3.8 Article

Self-inflicted. Deliberate. Death-intentioned. A critical policy analysis of UK suicide prevention policies 2009-2019

Journal

JOURNAL OF PUBLIC MENTAL HEALTH
Volume 21, Issue 1, Pages 4-14

Publisher

EMERALD GROUP PUBLISHING LTD
DOI: 10.1108/JPMH-09-2021-0113

Keywords

Suicide prevention; Critical policy analysis; The UK

Funding

  1. Leverhulme Trust - Leverhulme Trust [RPG-2020-187]

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This study critically analyzed eight contemporary UK suicide prevention policy documents and found that they often construct suicide as self-inflicted, deliberate, and death-intentioned. However, this construction may have problematic effects by individualizing, pathologizing, and depoliticizing suicide, disconnecting it from the emotional worlds in which suicides occur. As a result, despite the potential of suicide prevention policies to consider suicide prevention holistically, the policies in this sample tend to narrowly focus on death prevention and overlook ways to improve the quality of individual lives.
Purpose With encouragement from the World Health Organisation, national suicide prevention policies have come to be regarded as an essential component of the global effort to reduce suicide. However, despite their global significance, the construction, conceptualisation and proposed provisions offered in suicide prevention policies have, to date, been under researched; this study aims to address this gap. Design/methodology/approach we critically analysed eight contemporary UK suicide prevention policy documents in use in all four nations of the UK between 2009 and 2019, using Bacchi and Goodwin's post-structural critical policy analysis. Findings The authors argue that across this sample of suicide prevention policies, suicide is constructed as self-inflicted, deliberate and death-intentioned. Consequently, these supposedly neutral definitions of suicide have some significant and problematic effects, often individualising, pathologising and depoliticising suicide in ways that dislocate suicides from the emotional worlds in which they occur. Accordingly, although suicide prevention policies have the potential to think beyond the boundaries of clinical practice, and consider suicide prevention more holistically, the policies in this sample take a relatively narrow focus, often reducing suicide to a single momentary act and centring death prevention at the expense of considering ways to make individual lives more liveable. Originality/value UK suicide prevention policies have not been subject to critical analysis; to the best of the authors' knowledge, this study represents the first attempt to examine the way in which suicide is constructed in UK suicide prevention policy documents.

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