Six phases of analysis were employed [19]: familiarizing with the data, generating of initial codes, searching for themes, reviewing themes, defining and naming themes, and final reporting using selected extracts. The textual data available in multiple databases relating to the 666 suicide attempters was re-read several times [19], resulting in data immersion, before progressing into the coding phase. The coding involved an inductively driven process, whereby the lead researcher read and re-read the textual data. Codes identified the most basic features of the raw data, such as key words and phrases that appeared relevant and pertinent to the research question of suicide precipitants. The coding process involved a constant moving backward and forward within the textual data set, in order to analyze the extracts that had been initially identified. Rigorous note taking was undertaken by the lead researcher in the coding process, and coding schemes were identified through the annotation of ideas. The codes were then sorted according to their similarity, via a thematic map, into identified themes, which would serve as the units of analysis. Later reviews were made to ensure no codes had been omitted.
All initial codes relevant to the research question were incorporated into a theme. A theme captures something important and meaningful within the data set in relation to the overall research question [19]. In the context of this study, a theme had to relate to our research topic on precipitants to suicide attempts.
Once a set of candidate themes had been established, the refinement of the themes was necessary. Consistent with expert guidelines [19] and previous relevant research [20], this process involved reviewing the collated codes and extracts, looking for internal homogeneity, and considering whether the candidate themes formed a coherent pattern and accurately reflected what was evident in the data set as a whole. Redundant themes were discarded, such as those that did not fit the research question or did not appear to have coherence of meaning. Moreover, identifiable relationships, links, and distinctions between themes were detected. The practical basis for this thematic refinement process was to ensure that the themes were all broadly related to one another, yet did not overlap too closely in their content. Conceptually, this meant that the themes were able to stand in their own discernable categories with regards to the original patterns that had emerged in each. The next stage involved defining and naming the themes, with clear definition accompanied by a detailed analysis. The final stage involved choosing examples to illustrate elements of the themes. The extracts will be included in the next section, these extracts were selected as they clearly identified issues within the theme and presented a lucid example of the point being made.
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