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The present study qualitatively examined what helps people when experiencing suicial thoughts in a large sample of Australian adults with current suicidal ideation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A large online population-based longitudinal cohort study of Australian adults with suicidal ideation was initiated in 2023. In the baseline survey (July-November 2023), participants were asked, \u201cWhen you have suicidal thoughts, what helps?\u201d Reflexive thematic analysis was undertaken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009658) reported a wide variety of self-management strategies. Five themes were developed: (1) Reframing or redirecting thoughts as a reminder to live and have hope, (2) Balancing between staying connected and the urge to disconnect, (3) using formal or learnt preventative strategies, (4) finding an alternative strategy to manage thoughts, and (5) engaging with suicidal distress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is no one-size-fits-all self-management approach. The significance of social connection was complex, indicating a need for flexible, supportive and non-judgemental social responses. Both clinical and lifestyle strategies should be considered for supporting people at risk of suicide. Moreover, knowledge of the diverse motivations for and responses to suicidal ideation may enable family, friends, clinicians and crisis workers to better connect with people experiencing suicidal ideation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00127-026-03159-4","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T07:23:22Z","timestamp":1784100202000},"page":"2345-2354","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cWhat helps?\u201d: qualitative analysis of self-management strategies among adults with suicidal distress"],"prefix":"10.1007","volume":"61","author":[{"given":"Cassandra","family":"Heffernan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Gendi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Banfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Kazan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Armstrong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison L.","family":"Calear","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Boydell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley","family":"Purdon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip J","family":"Batterham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"3159_CR1","unstructured":"World Health Organization (2024) Suicide. 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The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.","order":1,"name":"Ethics","label":"<b>Competing interest<\/b>","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Australian National University Human Research Ethics Committee (ANU HREC protocol number 2022\/851) provided ethical approval for this study.","order":2,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Online written informed consent was obtained from all participants involved in the study prior to commencing data collection.","order":3,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}}]}}