• Christabel Owens, Helen Lambert, Jenny Donovan, and Keith R Lloyd.
• Peninsula Medical School, University of Exeter. c.v.owens@ex.ac.uk
• Br J Gen Pract. 2005 Jul 1; 55 (516): 503509503-9.

BackgroundMany suicides may be preventable through medical intervention, but many people do not seek help from a medical practitioner prior to suicide. Little is known about how consulting decisions are made at this time.AimTo explore how distressed individuals and members of their lay networks had made decisions to seek or not to seek help from a medical practitioner in the period leading up to suicide.Design Of StudyQualitative analysis of psychological autopsy data.SettingOne large English county.MethodSemi-structured interviews with close relatives or friends of suicide victims were conducted as part of a psychological autopsy study. Sixty-six interviews were transcribed verbatim and analysed using a thematic approach.ResultsRelatives and friends often played a key role in determining whether or not suicidal individuals sought medical help. Half the sample had consulted in their final month and many were persuaded to do so by a relative or friend. Of those who did not consult, some were characterised as help-resisters but many others had omitted to do so because no-one around them was aware of the seriousness of their distress or considered it to be medically significant. A range of lay interventions and coping strategies was identified, including seeking non-medical help.ConclusionGreater attention needs to be given to the potential role of lay networks in managing psychological distress and preventing suicide. A balanced approach to suicide prevention is recommended that builds on lay knowledge and combines medical and non-medical strategies.

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