Patterns and motivations for method choices in suicidal thoughts and behaviour: qualitative content analysis of a large online survey

Background Choice of suicide method can strongly influence the outcome suicidal behaviour, and is an important aspect process planning involved in a attempt. Yet, reasons why individuals consider, choose or discard particular methods are not well understood. Aims This first study to explore choices among people with history behaviour who have experienced, but enacted, thoughts. Method Via online survey, we gathered open-ended data about choice relation thoughts behaviours, including for against specific means harm. Results A total 712 respondents had attempted suicide, further 686 experienced (but acted on them). Self-poisoning was most commonly contemplated used considered multiple methods. when contemplating included broader range than those actual attempts, more unusual methods, particularly if perceived be lethal, ‘easy’, quick, accessible and/or painless. Methods attempts were, above all, described as having been at time, were said chosen impulsively. Key deterrents use presence impact other people, especially loved ones, fears injury survival. Conclusions Exploration offer novel insights into transition from ideation behaviour. underscore need preventative measures restrict access delay impulsive