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探索缓刑犯的自杀行为——一项定性近致死研究。

Exploring suicidal behaviours by probation clients-a qualitative near-lethal study.

机构信息

Department of Psychology, University of Westminster, London W1W 6UW, UK.

出版信息

J Public Health (Oxf). 2018 Mar 1;40(1):146-153. doi: 10.1093/pubmed/fdx005.

Abstract

BACKGROUND

Existing research emphasizes that offenders serving community based sentences are at an increased risk of suicide compared with the general population, however, there is little understanding about the causes of this risk. The aim of the current research was to understand how to support probation clients and prevent suicide, by exploring the experiences of probation clients who carried out near-lethal suicide attempts whilst under probation supervision.

METHODS

In-depth interviews were carried out with seven probation clients who made near-lethal suicide attempts whilst serving a probation sentence. Data were analysed using Interpretative Phenomenological Analysis.

RESULTS

Participants recounted negative experiences which they perceived to be linked to their suicidal feelings and behaviours, such as experiencing bereavements, perceived loss of control over their mental state or situation, and difficulties relating to stages of their probation sentence. Participants expressed severe difficulties with trusting authorities, making disclosure of suicidal feelings problematic. However, participants emphasized the role that purposeful and meaningful activity can play in suicide prevention.

CONCLUSIONS

Suicide prevention strategies must be tailored to the needs of probation clients across the UK. Mandatory training for probation staff is recommended to help reduce suicides, and support from external agencies should be sought where possible.

摘要

背景

现有研究强调,相较于普通人群,正在社区服刑的罪犯自杀风险更高,然而,对于这种风险的成因却知之甚少。本研究旨在通过探索在缓刑监督期间实施濒死性自杀企图的缓刑犯的经历,了解如何支持缓刑犯并预防自杀。

方法

对 7 名在缓刑期间实施濒死性自杀企图的缓刑犯进行了深入访谈。采用解释现象学分析方法对数据进行分析。

结果

参与者讲述了他们认为与自杀念头和行为有关的负面经历,例如经历丧亲之痛、感觉对自己的精神状态或处境失去控制,以及在缓刑期间的各个阶段遇到困难。参与者表示非常难以信任权威人士,使得披露自杀念头变得困难。然而,参与者强调有目的和有意义的活动在预防自杀方面的作用。

结论

必须根据英国缓刑犯的需求制定有针对性的预防自杀策略。建议对缓刑工作人员进行强制性培训,以帮助减少自杀事件,并在可能的情况下寻求外部机构的支持。

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