safeTALKTM自殺予防プログラムの文脈化:記述的な質的研究
Rita Pokharel Poudel1,2, Diana Jefferies1, Sheeja Perumbil Pathrose1
1School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
まとめ
ネパール人の若者向けのSafeTALKTM自殺予防プログラムの文化的適応は極めて重要です. この研究は,ネパールで高い自殺率と汚名を解決するために,文化的に敏感なアプローチの必要性を強調しています.
科学分野:
- グローバルメンタルヘルス グローバルメンタルヘルス
- 公共衛生の介入 公共衛生の介入
- 文化精神医学は,文化精神医学である.
背景:
- 自殺予防プログラムは成功を収めているが,文化的要因がリスクと保護要素に影響する.
- 青少年自殺は複雑な問題であり,文化に合わせた介入が必要である.
- 既存のプログラムは,多様な文化的な文脈に適応する必要があります.
研究 の 目的:
- ネパールの中学生のためのLivingWorks safeTALKTM自殺予防プログラムを文化的に文脈化する.
- ネパールの文脈に,証拠に基づいた自殺予防戦略を適応させる.
- ネパールにおける青少年自殺予防のコミュニティのニーズと展望を調査する.
主な方法:
- 社会生態学モデルによって情報提供されたフォーカスグループを用いた質的記述的研究.
- コミュニティベースの参加型研究 (CBPR) の原則が適応プロセスを指針とした.
- 青少年,教師,親,医療従事者,政策立案者からのデータによるハイブリッドコンテンツ分析.
主要な成果:
- ネパールでは,文化的,社会経済的要因の影響で,青少年自殺予防の必要性が高い.
- 自殺にまつわる重大な汚名は,助けを求める行動を妨げます.
- 推奨された修正には,ネパール人の文化慣行を safeTALKTM プログラムに翻訳し,統合することが含まれていた.
結論:
- ネパールのリスクの高い若者にとって,文化的に適切な自殺予防プログラムは不可欠です.
- 効果的な局所的介入の開発と実施のため,さらなる研究が必要である.
- CBPRによるコミュニティの関与は,プログラムの適応と実施を成功させるために不可欠です.
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