对非自杀性自伤的感知风险和风险管理策略的系统审查
概括
非自杀自伤 (NSSH) 个体了解风险并使用管理策略,但其有效性各不相同. 纳入生活经验可以改善NSSH的护理和支持.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 非自杀性自我伤害 (NSSH) 风险已有证据,但经过实践经验的个人对其的理解和管理仍未得到充分探索.
- 现有的文献往往缺乏那些从事NSSH的人在风险感知和缓解方面的观点.
研究的目的:
- 系统地审查和综合从事NSSH的个人所感知的NSSH风险.
- 识别和分析NSSH患者使用的风险管理策略.
主要方法:
- 对五个数据库进行了系统审查.
- 从37项符合条件的研究中进行了定性发现的元综合.
- 来自一项研究的定量发现被叙述合成.
主要成果:
- 出现了三个主题:物理风险 (伤害管理),人际风险 (影响和反应) 和人际风险 (个人评估).
- 个体表现出对风险的细微理解,采用诸如损害限制和伤隐藏等策略.
- 这些策略的感知效用范围从有益到有害;在线社区用户报告了类似的判断和耻辱的恐惧.
结论:
- 对NSSH风险管理策略的看法各不相同,其有效性也各不相同.
- 整合实践经验的见解对于以人为中心的护理,同行支持和NSSH的协作临床管理计划至关重要.
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