Volume 4, Issue 1 (1-2025)                   JRHMS 2025, 4(1): 63-73 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rajabali Z, Salimi H, Fereidooni S, Azarbakhsh H, Shokrgozar A. Lived experiences of parents of adolescents with behavioral and emotional disorders following a suicide attempt: A qualitative study in hospitals affiliated with Shiraz University of Medical Sciences. JRHMS 2025; 4 (1) :63-73
URL: http://jrhms.thums.ac.ir/article-1-147-en.html
1- Karaj University of Medical Sciences, Karaj, Iran
2- Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3- Mental Health Unit, Vice-Chancellery for Health, Shiraz University of Medical Sciences, Shiraz, Iran
4- Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
5- Department of clinical and health psychology, Ka.C, Islamic Azad University, Karaj, Iran
Abstract:   (7 Views)
Adolescence is a critical developmental period during which behavioral and emotional disorders can significantly increase vulnerability to self-harm and suicide attempts. In these circumstances, parents are often the first to observe warning signs, playing a pivotal role in help-seeking and recovery. Understanding their lived experiences is essential for informing family-centered prevention and intervention strategies. This study aimed to explore parents’ lived experiences of the consequences of behavioral and emotional disorders among adolescents who attempted suicide.

A qualitative study with a descriptive phenomenological design was conducted. Participants were 48 parents of adolescents aged 12–18 years who had attempted suicide and were either hospitalized in centers affiliated with Shiraz University of Medical Sciences or received psychiatric emergency services. Data were collected through in-depth, semi-structured interviews (45–90 minutes) and analyzed using Colaizzi’s method. Credibility and rigor were ensured through member checking and peer debriefing.

Prior to the suicide attempt, many parents had noticed changes such as social withdrawal, irritability, declining academic performance, and increased family conflict; however, these behaviors were often interpreted as normative adolescent fluctuations. The suicide attempt was characterized as an overwhelming emotional crisis marked by shock, fear, guilt, and elevated family tension. Higher levels of mental health literacy and stronger perceived social support were associated with lower parental distress, whereas structural and cultural barriers to accessing mental health care intensified their struggles.

Enhancing parental mental health literacy, strengthening family communication, and reducing systemic barriers to mental health services may play a vital role in preventing recurrence and supporting families through the aftermath of a suicide attempt.
Full-Text [PDF 854 kb]   (12 Downloads)    
Type of Study: Orginal Article | Subject: General
Received: 2026/05/10 | Accepted: 2026/05/10 | Published: 2026/05/23

