老年人理解他们的自杀行为:瑞典的一项采访研究
Sara Hed1,2, Anne Ingeborg Berg3, Stefan Wiktorsson1,4
1Department of Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
Frontiers in psychiatry
|September 23, 2024
概括
在瑞典,经历过自杀行为的老年人经常将其与损失和医疗保健的冷漠联系起来. 有些人在自杀行为后发现了积极的变化,特别是那些有先前思想和见解的人.
科学领域:
- 老年精神病学是一门精神病学专业.
- 自杀学 自杀学
- 现象学的现象学
背景情况:
- 老年人 (70岁以上) 面临着独特的挑战,包括与年龄有关的损失.
- 老年人的自杀行为通常被认为是有计划的,与新发现形成鲜明对比.
- 对于有针对性的干预措施来说,了解这个人口群体中自杀行为所经历的经验至关重要.
研究的目的:
- 探索瑞典的老年人如何理解他们最近的自杀行为.
- 调查老年人在自杀行为后经历的变化.
- 确定影响自杀行为后积极或消极结果的因素.
主要方法:
- 使用了解释性现象学分析 (IPA).
- 半结构面试对9名参与者进行了半结构面试 (4名女性,5名男性),年龄在71-91岁之间.
- 专注于理解最近的自杀行为的主观经验.
主要成果:
- 自杀行为与无法管理的损失和对医疗保健系统的漠不关心有关.
- 行为通常被描述为对绝望的无计划反应.
- 积极的变化 (改善应对能力,获得医疗保健,心理意识) 被那些先前有自杀想法和洞察触发因素的人报告.
- 没有事先考虑或解释该行为的人没有报告任何积极的变化.
结论:
- 与年龄相关的损失加上负面的医疗互动,凸显了隐含的年龄歧视.
- 这些非致命的自杀行为的冲动性质挑战了对老年人有计划行为的假设.
- 需要进一步研究老年人自杀计划,性别差异和文化背景.
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