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People who have lived experiences with suicide often struggle with concealable stigmatized identities that threaten their inclusion and recovery. While disclosure of a stigmatized identity can promote support and recovery and therefore prevent suicide, it may also present distinct risks. The purpose of this paper is to summarize key issues in suicide-related disclosure, suggest theoretical models for describing suicide-related disclosure and identify research needs.

This conceptual paper discusses the existing literature on disclosure of concealable stigmatized identities, then explores research on disclosure of suicidal ideation, suicide attempt and suicide loss. Theoretical models (disclosure processes model and interpersonal theory of suicide) that can be employed in understanding suicide-related disclosure are explored. Finally, the paper suggests areas for future research, including longitudinal research to identify strategic disclosure practices that can lead to greater inclusion and recovery.

Research on suicide-related disclosure should differentiate between disclosure of past and current suicidality, incorporate theoretical frameworks and examine approaches for preparing potential confidants and disclosers for the disclosure process.

This paper highlights issues unique to the disclosure of suicidal thoughts and behaviors, and to suicide loss.

US age-adjusted suicide rates increased by 33 per cent from 1999 to 2017 (Hedegard et al., 2018). Communications about suicide and death are a commonly cited warning sign (SPRC, 2014) and are foundational to the vast majority of risk assessment, prevention and intervention practices. Suicidal communications are critically understudied despite their implications for prevention and intervention practices. The purpose of this study is to examine the association between five factor model personality traits and forms of suicidal communications.

A sample of 154 people admitted to emergency psychiatry for suicide ideation or attempt completed self-report measures about their suicide ideation and behavior. Kruskal–Wallis ANOVA examined differences between five-factor model personality domains and forms of communications.

There were no significant differences; however, two nonsignificant trends related to indirect or non-communication and extraversion and openness emerged.

Future studies should focus on using more nuanced measures of dimensional personality and suicidal communications.

This study is the first to examine differences in the Five-Factor Model personality traits and suicidal communications.

Cyber-bullying is a form of cyber-crime that has been propagated through extensive use of social networking sites (SNS). Despite the implementation of sophisticated security measures and government compliances, privacy intrusion is petrifying. Therefore, the purpose of this paper attempts to explore as follows: why cases of bullying are still snowballing year after year? Is it possible that advances in security measures are making users more vulnerable? Or, is it a social media addiction, which is making users vulnerable to cyberbullying?

The proposed research framework is grounded in the technology threat avoidance theory (TTAT). An empirical survey of 365 social media users was analysed using structural equation modelling (SEM) to understand the impact of security measures, voluntary self-disclosure (VSD) and addiction on perceived vulnerability (PV) to cyber-bullying.

The findings indicate that security measures play a significant role in propelling users to disclose their personal information voluntarily, which, in turn, results in social media addiction, which further exposes users to cyberbullying. Moreover, the study unravels gender differences in perceived vulnerabilities to cyberbullying.

The findings of the current research contribute to a better understanding of gender differences in the awareness of security measures, addiction intensities, level of self-disclosures and propensity to cyberbullying victimization. Additionally, prevention and intervention efforts may benefit from using a more targeted approach to identify potential male and female victims that experience different forms of bullying on SNS.

In addition to other constructs, the current research investigates the role of user security measures (USM) and website security measures (WSM) on the PV to cyberbullying, typically, the role of these measures is to prevent the users from becoming the victims, whereas the research unravels that they could be the possible reasons for the increased number of cases in India. To the best of the knowledge, such conflicting roles of security measures have not been discussed earlier.

Although informal communication at work has been shown to serve important functions of sociality, little is known about the messages that comprise routine, everyday interaction. The purpose of this paper is to examine two different informal interactions between 100 remote employees and their central office peers to determine the kinds of messages used in informal interaction using thematic analysis.

Teleworkers recalled informal interactions with central office peers; interactions were coded using constructivist methodology, then collapsed into dominant themes using a constant comparison approach. Patterns in responses were then related to a literature‐based (constructivist) analysis of how informal communication functions.