References
1. World Health Organization. Adolescent mental health. Geneva: WHO; 2021.
2. Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036):2423-2478. [DOI:10.1016/S0140-6736(16)00579-1]
3. Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47(3 4):372-394. [DOI:10.1111/j.1469-7610.2006.01615.x]
4. Hawton K, Saunders KEA, O'Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379(9834):2373-2382. [DOI:10.1016/S0140-6736(12)60322-5]
5. Nock MK, Green JG, Hwang I, McLaughlin KA, Sampson NA, Zaslavsky AM, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents. JAMA Psychiatry. 2013;70(3):300-310. [DOI:10.1001/2013.jamapsychiatry.55]
6. Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016;387(10024):1227-1239. [DOI:10.1016/S0140-6736(15)00234-2]
7. Miller AB, Prinstein MJ. Adolescent suicide as a failure of acute stress-response systems. Annu Rev Clin Psychol. 2019;15:425-450. [DOI:10.1146/annurev-clinpsy-050718-095625]
8. Klonsky ED, May AM. The three-step theory (3ST): a new theory of suicide rooted in the ideation to action framework. Int J Cogn Ther. 2015;8(2):114-129. [DOI:10.1521/ijct.2015.8.2.114]
9. Logan JE, King C. Parental identification of the emotional and behavioral problems of youth who attempt suicide. J Am Acad Child Adolesc Psychiatry. 2001;40(12):1364-1371.
10. Brent DA, Melhem NM. Familial transmission of suicidal behavior. Psychiatr Clin North Am. 2008;31(2):157-177. [DOI:10.1016/j.psc.2008.02.001]
11. Diamond GS, Wintersteen MB, Brown GK, Diamond GM, Gallop R, Shelef K, et al. Attachment based family therapy for adolescents with suicidal ideation. J Am Acad Child Adolesc Psychiatry. 2010;49(2):122-131. [DOI:10.1016/j.jaac.2009.11.002]
12. Wagner BM. Family risk factors for child and adolescent suicidal behavior. Psychol Bull. 1997;121(2):246-298. [DOI:10.1037/0033-2909.121.2.246]
13. Donath C, Graessel E, Baier D, Bleich S, Hillemacher T. Is parenting style a predictor of suicide attempts in a representative sample of adolescents? BMC Pediatr. 2014; 14:113. [DOI:10.1186/1471-2431-14-113]
14. Maple M, Edwards H, Minichiello V, Plummer D. Still part of the family: the importance of physical, emotional and spiritual support for parents bereaved by suicide. Mortality. 2010;15(3):234-251.
15. McLaughlin C, McGowan I, O'Neill S, Kernohan G. The burden of living with and caring for a suicidal family member. J Ment Health. 2014;23(5):236-240. [DOI:10.3109/09638237.2014.928402]
16. Alavi A, Sharifi B, Ghanizadeh A, Dehbozorgi GR. Prevalence of psychiatric disorders among adolescents in Iran. Iran J Psychiatry. 2011;6(3):90-94.
17. Mirzaei M, Mohammadi Y, Jalilian F. Prevalence of suicide ideation and attempts among Iranian adolescents: a systematic review. J Res Health Sci. 2016;16(3):151-156.
18. Creswell JW, Poth CN. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 4th ed. Thousand Oaks: Sage; 2018.
19. Smith JA, Flowers P, Larkin M. Interpretative Phenomenological Analysis: Theory, Method and Research. London: Sage; 2009.
20. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. [DOI:10.1191/1478088706qp063oa]
21. Brent DA, Bridge J, Johnson BA, and Connolly J. Suicidal behavior runs in families: a controlled family study of adolescent suicide victims. Arch Gen Psychiatry. 1996; 53(12):1145 1152. [DOI:10.1001/archpsyc.1996.01830120085015]
22. King CA, Merchant CR. Social and interpersonal factors relating to adolescent suicidality. Adolesc Med State Art Rev. 2008; 19(3):505 517. [DOI:10.1080/13811110802101203]
23. Foster CE, Webster MC, Weissman MM, Pilowsky DJ, Wickramaratne PJ, Rush AJ, et al. Remission of maternal depression: relations to family functioning and youth internalizing and externalizing symptoms. J Clin Child Adolesc Psychol. 2008; 37(4):714 724. [DOI:10.1080/15374410802359726]
24. Hom MA, Stanley IH, Joiner TE. Evaluating factors and interventions that influence help seeking and mental health service use among suicidal individuals. Clin Psychol Rev. 2015; 40:28 39. [DOI:10.1016/j.cpr.2015.05.006]
25. Rasing SPA, Stikkelbroek YAJ, Bodden DHM. Is prevention of depression and anxiety possible? Examining the role of mental health literacy in adolescents. J Adolesc. 2017; 56:1 9.
26. Carpiniello B, Pinna F. The reciprocal relationship between suicidality and stigma. Front Psychiatry. 2017; 8:35. [DOI:10.3389/fpsyt.2017.00035]
27. Clement S, Schauman O, Graham T, Maggioni F, Evans Lacko S, Bezborodovs N, et al. What is the impact of mental health related stigma on help seeking? A systematic review of quantitative and qualitative studies. Psychol Med. 2015; 45(1):11 27. [DOI:10.1017/S0033291714000129]
28. Michelmore L, Hindley P. Help seeking for suicidal thoughts and self harm in young people: a systematic review. Suicide Life Threat Behav. 2012; 42(5):507 524. [DOI:10.1111/j.1943-278X.2012.00108.x]
29. Maple M, Edwards H, Minichiello V, Plummer D. Still part of the family: the importance of physical, emotional and spiritual support for parents bereaved by suicide. Mortality. 2010; 15(3):234 251.
30. McLaughlin C, McGowan I, O'Neill S, Kernohan G. The burden of living with and caring for a suicidal family member. J Ment Health. 2014;23(5):236 240. [DOI:10.3109/09638237.2014.928402]
31. Nicholas J, Oliver K, Lee K, O'Brien M. Help seeking and the role of parents in supporting adolescents experiencing suicidal ideation. Early Interv Psychiatry. 2004; 8(4):1 8.

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2026 CC BY-NC 4.0 | Journal of Research in Health and Medical Sciences

Designed & Developed by : Yektaweb