Bullock Marie, Nadeau Lucie, Renaud Johanne
Masters Candidate, McGill University, Montreal, Quebec.
J Can Acad Child Adolesc Psychiatry. 2012 Aug;21(3):186-93.
Youth suicide attempters are high-risk for suicide. Many have untreated mental disorders and are not receiving services. It is crucial to understand potential influences associated with service use. Spirituality/religion are one influence in youths' mental health service trajectories. This study explored youths' experiences of spirituality/religion as it relates to their help-seeking the year before their suicide attempt.
Fifteen youth (aged 14-18) who made a suicide attempt(s) one to two years prior were consecutively recruited through the Depressive Disorders Program of a psychiatric hospital and interviewed using a mixed-methods design, including an adapted psychological autopsy method.
THREE THEMES EMERGED: religious community members acted as a bridge, step, or provider to mental health services; religious/spiritual discourses were encountered within services; and many youths reported changes in spirituality/religious beliefs the year before their suicide attempt.
Spirituality/religion can have a role in these youths' service trajectories. How this confers protection or challenges needs to be clarified. Our findings can inform policies supporting training religious leaders about suicide intervention to foster coordination with mental health services, and service-providers in judiciously approaching spiritual/religious themes in suicide prevention.
青少年自杀未遂者是自杀的高危人群。许多人患有未治疗的精神障碍且未接受相关服务。了解与服务利用相关的潜在影响因素至关重要。精神性/宗教信仰是影响青少年心理健康服务轨迹的一个因素。本研究探讨了青少年在自杀未遂前一年与寻求帮助相关的精神性/宗教信仰体验。
通过一家精神病医院的抑郁症项目，连续招募了15名在一至两年前有过自杀未遂经历的青少年（年龄在14 - 18岁），并采用混合方法设计进行访谈，包括一种改良的心理解剖方法。
出现了三个主题：宗教团体成员充当了通往心理健康服务的桥梁、阶梯或提供者；在服务过程中遇到了宗教/精神性话语；许多青少年报告在自杀未遂前一年其精神性/宗教信仰发生了变化。
精神性/宗教信仰在这些青少年的服务轨迹中可能发挥作用。其如何提供保护或构成挑战需要进一步阐明。我们的研究结果可为相关政策提供参考，这些政策支持培训宗教领袖进行自杀干预，以促进与心理健康服务的协调，同时也可为服务提供者在自杀预防中审慎处理精神/宗教主题提供参考。
