"安全"是什么意思? : 致命意味着辅导作为跨文化沟通的手段
Larry D Pruitt1,2, Jeffrey C Sung2, Kara A Walker1
1VA Puget Sound Healthcare System, Seattle, Washington.
概括
美国的自杀率正在上升,特别是在退伍军人中,枪支是主要的方法. 了解枪支所有权的文化因素对于有效的自杀预防咨询至关重要.
科学领域:
- 公共卫生 公共卫生
- 退伍军人事务 退伍军人事务
- 枪支伤害预防 预防枪支伤害
背景情况:
- 美国自杀率在过去二十年中每年都在增加.
- 枪支使用是自主自杀死亡的主要方法.
- 这一趋势在退伍军人和美国武装部队成员中显著增加.
研究的目的:
- 审查和解释有关枪支所有权文化方面的研究.
- 突出医疗保健提供者和枪支所有者之间的潜在文化差异.
- 提出一个框架,以改善致命手段,为枪支所有者提供咨询.
主要方法:
- 文献综述和对选定的研究进行解释.
- 对影响枪支拥有和使用的文化因素的分析.
- 在临床实践中应用文化能力框架.
主要成果:
- 文化差异可能会影响自杀预防信息的有效性.
- 医疗保健提供者的干预可能与枪支所有者的文化观点不一致.
- 现有的文化能力模型可以为课程开发提供信息.
结论:
- 解决文化因素对于加强致命手段安全倡议至关重要.
- 为医疗保健从业人员开发文化敏感的培训可以改善枪支所有者的自杀预防护理.
- 将文化理解纳入临床实践是减少与枪支有关的自杀事件的关键.
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