In-Depth Qualitative Interview: In-depth interviews aimed at exploring participants' lived experiences, meaning-making processes, and contextual factors related to the configuration of the suicidal ideation framework. Interviews will last approximately 30-45 minutes and will be conducted by the Principal Investigator in a confidential, safe, and clinically monitored setting. No clinical treatment or diagnostic procedure is administered.
Discussion Group: Non-directive discussion groups composed of 4-6 participants from the same analytic category (suicide attempt survivors, support network members, or healthcare professionals). Sessions will last 60-90 minutes and will facilitate the collective exploration of relational, contextual, and sociocultural dynamics associated with the suicidal ideation framework. The procedure is solely qualitative and involves no therapeutic intervention or clinical manipulation.
Study summary
This doctoral project aims to develop a comprehensive theoretical model of the process through which the suicidal ideation framework is configured as a symbolic, narrative, and relational expression, adopting a multiperspective approach that spans the suicide attempt and the stages of care and recovery. Moving away from biomedical reductionisms, this investigation seeks to identify shared meaning-making nuclei and discursive fractures that reflect the inherent conflictuality of the suicidal act.
Grounded in the integration of the theoretical frameworks previously outlined, this study adopts an interpretive-constructivist approach. Phase 1 will include studies conducted in OECD countries, providing a broad and conceptually diverse interpretive foundation. Phase 2, conducted in Catalonia, will deepen situated configurations, assuming that local sociocultural frameworks act as interpretive prisms for globally relevant phenomena.
Overall, this theoretical-methodological architecture not only ensures conceptual robustness and coherence, but also articulates an ethical and epistemic commitment to understanding suicide through the complexity of its human textures. By centering suffering, listening to historically silenced voices, honoring the singularity of each life trajectory, and grounding the inquiry in an ethics of care, this study aims to transcend a merely technical-instrumental logic of knowledge.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Adults ≥18 years of age.
* Usual residence in Catalonia (Spain).
* Ability to understand, speak, read, and write in Catalan or Spanish.
* Belonging to one of the three defined analytical groups:
(A) Individuals who have attempted suicide within the past 6 months to 3 years. (B) Members of their family, social, or community support networks. (C) Healthcare professionals directly involved in the care of individuals who have attempted suicide.
* Demonstrated clinical/emotional stability ensuring safe participation, as confirmed by the referring clinician.
* For individuals with lived experience (Group A): at least 6 months since the last suicide attempt or acute clinical crisis.
* For support networks (Group B): having maintained meaningful proximity or involvement during or after the suicide attempt.
* For healthcare professionals (Group C): minimum of 1 year of professional experience in mental health care.
Exclusion Criteria:
* Presence of acute clinical decompensation preventing safe participation.
* Active suicidal risk or acute crisis at the time of recruitment.
* Acute vulnerability identified during screening.
* Inability to provide informed consent.
* Direct hierarchical dependence or conflict of interest with the research team (for Group C).
Primary outcome measure(s)
Conceptual Synthesis of Qualitative Findings. — Through Phase 1 completion, an average of 12-18 months. Generation of a third-order conceptual synthesis integrating first- and second-order findings from qualitative and mixed-methods studies conducted in OECD countries. This synthesis will be developed through reflexive thematic analysis and will provide a high-order interpretative framework that will:
1. consolidate cross-contextual patterns and divergences in experiences attributed to suicide.
2. inform the initial theoretical orientation of Phase 2.
3. guide purposive and theoretical sampling.
4. support the development of initial coding strategies in the constructivist grounded theory phase.
Measure Type: Qualitative interpretative meta-synthesis conceptual output.
Emergent Theoretical Model. — Through study completion, an average of 24-30 months. Qualitative identification, comparative analysis and inductive-interpretive integration of the main categories, subcategories and theoretical relationships that explain how the suicidal ideation framework is configured as a symbolic, narrative and relational phenomenon. This outcome captures the core theoretical structure produced through initial coding, focused coding and theoretical integration, derived from the constructivist grounded theory analysis of interviews and discussion groups.
Measure Type: Qualitative conceptual model (Grounded Theory).
Trial sites (1)
Facility
City
Region
Status
Hospital de la Santa Creu i Sant Pau
Barcelona
Barcelona
More Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau trials in Spain
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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