The challenges of mothers living with adolescents who have experienced suicide attempts: a qualitative analysis

Abstract
Background Adolescence is a key time of increased suicide risk. Parents,
particularly those who identify as mothers, often face distress when their
adolescent(s) attempt suicide. This study aimed to explore mothers'
understandings of the challenges of living with an adolescent with a history
of suicide attempts in the context of Iran.

Methods
A descriptive qualitative study was conducted. Our sampling
strategy was purposive. Conventional content analysis of semi-structured
interviews with 22 mothers of adolescents with experience of suicide
attempts was employed.

Results
The challenges encountered were categorized into two main
themes and six subcategories. Participants predominantly experienced two
significant difficulties: residing within a psychologically traumatic
environment and confronting both cultural and social impasses. Factors
such as uncertainty about the future, apprehensions regarding childbearing,
and persistent concerns about suicidal ideation contributed to the
psychologically distressing context. Additionally, the convergence of
deteriorating familial dynamics, heightened social isolation, and exposure to
stigmatizing societal beliefs collectively operated to entrench these mothers
within adverse socio-cultural vulnerabilities.

Conclusions
Caring for adolescents with a history of suicide attempt(s)
presents significant psychological, cultural, and social challenges for
mothers. The findings of this study may inform policymakers, health
administrators, and healthcare professionals, including psychiatrists and
psychologists, in developing strategies to enhance psychological well-being
through the provision of targeted psychological services such as family
therapy and counselling.