title: Cultural concepts and themes of suicidal attempt among Iranian adolescents.
abstract: BACKGROUND
  Suicide attempts are more common among adolescents than other age groups. Although suicide is considered a worldwide problem, but the related factors, to suicidal behavior are different in various cultures.
  
  
  OBJECTIVE
  The purpose of this study is to identify themes that explain suicide attempt process among adolescents in Iran.
  
  
  METHODS
  This is a qualitative study carried out based on grounded theory. Key informants were 16 adolescents referred to two hospitals in Shiraz after suicide attempts. Also, 4 family members, a nurse, a psychologist, and a psychiatrist participated in this study. Sampling started with purposive sampling method and continued with theoretical sampling. Data were collected using semi-structured in-depth interviews. Data analysis was carried out using Strauss and Corbin approach and constant comparative method until the point of data saturation.
  
  
  RESULTS
  Five main categories, including personal factors and life experiences; family factors, social and educational factors, psychological-emotional problems, and stress control strategies were extracted from the data. The central concept in the data was to escape the painful psychological condition, which was in connection with other concepts describing the process of suicide attempts in adolescents.
  
  
  CONCLUSIONS
  This study identified 5 categories of concepts as main themes that can be used to explain suicidal attempt process among Iranian adolescents.
authors.affiliation: Department of Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Mohammad Rafi
authors.initials: MR
authors.lastname: Bazrafshan
authors.affiliation: Department of Mental Health and Psychiatric Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Farkhondeh
authors.initials: F
authors.lastname: Sharif
authors.affiliation: Department of Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Molazem
authors.affiliation: Research Centre for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Arash
authors.initials: A
authors.lastname: Mani
keywords: Adolescent; Grounded Theory; Qualitative Research; Suicide Attempt