医学笔记的主题分析为了解亚洲自杀未遂者的促发因素提供了初步的见解：一项探索性研究。
Thematic Analysis of Medical Notes Offers Preliminary Insight into Precipitants for Asian Suicide Attempters: An Exploratory Study.
机构信息
College of Healthcare Sciences, James Cook University, