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增强求生欲望的关键资源:自杀患者的经历。

Crucial resources to strengthen the desire to live: Experiences of suicidal patients.

作者信息

Vatne May, Nåden Dagfinn

机构信息

Oslo and Akershus University College of Applied Sciences, Norway

Oslo and Akershus University College of Applied Sciences, Norway.

出版信息

Nurs Ethics. 2016 May;23(3):294-307. doi: 10.1177/0969733014562990. Epub 2014 Dec 24.

Abstract

BACKGROUND

Suicidality is a life-and-death struggle in deep loneliness and psychological pain. There is a lack of knowledge about what could help the suicidal patients' struggle for continued life. The aim of this study was to develop a deeper understanding of suicidal patients in the aftermath of suicidal attempts. The research question was 'What resources in the person himself or herself and his or her surroundings are crucial in a suicidal crisis to maintaining the will to live and hope for life'?

METHODOLOGY

The study has a hermeneutic approach and an explorative design. Data were collected using semi-structured interviews with 10 participants: men and women 21-52 years of age. The context was two emergency psychiatric units and one crisis resolution team.

ETHICAL CONSIDERATIONS

The participants signed an informed consent before the interviews were conducted.

FINDINGS

This article presents three themes: (a) becoming aware of the desire to live, (b) an experience of connectedness and (c) someone who cares.

DISCUSSION

The suicidal person's awareness of wishes, dreams, hopes and will, but also of their feelings in the aftermath of the suicide attempt, seemed to play a crucial role in a suicidal crisis. Experiences of connectedness remind the person of the responsibility in his or her own life and in the lives of others and seemed to strengthen the urge to go on. Private and professional relationships seem to be crucial in stimulating the desire and hope to go on living.

CONCLUSION

Becoming aware of the desire to live, being connected to others and experiencing someone who cares is necessary for life. Both private and professional networks seemed to be important resources that could remind the suicidal person of his or her own dignity as part of being human.

摘要

背景

自杀行为是在深深的孤独和心理痛苦中进行的生死挣扎。对于什么能够帮助有自杀倾向的患者为继续生存而抗争,人们知之甚少。本研究的目的是更深入地了解自杀未遂后的自杀患者。研究问题是“在自杀危机中,个体自身及其周围环境中的哪些资源对于维持生存意志和生活希望至关重要”?

方法

本研究采用诠释学方法和探索性设计。通过对10名参与者(年龄在21至52岁之间的男性和女性)进行半结构化访谈来收集数据。研究背景是两个急诊精神科病房和一个危机解决团队。

伦理考量

在进行访谈之前,参与者签署了知情同意书。

研究结果

本文呈现了三个主题:(a)意识到生存的渴望,(b)联系感,以及(c)关心自己的人。

讨论

自杀者对愿望、梦想、希望和意志的认知,以及对自杀未遂后自身感受的认知,在自杀危机中似乎起着关键作用。联系感的体验让个体意识到自己对自身生活以及他人生活的责任,似乎增强了继续前行的动力。私人关系和专业关系在激发继续生活的愿望和希望方面似乎至关重要。

结论

意识到生存的渴望、与他人建立联系以及感受到有人关心是生存所必需的。私人网络和专业网络似乎都是重要的资源,能够让有自杀倾向的人想起自己作为人类的尊严。

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