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为何选择自焚?对自焚自杀企图动机的质性探索。

Why self-immolation? A qualitative exploration of the motives for attempting suicide by self-immolation.

作者信息

Rezaie Leeba, Hosseini Seyed Ali, Rassafiani Mehdi, Najafi Farid, Shakeri Jalal, Khankeh Hamid Reza

机构信息

Department of Occupational therapy, University of Social Welfare and Rehabilitation Science (USWR), Tehran, Iran.

Kermanshah Health Research Center (KHRC), School of Population Health, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran.

出版信息

Burns. 2014 Mar;40(2):319-27. doi: 10.1016/j.burns.2013.06.016. Epub 2013 Jul 24.

DOI:10.1016/j.burns.2013.06.016
PMID:23891233
Abstract

INTRODUCTION

Suicide by self-immolation is one of the great health concerns in developing countries such as Iran. Exploration of motives for attempting suicide by self-immolation in different point of view of people with experience and information on can be considered as a crucial aspect in self-immolation prevention. The study aimed to explore motives for suicide by self-immolation in Kermanshah, Iran.

METHODS

A qualitative approach using semi-structure interview was employed to explore motives for attempting suicide by self-immolation in Kermanshah, Iran (2012). 15 participants including 9 self-immolated patients, a patient's husband, and 5 members of medical staff of these patients were interviewed. The interviews were taped and transcribed. A content analysis using constant comparison was performed for transcribed interviews.

RESULTS

Five main categories were emerged that explore motives for suicide by self-immolation including mental health problems, family problems, cultural context, self-immolation as a threat, and the distinct characteristics of the method. All categories had their specific subcategories which had been integrated based on distinct properties in a given category. More than one motive might be addressed by study participants, which listed in the appropriate categories.

CONCLUSION

There are several reasons for suicide by self-immolation that should be considered in prevention programs. There may be an interactional pattern among the motives. Further study to explore process of the interactional pattern is recommended.

摘要

引言

自焚自杀是伊朗等发展中国家极为关注的健康问题之一。从有相关经历和信息的人群的不同视角探究自焚自杀未遂的动机,可被视为自焚预防工作的关键环节。本研究旨在探究伊朗克尔曼沙赫自焚自杀的动机。

方法

采用定性研究方法,通过半结构式访谈来探究2012年伊朗克尔曼沙赫自焚自杀未遂的动机。对15名参与者进行了访谈,其中包括9名自焚患者、1名患者的丈夫以及这些患者的5名医护人员。访谈进行了录音和转录。对转录后的访谈内容采用持续比较法进行了内容分析。

结果

出现了五个主要类别,用于探究自焚自杀的动机,包括心理健康问题、家庭问题、文化背景、作为威胁手段的自焚以及该方法的独特特征。所有类别都有其特定的子类别,这些子类别根据给定类别中的不同属性进行了整合。研究参与者可能提及不止一种动机,并将其列入了相应类别。

结论

自焚自杀存在多种原因,在预防项目中应予以考虑。这些动机之间可能存在一种相互作用模式。建议进一步开展研究以探究这种相互作用模式的过程。

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