https://doi.org/10.1177/1049732320909104
Qualitative Health Research
1–3
© The Author(s) 2020
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DOI: 10.1177/1049732320909104
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Commentary
We write in response to the rebuttal of our work, “What
can we learn from first-person narratives? The case of
non-fatal suicidal behaviour” (Bantjes & Swartz, 2019)
by Hjelmeland and Knizek (2019). We are grateful to our
interlocutors for raising important questions about our
arguments, for pointing out the problems with some of
the examples we cite, and for helping us to think carefully
about what we do as researchers committed to suicide
prevention. There are issues of detail in the critique with
which we agree, and others with which we do not. We
affirm, as clearly set out in our work, that
1. traditional quantitative approaches (like all
research methods) have limitations in terms of
what they can tell us about suicide prevention;
2. there is considerable value in qualitative suicide
research;
3. it is important to give voice to people with lived
experience of suicide; and
4. qualitative suicide research has limitations in
terms of what it can promise to tell us about how
to prevent suicides (Bantjes & Swartz, 2019).
We dispute the claim that we discredit qualitative sui-
cide research or the voices of people with lived experience
of suicidality (Hjelmeland & Knizek, 2019), as a careful
reading of our work will show. Hjelmeland and Knizek
(2019) take issue with our selection of examples from their
work, and we apologize for any misrepresentation. They
do not, however, offer any rebuttal to our core argument,
which is that there are distinct limitations to using first-
person narratives of suicide to advance the goals of suicide
prevention. It is these limitations and the reasons for them
that constitute the body of our paper. Academic rigor
demands that these limitations be made explicit before any
claims are made about how to translate qualitative research
into suicide prevention practices.
It seems that at the heart of their critique is
Hjelmeland and Knizek’s fear that we may undermine
the voices of people with lived experience of suicidal-
ity and discredit qualitative suicide research generally
and their research specifically. We very much regret
that our discussion may have contributed to this fear.
We believe that attending to the lived experience of
people is very important in all qualitative health
research, and we have no wish to undermine these
voices. We also strongly affirm that we do not in any
way want to undermine efforts to advance qualitative
909104QHR XX X 10.1177/1049732320909104Qualitative Health ResearchBantjes and Swartz
article-commentary 2020
1
Stellenbosch University, Matieland, South Africa
Corresponding Author:
Jason Bantjes, Department of Psychology, Stellenbosch University,
Private Bag X1, Matieland 7602, South Africa.
Email: jbantjes@sun.ac.za
The Benefits of Robust Debate About
the Place of Qualitative Research in
Suicide Prevention
Jason Bantjes
1
and Leslie Swartz
1
Abstract
It is important to give voice to people with lived experience of suicidal behaviour, but as with all narrative data, insider
accounts raise methodological and interpretive challenges. A key question is that of how to work with narratives
about suicide in a way that affirms both the value and the limitations of the data, so that qualitative evidence may
responsibly be used to inform real-world interventions. Scholars who claim that insights gained through qualitative
research have consequences for suicide prevention, should be able to provide evidence for this claim. There may be
a contradiction between claiming to work within a paradigm that rejects ideas about linear cause-and-effect thinking
in suicidology, while simultaneously asserting that insights from qualitative research will have a cause-effect impact on
the challenging real-world practice of suicide prevention. Robust methodological debate will strengthen the field of
qualitative suicidology.
Keywords
suicide; methodology; research evaluation; qualitative suicide research; critical suicidology; commentary