had been to identify psychological factors contributing to suicidality among youth in Khyber Pakhtunkhwa, Pakistan, through the analysis of personal experience. Using a qualitative phenomenological approach, semi-structured in-depth interviews had been conducted with 19 purposively selected participants. An interview guide had been used for data collection, while thematic analysis had been applied to identify recurring themes within the participants’ narratives. It had been found that external stressors – such as romantic failures, poor academic achievement, and job loss – had played a significant role in triggering suicidal tendencies among young individuals. Personality traits including impulsive aggression, neuroticism, and perfectionism had also been identified as influential contributors. The analysis had further revealed the prevalence of symptoms commonly associated with mental health disorders, such as persistent sadness, hopelessness, agitation, and mood instability, which collectively had heightened the risk of suicidality. These findings had reflected the intricate interplay between environmental stressors, individual personality characteristics, and emotional distress in the development of suicidal behaviour. The practical value of the study had lain in its applicability for mental health professionals, social workers, and educators in identifying at-risk youth and designing targeted prevention and intervention strategies tailored to their psychological and cultural context
References
- Allebeck, P., & Allgulander, C. (1990). Psychiatric diagnoses as predictors of suicide: A comparison of diagnoses at conscription and in psychiatric care in a cohort of 50 465 young men. British Journal of Psychiatry, 157(3), 339-344. doi: 10.1192/bjp.157.3.339.
- American Psychological Association. (2017). Ethical principles of psychologists and code of conduct. Retrieved from https://www.apa.org/ethics/code.
- Anjum, A., Saeed Ali, T., Akber Pradhan, N., Khan, M., & Karmaliani, R. (2020). Perceptions of stakeholders about the role of health system in suicide prevention in Ghizer, Gilgit-Baltistan, Pakistan. BMC Public Health, 20, article number 991. doi: 10.1186/s12889-020-09081-x.
- Levi, Y., Horesh, N., Fischel, T., Treves, I., Or, E., & Apter, A. (2008). Mental pain and its communication in medically serious suicide attempts: An “impossible situation”. Journal of Affective Disorders, 111(2-3), 244-250. doi: 10.1016/j.jad.2008.02.022.
- Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. doi: 10.1191/1478088706qp063oa.
- Brent, D.A., & Mann, J.J. (2005). Family genetic studies, suicide, and suicidal behavior. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 133(1), 13-24. doi: 10.1002/ajmg.c.30042.
- Brent, D.A., Perper, J.A., Moritz, G., Liotus, L., Schweers, J., Balach, L., & Roth, C. (1994), Familial risk factors for adolescent suicide: A case-control study. Acta Psychiatrica Scandinavica, 89, 52-58. doi: 10.1111/j.16000447.1994.tb01485.x.
- Bridge, J.A., Goldstein, T.R., & Brent, D.A. (2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry and Allied Disciplines, 47(3-4), 372-394. doi: 10.1111/j.1469-7610.2006.01615.x.
- Caldwell, C.B., & Gottesman, I.I. (1990). Schizophrenics kill themselves too: A review of risk factors for suicide. Schizophrenia bulletin, 16(4), 571-589. doi: 10.1093/schbul/16.4.571.
- Sánchez, H.G. (2001). Risk factor model for suicide assessment and intervention. Professional Psychology: Research and Practice, 32(4), 351-358. doi: 10.1037/0735-7028.32.4.351.
- Enns, M.W., Cox, B.J., & Inayatulla, M. (2003). Personality predictors of outcome for adolescents hospitalized for suicidal ideation. Journal of the American Academy of Child & Adolescent Psychiatry, 42(6), 720-727. doi: 10.1097/01.CHI.0000046847.56865.B0.
- Goldsmith, S.K., Pellmar, T.C., Kleinman, A.M., & Bunney, W.E. (Eds.). (2002). Reducing suicide: A national imperative. Washington: National Academies Press. doi: 10.17226/10398.
- Goldstone, D., & Bantjes, J. (2017). Mental health care providers’ perceptions of the barriers to suicide prevention amongst people with substance use disorders in South Africa: A qualitative study. International Journal of Mental Health System, 11, article number 46. doi: 10.1186/s13033-017-0153-3.
- Hawton, K., Zahl, D., & Weatherall, R. (2003). Suicide following deliberate self-harm: Long-term follow-up of patients who presented to a general hospital. British Journal of Psychiatry, 182(6), 537-542. doi: 10.1192/ bjp.182.6.537.
- Hendin, H. (1997). Seduced by death: Doctors, patients, and the Dutch cure. New York: W.W. Norton & Co.
- Khan, N., Naz, A., Khan, W., & Ahmad, W. (2017). Family and suicidality: An exploration of relationship of familial problems with suicidality in Pakistan. Suicidology Online, 8, 41-48.
- Kingsbury, S., Hawton, K., Steinhardt, K., & James, A. (1999). Do adolescents who take overdoses have specific psychological characteristics? A comparative study with psychiatric and community controls. Journal of the American Academy of Child & Adolescent Psychiatry, 38(9), 1125-1131. doi: 10.1097/00004583-19990900000016.
- Lewinsohn, P.M., Rohde, P., & Seeley, J.R. (1996). Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications. Clinical Psychology: Science and Practice, 3(1), 25-46. doi: 10.1111/j.14682850.1996.tb00056.x.
- Macionis, J.J. (2012). Sociology. Boston: Pearson Publications.
- Mann, J.J., et al. (2005). Suicide prevention strategies: A systematic review. Journal of the American Medical Association, 294(16), 2064-2074. doi: 10.1001/jama.294.16.2064.
- Neuman, W.L. (2006). Social research methods: Qualitative and quantitative approaches. Essex: Pearson Publication. [22] Osvath, P., Vörös, V., & Fekete, S. (2004). Life events and psychopathology in a group of suicide attempters. Psychopathology, 37(1), 36-40. doi: 10.1159/000077018.
- Pilowsky, D.J., Wu, L.-T., & Anthony, J.C. (1999). Panic attacks and suicide attempts in mid-adolescence. American Journal of Psychiatry, 156(10), 1545-1549. doi: 10.1176/ajp.156.10.1545.
- Reinherz, H.Z., Giaconia, R.M., Silverman, A.B., Friedman, A., Pakiz, B., Frost, A.K., & Cohen, E. (1995). Early psychosocial risks for adolescent suicidal ideation and attempts. Journal of the American Academy of Child and Adolescent Psychiatry, 34(5), 599-611. doi: 10.1097/00004583-199505000-00012.
- Shekhani, S.S., Perveen, S., Hashmi, D.E.S., Akbar, K., Bachani, S., & Khan, M.M. (2018). Suicide and deliberate self-harm in Pakistan: A scoping review. BMC Psychiatry, 18(1), аrticle number 44. doi: 10.1186/s12888-0171586-6.
- Turecki, G., & Brent, D.A. (2016). Suicide and suicidal behaviour. The Lancet, 387(10024), 1227-1239. doi: 10.1016/ S0140-6736(15)00234-2.