Half alive but still longing for death: Exploring the experiences of patients waking up in the intensive care unit after a suicide attempt—a qualitative study

Background Patients admitted to intensive care units (ICUs) after suicide attempts are in a vulnerable state and experience emotional distress simultaneously battling the suicidal crisis. Despite a notable rise in ICU admissions for serious suicide attempts, little research has explored the specific experiences of these patients. Existing literature highlights the influence of communication with healthcare personnel, indicating that empathetic and individualised care can foster hope and improve self-worth. This study seeks to fill the knowledge gap concerning the experiences of ICU patients post a suicide attempt. Objective This objective of study was to explore how patients describe their feelings and experiences upon waking up in the ICU after a suicide attempt and what aspects of care the patients find most valuable during their ICU stay. Methods This research employs a qualitative design, incorporating semistructured interviews with patients from medical and surgical ICUs in Norway. Data were analysed using reflexive thematic analysis. Findings Patients described a surreal experience and complex emotions, including perceived failure and a lack of self-worth. Furthermore, the ICU environment seemed to exacerbate patients’ negative feelings. The study identified two main themes: “Half alive”— trying to connect to reality while struggling with complex emotions, and “A bridge to humanity through compassionate care and small gestures”, emphasising the significance of empathetic interactions with healthcare professionals. Importantly, participants valued direct, informal conversations and small, compassionate gestures. Conclusions The findings reveal that care through empathetic communication and a supportive environment is crucial during this critical phase of the treatment. Additionally, patients often have trouble distinguishing reality upon regaining consciousness in the ICU, further emphasising the importance of compassionate and well-informed care. Our findings highlight the need for specialised training and sensitivity among ICU personnel to adequately address both the physical and emotional needs of patients recovering from suicide attempts.