Disclosure, Social Harm, and Support Activation Study

To characterize how disclosure of suicide or severe emotional distress functions socially in rural eastern Uganda: who people have disclosed to, what happened, what harms resulted, who they would want involved in future support, and under what conditions they would want support activated on their behalf.

Inclusion Criteria: * Meets at least one of the following: 1. self-reports a history of suicidal ideation or attempt, 2. self-reports a period of severe depressive distress (persistent sadness, hopelessness, withdrawal lasting ≥2 weeks), or 3. has previously disclosed suicidal thoughts or severe distress to another person * Able and willing to provide informed consent Exclusion Criteria: * Currently in acute suicidal crisis with intent or plan (activate safeguarding protocol, defer enrollment to after stabilization) * Unable to engage in a 25-30 minute survey without significant distress