Zaheer Juveria, Eynan Rahel, Lam June S H, Grundland Michael, Links Paul S
Centre for Addiction and Mental Health, Department of Psychiatry, Faculty of Medicine, University of Toronto, 33 Russell Street,T307, Toronto, ON, M5S 2S1, Canada.
Lawson Health Research Institute, London, ON, Canada.
Cult Med Psychiatry. 2018 Sep;42(3):504-534. doi: 10.1007/s11013-018-9566-y.
Suicide is a complex and tragic outcome driven by biological, psychological, social and cultural factors. Women of Chinese descent and women who have immigrated to other countries have higher rates of suicidal ideation and behaviour, and immigration-related stress may contribute. To understand the experiences of immigration and their relationship with distress and suicide-related behaviour in Chinese women who have immigrated to Canada. 10 semi-structured qualitative interviews with Chinese women who have immigrated to Toronto, Canada and have a history of suicide-related behaviour were completed and analyzed using a constructivist grounded theory methodology. Immigration-related and acculturation stress stemmed from unmet expectations and harsh realities. These repeated experiences resulted in hopelessness, helplessness, and alienation, which are risk factors for suicide and suicide-related behaviour. However, immigration-related support can also increase hope, self-efficacy and connectedness to foster recovery and resilience. This is the first qualitative study focusing on immigration experiences and its relationship to suicide-related behaviour in Chinese immigrant women. Knowledge of immigration and acculturation stressors can a) help identify and support women at risk for suicide and b) form a target for social intervention for all immigrant women, regardless of suicide risk.
自杀是一个由生物、心理、社会和文化因素驱动的复杂而悲惨的结果。华裔女性以及移民到其他国家的女性有更高的自杀意念和行为发生率，与移民相关的压力可能是一个因素。为了解移民到加拿大的华裔女性的移民经历以及这些经历与痛苦和自杀相关行为的关系，我们对10名移民到加拿大多伦多且有自杀相关行为史的华裔女性进行了半结构化定性访谈，并使用建构主义扎根理论方法进行分析。与移民和文化适应相关的压力源于未实现的期望和残酷的现实。这些反复的经历导致了绝望、无助和疏离感，而这些都是自杀及自杀相关行为的风险因素。然而，与移民相关的支持也可以增加希望、自我效能感和联系感，以促进康复和恢复力。这是第一项聚焦于移民经历及其与华裔移民女性自杀相关行为关系的定性研究。了解移民和文化适应压力源能够：a）帮助识别和支持有自杀风险的女性；b）为所有移民女性形成一个社会干预目标，无论其自杀风险如何。
