Exploring the lived experiences of individuals with risk-to-self : insights from research and support contexts

Linham, Charlotte (2025) Exploring the lived experiences of individuals with risk-to-self : insights from research and support contexts. PhD thesis, Lancaster University.

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Abstract

This thesis consists of three papers: a systematic literature review, an empirical paper, and a critical appraisal. The systematic literature review explores the experiences of research participation from the perspective of those with lived experience of suicidal behaviour. A thematic synthesis was undertaken on 11 papers. Four themes were identified: (i) Being part of “something bigger”: research as a relational process, (ii) “The more I talk about it, the more I accept who I am and what I did”: research as a way to reclaim an empowered identity, (iii) “My life has changed so beyond recognition”: the research process as both meaningful and retraumatising and (iv) “Together we’ll change the world”: the transformative role of participating in suicide-related research. These findings highlight the importance of balancing potential risks from participation with the potential benefits. The empirical paper explores the experiences of peer support for non-suicidal selfinjury (NSSI). Interpretative Phenomenological Analysis was used to analyse the experiences of 13 participants. The analysis revealed five themes: (i) Something to hide, something to share; (ii) Am I “bad enough”? Seeking understanding from others; (iii) “You are not just someone who self-harms": Reclaiming a sense of self through sharing; (iv) Is it validation, condonement, or encouragement?; and (v) Balancing on a tightrope: supporting myself whilst supporting others. The findings explore how validation, compassion and exploration of identity are key in peer support for NSSI. However, there should be consideration given to content moderation, and access to supervision and training for those providing peer support. The critical appraisal explores the similarities between the two papers' findings and implications, and how they connect to provide an overview of the research participation and support experiences of those with risk-to-self. The appraisal also considers the personal processes of working with another trainee throughout the thesis process, and reflexivity.