{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:04:29Z","timestamp":1791849869476,"version":"4.3.4"},"reference-count":147,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World Psychiatry"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>This is the first bottom\u2010up review of the lived experience of persons who attempt suicide. The study has been co\u2010designed, co\u2010conducted and co\u2010written by experts by experience and academics, focusing on first\u2010person narratives within and outside the medical field. The lived world of individuals who attempt suicide is characterized by experiences related to the attempt itself (\u201ccontemplating suicide as a deliberate death\u201d, \u201ccontemplating suicide as an escape route\u201d, \u201clooking for online answers about suicide\u201d, \u201cplanning suicide\u201d, \u201cfinding rest between the suicidal decision and the final act\u201d, \u201cchanging one\u2019s mind during the suicide attempt\u201d, \u201cacting on suicidal impulses\u201d); experiences related to the self and time (\u201cfeeling unworthy\u201d, \u201cfeeling detached from oneself or the world and lacking a sense of agency\u201d, \u201csplitting the self between the decision to live or die\u201d, \u201cperceiving an abortive and doomed future\u201d); and experience of emotions and the body (\u201cfeeling overwhelmed by hopelessness and despair\u201d, \u201cfeeling empty and drained of energy\u201d, \u201cfeeling alone\u201d). The lived experience of individuals who attempt suicide is also described in terms of the social and cultural context, including the experience of others (\u201cfeeling that no one cares\u201d, \u201cfeeling like a burden to others\u201d, \u201cfacing others\u2019 difficulty in understanding\u201d); cultural, gender and age differences (\u201cexperiencing geographical, cultural and religious taboos about suicide\u201d, \u201cfeeling inadequate in relation to gender stereotypes\u201d, \u201cfeeling abandoned in old age\u201d); and the perception of stigma (\u201cfacing social stigma\u201d, \u201cexperiencing a stigmatized self\u201d, \u201csilencing suicidal behaviors\u201d). The lived experience of persons after an attempted suicide is characterized as a complex process of self\u2010acceptance and rediscovery (\u201cliving with suicidal thoughts\u201d, \u201cnavigating the challenges of recovery\u201d, \u201cgaining new perspectives during recovery\u201d, \u201crestoring interpersonal relationships to recover\u201d). Finally, the lived experience of individuals who attempt suicide is described with respect to their access to general health care (\u201cseeking help before the suicide attempt\u201d, \u201cfeeling abandoned after a suicide attempt\u201d) and mental health care (\u201cexperiencing shame as a barrier to care\u201d, \u201cfearing mental disorder label\u201d, \u201cfeeling accepted and listened to\u201d, \u201cfacing economic difficulties in accessing support\u201d, \u201ccoping with distress during hospitalization\u201d). The experiences described in this paper hold educational and social value, informing medical and psychological practices and research, public health approaches, and promotion of social change. This research overcomes embarrassment, fear and stigma, and helps us to understand the fragile nature of our emotions and feelings, our immersion in the social world, and our sense of meaning in life.<\/jats:p>","DOI":"10.1002\/wps.70003","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:50:36Z","timestamp":1768459836000},"page":"34-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The lived experience of persons who attempt suicide: a bottom\u2010up review co\u2010designed, co\u2010produced and co\u2010written by experts by experience and academics"],"prefix":"10.1002","volume":"25","author":[{"given":"Paolo","family":"Fusar\u2010Poli","sequence":"first","affiliation":[{"name":"Department of Brain and Behavioural Sciences University of Pavia  Pavia Italy"},{"name":"Early Psychosis: Interventions and Clinical\u2010detection (EPIC) Lab, Department of Psychosis Studies Institute of Psychiatry, Psychology &amp; Neuroscience, King\u2019s College London  London UK"},{"name":"OASIS Service South London and Maudsley NHS Foundation Trust  London UK"},{"name":"National Institute for Health Research Maudsley Biomedical Research Centre, South London and Maudsley  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia Maria","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health IRCCS Fondazione Ca\u2019 Granda Ospedale Maggiore Policlinico  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Estrad\u00e9","sequence":"additional","affiliation":[{"name":"Early Psychosis: Interventions and Clinical\u2010detection (EPIC) Lab, Department of Psychosis Studies Institute of Psychiatry, Psychology &amp; Neuroscience, King\u2019s College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e8","family":"Rosfort","sequence":"additional","affiliation":[{"name":"S. 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