Process of Configuring the Suicidal Ideation Framework: A Grounded Theory Study in Catalonia, Spain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Conceptual Synthesis of Qualitative Findings.
研究概览
简要总结
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.
详细描述
Initial Analytical Premises:
It is posited that the suicidal ideation framework constitutes a symbolic, relational, dynamic, and multiperspective configuration whose emergence cannot be understood apart from the narrative, contextual, and structural arrangements mediating experiences of exclusion, hopelessness, affective disconnection, loss of vital meaning, and extreme suffering.
From this standpoint, a foundational premise is established: the suicidal ideation framework cannot be conceived as a static, universal, or univocal category. Rather, it is shaped as a constellation of meanings and signifiers in tension, woven through the interaction of ambivalences, silences, contradictions, and narrative ruptures. Such configuration emerges from complex subjective processes marked by structural inequalities, social stigma, institutional vulnerability, or care models that often render distress invisible or reduce it to pathologizing categories.
It is therefore assumed that an in-depth understanding of lived experiences attributed to the configuration process of the suicidal ideation framework-through the semiotic complexity of each perspective involved-will not only allow the identification of narrative structures and shared meaning nodes, but also help unravel discursive fractures that reflect the inherent conflictuality of the voluntary death process as a response to suffering experienced as intolerable.
Research Question:
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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).
结局指标
主要结局
Conceptual Synthesis of Qualitative Findings.
时间窗: 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.
时间窗: 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).
次要结局
- Identified Narrative Structures and Meaning-Making Patterns.(Through study completion, an average of 24-30 months.)
- Influence of Socio-cultural and Biographical Factors.(Through study completion, an average of 24-30 months.)
- Relational and Contextual Mechanisms.(Through study completion, an average of 24-30 months.)
- Perceived Barriers and Facilitators in Healthcare.(Through study completion, an average of 24-30 months.)
研究者
Sergio de la Hera Herrero
Mental Health Nurse Specialist and PhD Candidate at the Autonomous University of Barcelona (UAB)
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau