RT info:eu-repo/semantics/article T1 “They Don’t Know About Suffering”: Reasons from Physicians and Users for the Use of Coercion After a Suicide Attempt in Latin America A1 Agudelo Hernández, Felipe A1 Plata Casas, Laura Ines A1 Delgado Reyes, Andrés Camilo K1 Suicide attempt K1 Coercion K1 Human rights K1 Mental health services K1 Suicidio K1 Suicide AB The use of coercive practices worsens recovery processes in mental health. These practices have various forms of presentationthat must be identified to incorporate a rights-based approach into care processes. The aim was to describe and analyzethe reasons perceived by physicians who employed coercive practices and by the individuals on whom these practices wereemployed, following a suicide attempt in Caldas, Colombia, in 2023 and 2024. A qualitative, transversal, and descriptiveresearch design was used. Data collection was conducted in two phases: in-depth interviews with individuals who hadattempted suicide were carried out between January and December 2024, and interviews with healthcare professionals wereconducted between November 2024 and January 2025. A total of 30 participants were included, all of whom had attemptedsuicide and for whom coercive measures had been taken at a clinical level. In addition, 22 medical professionals who treatedone of the 30 participants during their suicide attempt were included. Through content analysis, the interviews were dividedinto two themes. The first, based on interviews with individuals who had attempted suicide, was titled Reasons perceivedby people using health services after a suicide attempt and comprised three categories: Lack of knowledge, Lack of willingnessto help, and Obligation. The second theme, Reasons perceived by medical professionals, comprised categories suchas Coercion as a primary resource, Coercion in medical training, and Coercion as medical protocol. Coercive measures,even though they are protocolled by health professionals, cause great suffering and hinder the recovery of people who haveexperienced coercive practices in mental health. PB Springer SN 2365-1792 YR 2026 FD 2026-05 LK https://hdl.handle.net/10259/12206 UL https://hdl.handle.net/10259/12206 LA eng NO Open access funding provided by FEDER European Funds and the Junta de Castilla y León under the Research and Innovation Strategy for Smart Specialization (RIS3) of Castilla y León 2021-2027. DS Repositorio Institucional de la Universidad de Burgos RD 02-oct-2026