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探索青少年自杀未遂的危险因素:一项定性研究。

Exploring the risk factors contributing to suicide attempt among adolescents: A qualitative study.

作者信息

Bazrafshan Mohammad-Rafi, Sharif Farkhondeh, Molazem Zahra, Mani Arash

机构信息

Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Research Centre for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Nurs Midwifery Res. 2016 Jan-Feb;21(1):93-9. doi: 10.4103/1735-9066.174747.

Abstract

BACKGROUND

Since suicide attempt among adolescents is a major challenge and the reasons why this age group attempt suicide are complex, the aim of this study was to investigate the risk factors that contribute to suicide attempt among adolescents.

MATERIALS AND METHODS

In this qualitative content analysis, 14 adolescents (12-19 years old) who were admitted in two hospitals in Shiraz, Iran, were interviewed. Participants who tried attempt suicide with medication were selected by purposive sampling and the data were gathered by semi-structured interviews. Data analysis was guided by the conventional approach of qualitative content analysis.

RESULTS

Three major themes and 13 subthemes emerged from data analysis. The main themes were: (a) Individual factors and experiences (psycho-emotional problems, puberty, religious beliefs, stress management strategies, marriage and love, field and level of education); (b) family factors (family structure, family relationship, family economic features, family health conditions); and (c) social factors (suicidal behavior in others, media influence, professional support).

CONCLUSIONS

This study identified three major themes related to suicide attempt among adolescents in the context. As a result, suicide prevention and care provision should formulate a comprehensive method, considering the interaction of medical besides individual, familiar, and social factors in their assessment and care provision.

摘要

背景

青少年自杀未遂是一项重大挑战,且该年龄组自杀未遂的原因复杂,本研究旨在调查导致青少年自杀未遂的风险因素。

材料与方法

在这项定性内容分析中,对伊朗设拉子两家医院收治的14名青少年(12 - 19岁)进行了访谈。通过目的抽样选取服用药物自杀未遂的参与者,并通过半结构化访谈收集数据。数据分析采用定性内容分析的常规方法。

结果

数据分析得出三个主要主题和13个子主题。主要主题为:(a)个人因素与经历(心理情感问题、青春期、宗教信仰、压力管理策略、婚姻与爱情、教育领域与水平);(b)家庭因素(家庭结构、家庭关系、家庭经济特征、家庭健康状况);以及(c)社会因素(他人的自杀行为、媒体影响、专业支持)。

结论

本研究确定了该背景下与青少年自杀未遂相关的三个主要主题。因此,自杀预防和护理提供应制定一种综合方法,在评估和护理提供中考虑医学因素以及个人、家庭和社会因素的相互作用。

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