Deprecated: Creation of dynamic property wpdb::$categories is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 668

Deprecated: Creation of dynamic property wpdb::$post2cat is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 668

Deprecated: Creation of dynamic property wpdb::$link2cat is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 668

Deprecated: Return type of WP_Theme::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 554

Deprecated: Return type of WP_Theme::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 595

Deprecated: Return type of WP_Theme::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 535

Deprecated: Return type of WP_Theme::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 544

Deprecated: Return type of WP_REST_Request::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 952

Deprecated: Return type of WP_REST_Request::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 972

Deprecated: Return type of WP_REST_Request::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 984

Deprecated: Return type of WP_REST_Request::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 995

Deprecated: Return type of WP_Block_List::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 151

Deprecated: Return type of WP_Block_List::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 175

Deprecated: Return type of WP_Block_List::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 164

Deprecated: Return type of WP_Block_List::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 186

Deprecated: Return type of WP_Block_List::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 138

Deprecated: Return type of WP_Block_List::offsetExists($index) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 75

Deprecated: Return type of WP_Block_List::offsetGet($index) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 89

Deprecated: Return type of WP_Block_List::offsetSet($index, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 110

Deprecated: Return type of WP_Block_List::offsetUnset($index) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 127

Deprecated: Return type of WP_Block_List::count() should either be compatible with Countable::count(): int, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 199

Deprecated: Creation of dynamic property ACF::$fields is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields.php on line 138

Deprecated: Creation of dynamic property acf_loop::$loops is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/loop.php on line 28

Deprecated: Creation of dynamic property ACF::$loop is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/loop.php on line 269

Deprecated: Creation of dynamic property ACF::$revisions is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/revisions.php on line 387

Deprecated: Creation of dynamic property acf_validation::$errors is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/validation.php on line 28

Deprecated: Creation of dynamic property ACF::$validation is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/validation.php on line 215

Deprecated: Creation of dynamic property acf_form_customizer::$preview_values is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-customizer.php on line 28

Deprecated: Creation of dynamic property acf_form_customizer::$preview_fields is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-customizer.php on line 29

Deprecated: Creation of dynamic property acf_form_customizer::$preview_errors is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-customizer.php on line 30

Deprecated: Creation of dynamic property ACF::$form_front is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-front.php on line 600

Deprecated: Creation of dynamic property acf_form_widget::$preview_values is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-widget.php on line 34

Deprecated: Creation of dynamic property acf_form_widget::$preview_reference is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-widget.php on line 35

Deprecated: Creation of dynamic property acf_form_widget::$preview_errors is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-widget.php on line 36

Deprecated: Return type of WPCF7_FormTag::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 395

Deprecated: Return type of WPCF7_FormTag::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 387

Deprecated: Return type of WPCF7_FormTag::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 381

Deprecated: Return type of WPCF7_FormTag::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 399

Deprecated: Return type of WPCF7_Validation::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 78

Deprecated: Return type of WPCF7_Validation::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 72

Deprecated: Return type of WPCF7_Validation::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 59

Deprecated: Return type of WPCF7_Validation::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 82

Deprecated: Creation of dynamic property Shortcodes_Ultimate::$about_menu is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/shortcodes-ultimate/includes/class-shortcodes-ultimate.php on line 207

Deprecated: Creation of dynamic property Shortcodes_Ultimate::$unsafe_features_notice is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/shortcodes-ultimate/includes/class-shortcodes-ultimate.php on line 229

Deprecated: Creation of dynamic property Shortcodes_Ultimate::$widget is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/shortcodes-ultimate/includes/class-shortcodes-ultimate.php on line 256

Deprecated: Creation of dynamic property Automattic\Jetpack\Connection\Manager::$error_handler is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/vendor/automattic/jetpack-connection/src/class-manager.php on line 91

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Instagram_Gallery::$is_wpcom is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-instagram-gallery.php on line 23

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Mailchimp::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-mailchimp.php on line 17

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Tweetstorm_Gather::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-tweetstorm-gather.php on line 21

