1st Edition

Integrating Narrative Identity in Suicidology A Clinical Exploration of Story, Identity, and Suicide

By Matias Gay Copyright 2026
286 Pages 43 Color Illustrations
by Routledge

286 Pages 43 Color Illustrations
by Routledge

286 Pages 43 Color Illustrations
by Routledge

Integrating Narrative Identity in Suicidology examines the pivotal role of stories in forming our identities and how, when those stories break down, suicidality can emerge. While addressing universal themes within suicidology, the book also draws on specific Canadian contributions. These insights reflect Canada's diverse socio-cultural landscape and its unique approach to mental health... Read more

Part I: Suicide and the Self: A Journey Through Time, Identity, and Meaning  1. 58 Years Later: Where Are We Now?  2. Who Am I, and Why Does It Matter? Suicide, Identity, and Meaning  Part II: Existence  3. Who Are You? An Existential Model for Understanding Suicidality  4. Mapping the Self: A Deep Dive into the ENSI Model and Its Clinical Applications  5. Navigating Suicidality: A Psychological Map for Identity Reconstruction  6. Rewriting the Broken Narrative: Meaning-making and Suicide Prevention through Identity Reconstruction  Part III: Relations  7. The Family Factor  8. The Weight of a Generation: Cohort Effects on Suicide  9. Land, Identity, and Healing: Understanding Indigenous Suicide  Part IV: Narratives  10. Stories That Shape Us: The Suicidal Narrative  11. Beyond Silence: Stories as Medicine in Indigenous Communities  12. Cultural Scripts of Suicide: Agency, Identity, and Obligation  Part V: Emotions  13. The Tension of Suicide: Ambivalence and the Fight Within  14. A Distance Between Us: The Quiet Ache of Isolation  15. Suicidal Countertransference: The Silent Conversation  Part VI: Instinct  16. The Vulnerability Equation: How Innate Risk and Unbearable Life Events Shape a Path to Suicide  17. Inside a Suicidal Mind: The Anatomy of Acute Crisis

 

 

 

Biography

Matias Gay, RN, MScN(c), is a suicidologist, researcher, and clinical leader specializing in youth suicide prevention, narrative identity, and person-centered care across emergency and mental health systems.

"Integrating Narrative Identity in Suicidology is a rare and essential contribution to the field. Matias Gay brings extraordinary insight, compassion, and clinical depth to the urgent work of suicide prevention. Rooted in personal loss and professional wisdom, this beautifully written book reframes suicidality through the lens of narrative and identity, offering both a compelling theoretical framework and practical tools for healing. It is a meditation on the roles of narrative, identity, and human connection in the suicidal mind. Most importantly, the book offers guidance for both clinicians and laypeople to help those trapped in suicidal narratives rediscover purpose and reclaim a meaningful life story."

Igor GalynkerMD, PhD, professor of psychiatry, Icahn School of Medicine at Mount Sinai, director, Mount Sinai Suicide Prevention Research Laboratory, and author of The Suicidal Crisis: Clinical Guide to the Assessment of Imminent Suicide Risk

"Integrating Narrative Identity in Suicidology is a landmark contribution that bridges empirical tradition with narrative insight. Both emerging and experienced clinicians will find new depth in chapters like “The Weight of a Generation,” which situates suicidality within a broader ecological and generational framework. Matias Gay brings the field to life not only through diverse voices, but also through his own candid and compelling narrative."

Antoon A. LeenaarsPhD, clinical and forensic psychologist and author of The Psychological Autopsy