永远的决定:在自杀企图的幸存者中进行的定性研究
Karlijn Heesen1,2, Saskia Mérelle1, Isa van den Brand1
1113 Suicide Prevention, Paasheuvelweg 25, 1105 BP, Amsterdam, the Netherlands.
EClinicalMedicine
|February 9, 2024
概括
了解自杀企图的进展对于预防至关重要. 关键因素包括规划和获得手段,强调需要限制访问和认真考虑自杀倾向.
科学领域:
- 心理学 心理学 心理学
- 心理健康研究 心理健康研究
- 社会学 社会学 社会学
背景情况:
- 自杀企图对个人和社会产生重大情感影响.
- 这项定性研究考察了自杀过程,影响因素和预防策略.
- 综合动机-意愿 (IMV) 模型被用来理解从构想到尝试的过渡.
研究的目的:
- 为了探索自杀过程的进展.
- 确定促进自杀意念转变为自杀企图的因素.
- 调查可以阻碍这种过渡的预防策略.
主要方法:
- 涉及27名成年自杀未遂幸存者的定性研究 (过去12个月).
- 在2022年10月至2023年3月期间在荷兰进行的采访.
- 分析采用了基于"自杀行为之路"采访的常数比较方法.
主要成果:
- 自杀想法通常出现在青春期 (平均年龄15岁).
- 规划和准备行动,包括方法选择,可以在尝试前几年发生.
- 获得致命手段和计划是显著的调节者;参与者认为他们的自杀倾向没有被认真对待.
结论:
- 限制对致命手段的访问对于预防自杀至关重要.
- 应该更多地关注自杀过程中的准备行动.
- 关于自杀倾向的公开对话至关重要,以确保个人感到被倾听和支持.
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