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Tweetstorm_Gather::$is_wpcom is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-tweetstorm-gather.php on line 22

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Gutenberg_Available_Extensions::$wpcom_is_site_specific_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/gutenberg-available-extensions.php on line 20

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Memberships::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/memberships.php on line 23

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Memberships::$wpcom_is_site_specific_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/memberships.php on line 24

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Subscribers::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/subscribers.php on line 15

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property Automattic\Jetpack\Sync\Queue::$random_int is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/vendor/automattic/jetpack-sync/src/class-queue.php on line 38

Deprecated: Creation of dynamic property Publicize_UI::$in_jetpack is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/modules/publicize.php on line 53

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property CZR_resources_scripts::$_resouces_version is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/class-fire-resources_scripts.php on line 20

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property CZR_resources_styles::$_resouces_version is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/class-fire-resources_styles.php on line 35

Deprecated: Creation of dynamic property WPCOM_Widget_Goodreads::$shelves is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/modules/widgets/goodreads.php on line 33

Deprecated: DateTime::__construct(): Passing null to parameter #1 ($datetime) of type string is deprecated in /home/1/s/speilvendt/www/wp-includes/script-loader.php on line 331

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property acf_field_oembed::$width is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-oembed.php on line 31

Deprecated: Creation of dynamic property acf_field_oembed::$height is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-oembed.php on line 32

Deprecated: Creation of dynamic property acf_field_google_map::$default_values is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-google-map.php on line 33

Deprecated: Creation of dynamic property acf_field__group::$have_rows is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-group.php on line 31

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property WP_Block_Type::$plan_check is deprecated in /home/1/s/speilvendt/www/wp-includes/class-wp-block-type.php on line 284

Deprecated: Creation of dynamic property Jetpack_Shortcode_Unavailable::$shortcodes is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/modules/shortcodes/unavailable.php on line 19

Deprecated: trim(): Passing null to parameter #1 ($string) of type string is deprecated in /home/1/s/speilvendt/www/wp-includes/class-wp.php on line 173

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/1/s/speilvendt/www/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property CZR_header_model_class::$mobile_nbwrapper_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_header_model_class::$primary_nbwrapper_container_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_header_model_class::$topbar_nbwrapper_container_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_logo_model_class::$src is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$excerpt_length is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$media_cols is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$content_cols is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$element_width is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$inner_container_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283
Stygge forhold i selvmordsforskning og – forebygging – Speilvendt
Deprecated: Implicit conversion from float 35.400000000000006 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1638

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Stygge forhold i selvmordsforskning og – forebygging


Deprecated: Creation of dynamic property CZR_thumbnail_model_class::$lighbox_url is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_thumbnail_model_class::$has_lightbox is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Tekst: Heidi Hjelmeland
Illustrasjon: Ingrid Sørvik

Redaktørens utfordring om å skrive noe om selvmord med utgangspunkt i min nylig publiserte bok om selvmordsforebygging (Hjelmeland, 2022) og temaet «stygt», opplevdes umiddelbart som en umulig oppgave. Etter å ha sjekket Det Norske Akademis ordbok for ulike betydninger av ordet, ble det imidlertid fort klart at her er det faktisk mye å skrive om. Noen relevante betydninger av ordet «stygg» i denne sammenheng er redd, sint, skremmende, slem, fæl, illevarslende, og moralsk forkastelig. Her bruker jeg imidlertid stort sett ordet «stygg/stygt» og overlater til leserne å erstatte dette med den/de av de nevnte betydninger man syns passer best. 

Stygge tall
Hvert år tar over 600 mennesker sitt liv her i landet og det er vanlig å estimere at 10-20 ganger flere forsøker. Dette er stygge tall. Dessuten har ikke selvmordsraten gått ned, til tross for et kvart århundre med nasjonale handlingsplaner for forebygging av selvmord. Det gir grunn til å se kritisk på de tiltak myndighetene hittil har satset på og den forskningen som ligger til grunn for dem, og utforske andre måter å forstå suicidalitet og forebygge selvmord på. 

