Briggs S, Slater T, Bowley J
Department of Social Work, University of East London, London, UK.
Department of Social Work, University of Cardiff, Cardiff, UK.
J Psychiatr Ment Health Nurs. 2017 Jun;24(5):293-301. doi: 10.1111/jpm.12388.
WHAT IS KNOWN ON THE SUBJECT?: Group suicidal behaviour can be devastating for all concerned. There is an absence of research on adolescent suicidal group behaviour. The perspectives of practitioners' experiences of these groups are largely lacking from research literature. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Practitioners work regularly with suicidal behaviour in adolescent peer groups. Practitioners identify peer relationships in groups as complex, including elements that are both suicide encouraging and preventing. Practitioners identify a range of ways in which young people become involved in suicidal behaviour in groups, including indirectly through risk taking and care-seeking as well as directly suicidal or self-harming. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Assessments of young people should routinely include a focus on the qualities of peer relations, including those in the online/digital realm. Assessments and interventions need to consider the complexity of group relationships and roles, and the multiplicity of factors that can contribute to suicidal behaviour in groups. Interventions that sustain therapeutic connectedness are helpful for taking dynamic/fluctuating risks into account.
Introduction Group suicidal behaviour by young people can have harmful effects; it may be increasing, influenced by online media and reported increasing self-harm rates; new knowledge and understanding to inform interventions is required. Aim To explore how practitioners experience group suicidal behaviour amongst adolescents, how they assess risks/needs, and how these insights inform understanding about these groups. Method Ten practitioners, including Mental Health Nurses, were interviewed in one multidisciplinary CAMHS, in England. Data analysis was by Thematic Analysis (Braun & Clarke 2006). Results Participants described frequently working with suicidal groups. Roles in groups include suicide encouraging and preventing. Practitioners identify risky and protective connections between young people, online and offline. Clinical tensions include living with suicidal risks, emotional and positional challenges, and getting to grips with digital media. Discussion Peer groups appear to have a larger role in adolescent suicide than recognized to date. Practitioners need to assess young people's roles in groups, their diverse motivations and to understand constantly changing digital media. Implications for practice Assessments of suicide risk for young people should routinely include focus on peer relations including the online/digital realm. Maintaining relationships with vulnerable young people facilitates managing fluctuating risks and understanding different group dynamics.
关于该主题已知的信息有哪些？：群体自杀行为对所有相关人员来说可能是毁灭性的。目前缺乏对青少年群体自杀行为的研究。研究文献中很大程度上缺少从业者对这些群体经历的观点。本文对现有知识的补充有哪些？：从业者经常处理青少年同伴群体中的自杀行为。从业者认为群体中的同伴关系很复杂，包括既鼓励自杀又预防自杀的因素。从业者确定了年轻人在群体中参与自杀行为的一系列方式，包括通过冒险和寻求关怀间接参与，以及直接采取自杀或自我伤害行为。对实践有哪些启示？：对年轻人的评估应常规性地关注同伴关系的性质，包括在线/数字领域的关系。评估和干预需要考虑群体关系和角色的复杂性，以及可能导致群体自杀行为的多种因素。维持治疗性联系的干预措施有助于考虑动态/波动的风险。
引言 年轻人的群体自杀行为可能产生有害影响；受网络媒体影响且自我伤害率报告上升，这种行为可能正在增加；需要新的知识和理解来为干预提供信息。目的 探讨从业者如何看待青少年中的群体自杀行为，他们如何评估风险/需求，以及这些见解如何增进对这些群体的理解。方法 在英格兰的一个多学科儿童与青少年心理健康服务机构中，对包括心理健康护士在内的10名从业者进行了访谈。数据分析采用主题分析法（布劳恩和克拉克，2006年）。结果 参与者描述了经常与自杀群体打交道的经历。群体中的角色包括鼓励自杀和预防自杀。从业者确定了年轻人在网上和网下的危险和保护性关系。临床压力包括面对自杀风险、情感和立场挑战，以及应对数字媒体。讨论 同伴群体在青少年自杀中似乎所起的作用比迄今所认识到的更大。从业者需要评估年轻人在群体中的角色、他们多样的动机，并了解不断变化的数字媒体。对实践的启示 对年轻人自杀风险的评估应常规性地关注同伴关系，包括在线/数字领域的关系。与易受伤害的年轻人保持关系有助于管理波动的风险并理解不同的群体动态。
