Tzeng Wen-Chii
Department of Nursing, Tri-Service General Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2006 Dec;53(6):14-9.
Suicide has become a critical mental health problem in Taiwan. Most studies on the issue are related to suicide rates and risk factors, and their relationships with mental illnesses. These findings help health professionals to understand what life might have been like for a suicide victim before the suicide, but not what life is like after a suicide attempt; how to detect the possibility of a subsequent suicide attempt, rather than how to help people who have attempted suicide to construct a good life. The purpose of this article is to encourage nurses to engage in dialogue with suicidal patients by understanding their explanatory models and by self-reflection. This not only enables suicidal patients to move from shame toward taking responsibility for themselves and others, but also enables nurses to rebuild their experiential knowledge.
自杀已成为台湾一个严重的心理健康问题。关于这个问题的大多数研究都与自杀率、风险因素及其与精神疾病的关系有关。这些研究结果有助于医护人员了解自杀受害者在自杀前的生活状况，但无法了解自杀未遂后的生活状况；有助于检测后续自杀未遂的可能性，却无法了解如何帮助自杀未遂者构建美好的生活。本文的目的是鼓励护士通过理解自杀患者的解释模型并进行自我反思，与他们展开对话。这不仅能使自杀患者从羞耻感中走出来，为自己和他人承担责任，还能让护士重建他们的经验知识。