Vanskelig å rokke ved etablerte «sannheter»
I boken utfordres en rekke etablerte «sannheter». En av disse er «90 %-sannheten» som sier at minst 90 % av de som tar sitt liv har en psykisk lidelse, med tilhørende årsaksantakelse. Depresjon regnes av mange som selve hovedårsaken til selvmord. «Evidensgrunnlaget» for «90 %-sannheten» utgjøres imidlertid hovedsakelig av studier der etterlatte har svart på diagnostiske spørsmål på vegne av avdøde, ofte flere år etter selvmordet. Slike spørsmål handler for en stor del om hva avdøde hadde tenkt eller følt om en rekke forhold, noe etterlatte umulig kan svare sikkert på. Til tross for at vi dermed mangler gyldig evidens for «90 %-sannheten», hevdes og forsvares den stadig. Mektige fagfolk har i over 200 år antatt og hevdet at selvmord forårsakes av psykiske lidelser, men forskningen som har forsøkt å «bevise» det, holder altså ikke mål. Det er med andre ord mer ideologi, makt og interessekonflikter enn vitenskap som ligger bak «90 %-sannheten» (Hjelmeland & Knizek, 2017). Da er det kanskje stygt å fortsette å forfekte den? 

Depresjon, og andre psykiske lidelser, sier dessuten, i seg selv, ingenting om hva suicidalitet handler om eller hvor høy selvmordsrisikoen er. De aller, aller fleste med psykiske lidelser tar ikke sitt liv. Forekomsten av depresjon er dessuten høyere for kvinner enn for menn. Allikevel er selvmordsraten høyere for menn. Hvordan kan da depresjon være hovedårsak til selvmord? Det kan godt være at depresjon spiller en rolle i noens suicidalitet, men depresjon er jo som regel også en konsekvens av problematiske forhold i livet. 

Etter hvert har vi dessuten fått mye forskning som utfordrer «90 %-sannheten». Mye av denne avvises imidlertid av forfekterne av «90 %-sannheten», fordi den er kvalitativ. Hvis vi ønsker å forstå hva suicidalitet kan handle om, vi imidlertid lytte til historiene til folk med levd erfaring. Da er kvalitativ forskning helt avgjørende, og den har gjort det tydelig at selvmord/suicidalitet må forstås i kontekst og i lys av livshistorien. Da er det stygt å hevde at kun kvantitativ forskning er «vitenskapelig», og det er en annen «sannhet» som utfordres i boken.

Stygt å utfordre etablerte «sannheter»?

Når man utfordrer makt og mainstream, blir man imidlertid fort sett stygt på. Dette kan gi seg forskjellige utslag, for eksempel å bli møtt med påstander om at man ikke har den rette fagbakgrunn til å uttale seg om temaet (les: man er ikke psykiater), problemer med å få det man skriver publisert, eller krav om avpublisering på grunn av «ærekrenkende» innhold. I vitenskapelig arbeid må man imidlertid tåle å bli utfordret. Alt annet er stygt og uvitenskapelig. 

Kunnskapssyn og styringsideologi med stygge konsekvenser
Kvantitativ risikofaktorforskning, med tilhørende lineær årsakstenkning, har dominert fagfeltet i mange tiår. Som følge av dette og den rådende New Public Management-ideologien i helsevesenet, der alt skal standardiseres, telles og måles, krever nasjonale retningslinjer gjennomføring av risikofaktorbaserte selvmordsrisikovurderinger i psykisk helsevern. Kravet har ført til en fryktkultur, der klinikere gjennomfører risikovurderinger for å ha ryggen fri, i tilfelle en pasient skulle komme til å ta livet sitt. Da kommer nemlig tilsynsmyndigheten for å undersøke om selvmordsrisikovurdering er gjennomført i henhold til retningslinjene, til tross for at det lenge har vært kjent at slike er nytteløse. Det er ikke rart mange opplever det skremmende å arbeide med suicidale personer. 

