title: Suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural Vietnamese community.
abstract: The study aimed to explore the suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural community in Hanoi, Vietnam. Semi-structured interviews were conducted, in a community setting, with 19 suicide attempters aged 15-24 who had been consecutively hospitalized in an intensive care unit. In 12 of 19 cases, the first pressing, distinct and constant suicidal thoughts appeared less than one day before the suicide attempt in question. However, distress and mild, fleeting suicidal thoughts had been present up to six months before the suicide attempt in 16 cases. Five respondents had a suicide plan one to three days before attempting suicide. Altogether, 13 engaged in some form of suicidal communication before their attempt. This communication was, however, difficult for outsiders to interpret. Twelve of the respondents were victims of regular physical abuse and 16 had suffered psychological violence for at least one year before attempting suicide. Eighteen of the respondents used pesticides or raticides in their suicide attempts. None sought advice or consultation in the community despite long-standing psychosocial problems. The strategy of reducing the availability of suicide means (e.g., pesticides or raticides) in Asian countries should be complemented with a long-term suicide-preventive strategy that targets school dropouts and domestic violence, and promotes coping abilities and communication about psychological and social problems as well as recognition of signs of distress and suicidal communication.
authors.affiliation: Swedish National and Stockholm County Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) at the Department of Public Health Sciences, Karolinska Institute, P.O. Box 230, SE-171 77 Stockholm, Sweden.
authors.forename: Danuta
authors.initials: D
authors.lastname: Wasserman
authors.forename: Houng
authors.initials: H
authors.lastname: Tran Thi Thanh
authors.forename: Duc
authors.initials: D
authors.lastname: Pham Thi Minh
authors.forename: Max
authors.initials: M
authors.lastname: Goldstein
authors.forename: Ana
authors.initials: A
authors.lastname: Nordenskiöld
authors.forename: Camilla
authors.initials: C
authors.lastname: Wasserman