Construction of suicidal ideation in medical records

Dariusz Galasiński , Justyna Ziółkowska


In this article, the authors are interested in exploring discursive transformation of patients’ stories of suicidal ideation into medical discourses. In other words, they focus on how the narrated experience of suicidal thoughts made during the psychiatric assessment interview is recorded in the patients’ medical record. The authors’ data come from recordings of psychiatric interviews, as well as the doctors’ notes in the medical records made after the interviews, collected in psychiatric hospitals in Poland. Assuming a constructionist view of discourse, they demonstrate that lived experience of suicide ideation resulting in stories of a complex and homogeneous group of “thoughts” is reduced to brief statements of fact of presence/existence. Exploration of the relationship between the interviews and the notes suggest a stark imposition of the medical gaze upon them. The authors end with arguments that discursive practices relegating lived experience from the focus of clinical practice deprives it of information which is meaningful and clinically significant.
Author Dariusz Galasiński
Dariusz Galasiński,,
, Justyna Ziółkowska (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Justyna Ziółkowska,,
- II Wydział Psychologii we Wrocławiu
Journal seriesDeath Studies, ISSN 0748-1187, (A 25 pkt)
Issue year2017
Publication size in sheets0.5
ASJC Classification1201 Arts and Humanities (miscellaneous); 3203 Clinical Psychology; 3204 Developmental and Educational Psychology
Languageen angielski
13. Ziółkowska Galasiński Construction of suicidal ideation in medical records 2017.pdf 520.54 KB
Additional file
13a. Ziółkowska_oświadczenie.pdf 112.6 KB
Score (nominal)25
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 0.993; WoS Impact Factor: 2017 = 1.16 (2) - 2017=1.472 (5)
Citation count*3 (2021-04-08)
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* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
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