«90 %-sannheten» har ført til en antakelse om at selvmord best forebygges ved å identifisere og behandle psykiske lidelser (jfr. retningslinjene). Når hovedfokuset er på psykiske lidelser, tas imidlertid oppmerksomheten bort fra forhold i konteksten, både den nære sosiale og mer overordnede samfunnsmessige kontekster, som på ulike måter kan ha bidratt til utvikling av suicidalitet (og en evt. psykisk lidelse), og som kan gi svar på spørsmål om hvordan selvmord kan forebygges. For de som tenker på å ta sitt liv, i dyp fortvilelse og desperasjon på grunn av det de har opplevd eller vært utsatt for gjennom livet, kan en slik «frikjenning» av konteksten oppleves stygt, fordi årsaken til suicidaliteten da tilskrives noe i dem selv; til den psykiske «sykdommen». Vi må passe på at strukturelle forhold ikke omdefineres til individuell psykopatologi. Kvalitativ forskning gir kunnskap om suicidalitetens kompleksitet og ulike kontekstuelle og relasjonelle meninger, og da kommer det fram at suicidalitet faktisk kan forstås som noe som oppstår mellom mennesker, og at suicidale handlinger kan forstås som kommunikative. Kvalitativ forskning ekskluderes imidlertid fra kunnskapsoppsummeringer som legges til grunn for handlingsplaner og retningslinjer. 

Selv om omfanget av undervisning varierer noe fra universitet til universitet, er det gjennomgående både for lite og for reduksjonistisk om dette komplekse, relasjonelle og kontekstuelle fenomenet i psykologutdanningen. Det er stygt gjort mot (kommende) psykologer. 

Meningsløse eller meningsbærende handlinger?
Fra et utenfra/«ekspert»-perspektiv ses selvmord ofte som patologisk; som en irrasjonell følgevirkning av risikofaktorer, særlig psykiske lidelser, og dermed egentlig som en meningsløs handling. Kvalitativ forskning har vist at fra et innenfra-perspektiv er selvmord og andre suicidale handlinger utvilsomt meningsbærende; det vil si at de har en (eller flere) mening(er)/funksjon(er) for individet i kontekst. Det kan for eksempel dreie seg om den beste/eneste løsningen man ser på problemene, et smerteskrik i desperasjon og maktesløshet, flukt fra uutholdelige tanker, følelser, eller livssituasjoner, eller protest mot ulevelige forhold. Konteksten gir svar om hvilke problemer som skal løses, flyktes fra, eller protesteres mot, ved å (forsøke å) ta sitt liv. 

Suicidalitet forstås kanskje best som et eksistensielt fenomen. Det er ikke nødvendigvis døden som er målet. Det kan handle om å avslutte et liv som oppleves meningsløst eller ulevelig, eller om en eksistensiell søken etter et nytt/annerledes liv. I en slik forståelsesramme kan suicidale handlinger forstås som en normal reaksjon på ekstreme livsomstendigheter, eller som en spesifikk måte å kommunisere på at man har det forferdelig vanskelig, når man opplever å ikke bli sett, hørt eller forstått, når man forsøker å si fra med ord, eller ikke har ord å si fra med. 

Kanskje det blir mindre stygt med fokus på kontekst og subjektiv mening framfor på upersonlige og kontekstfrie risikofaktorer?

Heidi Hjelmeland er professor ved Institutt for psykisk helse, NTNU og forsker på ulike aspekter ved selvmord og suicidalitet i ulike sosiokulturelle kontekster. Hun ga nettopp ut boka Selvmordsforebygging (2022) på Cappelen Damm Akademisk

For utdyping og referanser: 
Hjelmeland, H. (2022). Selvmordsforebygging. For å kunne forebygge selvmord må vi forstå hva sucidalitet handler om. Cappelen Damm Akademisk. 
Hjelmeland, H. & Knizek, B.L. (2017). Suicide and mental disorders: A discourse of politics, power, and vested interests. Death Studies, 41(8), 481-492.


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