Ball Jeffrey S, Links Paul S, Strike Carol, Boydell Katherine M
Suicide Studies Unit, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Psychiatr Rehabil J. 2005 Summer;29(1):10-7. doi: 10.2975/29.2005.10.17.
Crisis in individuals with severe persistent mental illness (SPMI) is a poorly understood phenomenon for which traditional crisis models do not apply. In this study we explored the crisis experience using in-depth interviews conducted with individuals with severe persistent mental illness from two community support programs. A grounded theory of the crisis experience was developed and the results illustrate that underlying vulnerability sets the stage for crisis occurrence which involves feeling overwhelmed and lacking control and manifests as agitation/anger/aggression, being low, feeling anxious, or euphoria. Immediate responses to crises involve getting help or managing alone and numerous factors contribute to crisis resolution and prevention.
严重持续性精神疾病（SPMI）患者的危机是一种鲜为人知的现象，传统的危机模型并不适用于此。在本研究中，我们通过对来自两个社区支持项目的严重持续性精神疾病患者进行深入访谈，探索了危机体验。我们构建了一个关于危机体验的扎根理论，结果表明，潜在的脆弱性为危机的发生奠定了基础，危机发生时会让人感到不堪重负和缺乏掌控感，并表现为激动/愤怒/攻击行为、情绪低落、焦虑或欣快。对危机的即时反应包括寻求帮助或独自应对，许多因素有助于危机的解决和预防。
