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EV1316

Suicidal ideation among male survivors of childhood sexual abuse in the Chitrali community: distorted cultural practices and identity contamination, an interpretative phenomenological analysis study

SUICIDAL IDEATION AMONG MALE CSA SURVIVORS IN THE CHITRALI COMMUNITY: CORRUPTED CULTURAL PRACTICES AND IDENTITY CONTAMINATION: AN IPA STUDY

What fuels suicidal ideation in these men is not so much the severity of the abuse as the community’s victim-blaming response following disclosure.

The aim is to understand how suicidal ideation develops in men who have experienced child sexual abuse (CSA) in Pakistan’s mountainous Chitral region. The study used interpretative phenomenological analysis (IPA; Smith et al., 2009); of 28 individuals screened using an adapted CSA checklist (Halpérin et al., 1996), 7 survivors (5 men, 2 women; aged 19–28) were selected through purposive snowball sampling for semi-structured interviews. Four interviews were conducted face to face and three via video call, in the participants’ preferred language (Khowar, Urdu, or English), and the translation was independently verified by two reviewers; the first author’s membership in the same community was treated as a source of positionality, monitored through reflective notes and supervision. Suicidal ideation followed a common pattern among the five male survivors, but it tracked the community’s response to the survivor rather than the severity of the abuse. The analysis identified pathways through which children formed attachments within distorted cultural practices: bhaijan (from mentorship to possessiveness), serik (from friendship to grooming), ishtok (from celebration to objectification), and nasha (from substance use to dependency); these attachments make disclosure dangerously costly. When the community’s response blames the person who is suffering and protects the perpetrator, the survivor’s distress develops into suicidal ideation, with identity contamination expressed through local derogatory labels (parashkoti, gandu). Clinically, the period of heightened risk is not the abuse itself but disclosure and its aftermath, sometimes years after the abuse has ended; family responses intended to be protective (monitoring, restriction, suspicion) were described by participants as factors that made life unbearable. In terms of prevention, the study emphasizes that pressuring survivors to disclose in an environment where a safe response after disclosure cannot be assured increases rather than reduces risk.

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