Asare-Doku Winifred, Osafo Joseph, Akotia Charity S
Department of Psychology, University of Ghana, Post Office Box LG84, Legon, Accra, Ghana.
School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
BMC Psychiatry. 2017 May 11;17(1):178. doi: 10.1186/s12888-017-1336-9.
Ghana's socio-cultural landscape proscribes suicidal behaviour, and this has serious ramifications for attempt survivors and their families. The objective of this qualitative study was to understand the experiences of the families of attempt survivors and how they cope with the aftermath of the attempt.
Ten families with attempted suicides agreed to participate in the study, hence they were interviewed. The information gathered was manually analyzed according to Interpretative Phenomenological Analysis (IPA) resulting in three major thematic areas.
Three major themes emerged two of which addressed negative experiences and reactions towards the attempts: Experiencing shame and stigma, and Reactive affect. The third theme addressed the coping resources of these informants under the theme: Surviving the stress of attempt. The specific coping resources included personalized spiritual coping, social support, and avoidance.
Family systems theory is used to explain some of the findings of this study, and the implication for clinical practice and designing postvention programs for families after a suicide attempt are addressed.
加纳的社会文化环境排斥自杀行为,这对自杀未遂者及其家人产生了严重影响。这项定性研究的目的是了解自杀未遂者家人的经历以及他们如何应对自杀未遂的后果。
十个有自杀未遂经历的家庭同意参与研究,因此对他们进行了访谈。收集到的信息根据解释现象学分析(IPA)进行人工分析,得出了三个主要主题领域。
出现了三个主要主题,其中两个涉及对自杀未遂的负面经历和反应:体验羞耻和污名,以及反应性情感。第三个主题在“从自杀未遂的压力中挺过来”这一主题下探讨了这些受访者的应对资源。具体的应对资源包括个性化的精神应对、社会支持和回避。
运用家庭系统理论来解释本研究的一些结果,并探讨了对临床实践的启示以及为自杀未遂后家庭设计善后干预项目的问题。