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“别把我拒之门外,医生”:南非自杀未遂者讲述他们的支持需求、服务提供及自杀预防情况

'Don't push me aside, Doctor': Suicide attempters talk about their support needs, service delivery and suicide prevention in South Africa.

作者信息

Bantjes Jason

机构信息

Stellenbosch University, South Africa.

出版信息

Health Psychol Open. 2017 Sep 8;4(2):2055102917726202. doi: 10.1177/2055102917726202. eCollection 2017 Jul-Dec.

Abstract

Few studies have explored the expressed support needs of suicide attempters in developing countries. Data, collected via in-depth interviews with suicide attempters admitted to a South African hospital, were analysed using thematic content analysis. Participants explicitly asked for integrated psycho-social services at a primary health care level and say they require assistance with alleviating psychiatric symptoms, establishing connectedness, interpersonal conflict and solving socio-economic problems. Findings highlight the importance for suicide prevention of (1) considering interpersonal and contextual socio-economic factors in addition to the psychiatric causes of suicidal behaviour; and (2) multilevel strategies, intersectoral collaboration and integrated person-centred primary health care.

摘要

很少有研究探讨发展中国家自杀未遂者表达出的支持需求。通过对一家南非医院收治的自杀未遂者进行深入访谈收集的数据,采用主题内容分析法进行了分析。参与者明确要求在初级卫生保健层面提供综合心理社会服务,并表示他们需要在缓解精神症状、建立联系、解决人际冲突和解决社会经济问题方面获得帮助。研究结果凸显了自杀预防的重要性:(1) 除了自杀行为的精神病因外,还要考虑人际和背景社会经济因素;(2) 采取多层次策略、部门间协作和以患者为中心的综合初级卫生保健。

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