Jun Won Hee, Lee Eun Ju, Park Jeong Soon
Department of Nursing and Research Institute for Basic Science, Hoseo University, Asan-si, Chungnam, South Korea.
J Clin Nurs. 2014 Jul;23(13-14):1845-56. doi: 10.1111/jocn.12417. Epub 2013 Nov 20.
To investigate the effects of a suicide prevention programme on the levels of depression, self-esteem, suicidal ideation and spirituality in patients with mental illness.
Instances of suicide have significant correlations with depression, low self-esteem, suicidal ideation and a low level of spirituality in the victims. Therefore, addressing depression, low self-esteem and suicidal ideation as suicide risk factors and increasing levels of spirituality can constitute an effective programme to prevent suicide among patients with mental illness.
The study was a quasi-experimental study with a nonequivalent control group, nonsynchronised design.
The study sample consisted of 45 patients with mental illness who had been admitted to the psychiatric unit in a university hospital in South Korea. The patients were assigned to control and experimental groups of 23 and 22 members, respectively.
The suicide prevention programme was conducted with the experimental group over four weeks and included eight sessions (two per week). The control group received only routine treatments in the hospital.
The experimental group that participated in the programme had significantly decreased mean scores for depression and suicidal ideation compared with the control group. However, there were no significant differences in the mean scores for self-esteem and spirituality between the groups.
The suicide prevention programme might be usefully applied as a nursing intervention for patients hospitalised in psychiatric wards or clinics where the goals are to decrease depression and suicidal ideation.
Typical treatments for hospitalised patients with mental illness are not enough to prevent suicide. Intervention for suicide prevention needs to apply an integrated approach. The suicide prevention programme using an integrated approach is more effective in reducing depression and suicidal ideation in patients with mental illness than applying routine treatments in the hospital.
探讨自杀预防项目对精神疾病患者抑郁水平、自尊、自杀意念及精神性的影响。
自杀事件与受害者的抑郁、低自尊、自杀意念及低精神性显著相关。因此，将抑郁、低自尊和自杀意念作为自杀风险因素加以应对，并提高精神性水平，可构成一项预防精神疾病患者自杀的有效项目。
本研究为非等效对照组、非同步设计的准实验研究。
研究样本包括45名入住韩国某大学医院精神科病房的精神疾病患者。患者被分别分配到23名成员的对照组和22名成员的实验组。
对实验组进行为期四周的自杀预防项目，包括八次课程（每周两次）。对照组仅接受医院的常规治疗。
与对照组相比，参与该项目的实验组抑郁和自杀意念的平均得分显著降低。然而，两组之间自尊和精神性的平均得分没有显著差异。
自杀预防项目可作为一种护理干预措施，有效地应用于精神科病房或诊所住院的患者，其目标是降低抑郁和自杀意念。
住院精神疾病患者的典型治疗不足以预防自杀。自杀预防干预需要采用综合方法。与在医院采用常规治疗相比，采用综合方法的自杀预防项目在降低精神疾病患者的抑郁和自杀意念方面更有效。