Five key themes were identified: personal disclosure, sociality, support giving and getting, commiserating/complaining, and business updates and exchanges. These informal workplace interactions also reflected underlying dimensions of perceived organizational membership: need fulfillment, mattering, and belonging, and suggest ways the framework could be strengthened.

Themes from reported interactions provide message‐level evidence that informal communication serves both instrumental and constitutive functions. Including interactions reported by co‐located employees would have allowed for a comparison.

Results have important implications for how informal communication functions between peers. Managers can use the results to facilitate communication opportunities for remote and co‐located employees.

Message‐level analysis of informal communication between peers has not been considered as important as hierarchical communication within businesses and organizations. Reported interactions illuminate how informal communication functions, and suggest a link between informal interaction and important individual‐ and organizational‐level outcomes, adding to existing knowledge about the understudied population of permanent, high‐intensity teleworkers.

Non-suicidal self-injury (NSSI) is a growing public health concern. Continued NSSI is often associated with negative outcomes, yet the behaviour usually serves a purpose for individuals who self-injure (e.g. emotional relief). As such, individuals who self-injure often experience ambivalence about the behaviour. The purpose of this paper is to highlight the importance of recognising ambivalence as a natural and expected part of the recovery process.

This paper draws on literature regarding NSSI recovery, ambivalence towards stopping the behaviour and challenges for both clients and health professionals.

This paper argues that ambivalence towards self-injury can be challenging for both clients and health professionals. Clients may feel shame and sense of failure if they experience a setback; health professionals may experience frustration towards clients who continue to self-injure despite treatment.

Validation of the clients’ experience can have significant positive outcomes in treatment and help-seeking behaviours. Acknowledgement of client ambivalence during the recovery process will serve to validate clients’ experience and facilitate rapport. Health professionals who accept ambivalence as a natural part of the recovery process may experience less frustration with clients who continue to self-injure.

This study aims to probe the relationship of facial disfigurement, stigmatization, burdensome, hopelessness and suicidal ideation in acid attack survivors and to scrutinize the mediating role of perceived burdensome and hopelessness in connection between facial disfigurement, social stigmatization and suicidal ideation among acid attack survivors.

Data was collected from Holy Family Hospital which is located in Rawalpindi, Pakistan, Acid Survivors Foundation and social media sites. Purposive sampling technique was used to collect the sample. Sample comprised of N = 74 acid attack survivors. English version of discrimination and stigma scale, interpersonal needs questionnaire perceived burdensome scale, suicidal ideation attributes scale, Beck hopelessness scale and observer-rated facial disfigurement scale were used for the assessment. Statistical analysis includes correlation and mediation analysis through process macro.

Results indicated significant positive relationship between facial disfigurements, unfair treatment, stopping self and perceived burdensome with suicidal ideation, whereas overcoming stigma, hopelessness and positive treatment present a negative relationship with suicidal ideation. Results of the current study also showed that burdensome and hopelessness appear as significant mediator in association between facial disfigurement, social discrimination and suicidal ideation. This study provides the awareness about how by decreasing the hopelessness and perceived burdensome and resolving social stigmatization can minimize suicidal ideation and risks accompanying it.

This research covers a topic that violates human rights, it is a topic that never gets old and people are still facing its effects.

The purpose of this paper is to offer an opinion piece that documents the experience of losing an adult sibling to suicide and explores the experience of personal and family grief.

This narrative is written from an autoethnographic perspective and uses the current evidence base to support a personal reflection.

This paper identifies the complex nature of bereavement following death from suicide and considers those factors that support more positive outcomes for those grieving.

This piece focuses on autoethnographic data but is supported by findings from the wider evidence base.

The importance of seeking positives as part of the healing process when processing complex grief.

Disclosure has been identified as an important part of processing complex grief associated with suicide bereavement and yet suicide remains a taboo subject for many.

This autoethnographic piece details the experience of dealing with a sibling suicide and the importance of creating the opportunity for positive reflection to process complex grief.

