Van Dongen C J
College of Nursing, University of Wisconsin, Oshkosh.
J Fam Pract. 1991 Oct;33(4):375-80.
Survivors of suicide are the family members and significant others in the life of the person who commits suicide. A recent study by the author explored the life experiences of survivors of suicide, affirmed the severity of postsuicide bereavement, and revealed the critical role of the family physician in intervention.
Thirty-five adult survivors participated in in-depth audiotaped interviews during the 3- to 9-month period after the suicide death of a family member. Demographic data and the transcribed interview data were analyzed through descriptive statistics and systematic methods of qualitative data analysis.
Subjects stressed the importance of the family physician understanding the nature of their experiences in order to intervene effectively. All survivors experienced profound disruptions in their lives, including changes in physical, emotional, cognitive, and social functioning. Variations among survivors of suicide, based on the survivor's perception of the victim before his or her death, were evident and are illustrated by three case studies. Interventions for the family physician, including specific suggestions from survivors, are proposed.
Survivors of suicide experience a very severe bereavement, yet significant variations exist among their responses. The family physician is identified as the key individual to initiate and ensure follow-up care for this bereaved population.
自杀者的遗属是自杀者生命中的家庭成员及其他重要他人。作者近期开展的一项研究探讨了自杀者遗属的生活经历,证实了自杀后丧亲之痛的严重性,并揭示了家庭医生在干预过程中的关键作用。
35名成年遗属在家庭成员自杀死亡后的3至9个月期间参与了深度录音访谈。通过描述性统计和定性数据分析的系统方法对人口统计学数据及转录后的访谈数据进行了分析。
受试者强调家庭医生了解其经历本质对于有效干预的重要性。所有遗属的生活都经历了深刻的扰乱,包括身体、情感、认知和社会功能的变化。基于遗属对受害者生前的认知,自杀者遗属之间存在差异,这一点很明显,并通过三个案例研究进行了说明。文中提出了针对家庭医生的干预措施,包括遗属的具体建议。
自杀者遗属经历着极其严重的丧亲之痛,但其反应存在显著差异。家庭医生被确定为启动并确保对这一丧亲人群进行后续护理的关键人物。