The internet plays an important role in the lives of self-harming and suicidal young people yet little is known about how internet use influences this behaviour. The purpose of this paper is to examine the evidence base with a view to determining directions for future research and practice.

Literature relating to self-harming and suicidal behaviour, young people, and the internet is reviewed with a focus on content and methodology.

The internet provides access to: “how-to” descriptions of suicide; unregulated/illegal online pharmacies; forums to spread this information; access to others seeking to end their own lives. Such sites are believed to elevate risk amongst vulnerable individuals. Conversely, the internet provides access to intervention and prevention activity, online support groups, advice, and personal chat. These can be a key resource in helping young people. There is a lack of consensus on what constitutes harmful and helpful online exchange, often evidenced in disparity between the perceptions of professionals and users.

Research is needed to map out a more accurate picture of suicide and self-harm resources on the internet and to establish a consensus about what constitutes harmful and helpful exchange. This needs to be based on: a comprehensive and informed range of search terms; a clear distinction between types of resource; a clear and consistent rationale for distinguishing and categorizing sites; a systematic replicable methodology for plotting the scope, content, accessibility, and popularity of web resources at a given point in time; the views of young people who use these sites, as well as practitioners and professionals.

Practitioners need to: regularly assess the quantity, quality, and nature of self-harm/suicide focused internet use amongst service users; be aware of which sites are most appropriate for particular individuals; promote sites directed at young people that enhance effective coping. Professional mental health organizations need to find ways of ensuring that: they are consistently well represented amongst search results online; sites are readily accessible; more practitioners are trained in text-based communications.

This paper offers a framework and rationale for future research and for those involved in service provision, policy, and practice.

Non-suicidal self-injury (NSSI) is associated with psychological disorders and suicidal thoughts and behaviours; disclosure of NSSI can serve as a catalyst for help-seeking and self-advocacy amongst people who have self-injured. This study aims to identify the socio-demographic, NSSI-related, socio-cognitive and socio-emotional correlates of NSSI disclosure. Given elevated rates of NSSI amongst university students, this study aimed to investigate these factors amongst this population.

Australian university students (n = 573) completed online surveys; 80.2% had previously disclosed self-injury.

NSSI disclosure was associated with having a mental illness diagnosis, intrapersonal NSSI functions, specifically marking distress and anti-dissociation, having physical scars from NSSI, greater perceived impact of NSSI, less expectation that NSSI would result in communication and greater social support from friends and significant others.

Expanding on previous works in the area, this study incorporated cognitions about NSSI. The ways in which individuals think about the noticeability and impact of their NSSI, and the potential to gain support, are associated with the decision to disclose self-injury. Addressing the way individuals with lived experience consolidate these considerations could facilitate their agency in whether to disclose their NSSI and highlight considerations for health-care professionals working with clients who have lived experience of NSSI.

Early identification of persons at risk is essential in suicide prevention. Undocumented migrants (UM) live under limited conditions and are to a high degree invisible, both in research and in suicide prevention programmes. The aim of this study was to investigate prevalence rates of suicidal thoughts among UM in Sweden.

This cross-sectional study was part of the Swedish Health Research on Undocumented Migrants project (SHERUM). The study population consisted of 104 UM over 18 years of age recruited through informal networks. Data on 112 multiple choice questions was collected via trained interviewers in Gothenburg, Stockholm and Malmö during 2014–2016. To assess suicidal thoughts (the last two weeks) one item asking about suicidal thought in the Beck Depression Inventory scale (BDI-II) was used. Logistic regression and chi-square analyses were made to identify risk and protective factors.

Suicidal thoughts were found in 43.2% of the 88 UM that answered the question on suicidal thoughts. Being a parent had some protective influence on the prevalence of suicidal thoughts while the housing situation, having been exposed to crime and having mental illness were all statistically significant risk factors for suicidal thoughts. However, due to low sample size, few variables presented statistically significant differences.

This study presents an alarmingly high prevalence of suicidal thoughts among undocumented migrants in Sweden, a difficult-to reach, vulnerable and rarely studied group. Targeted strategies are imperative to include undocumented migrants in suicidal prevention programmes.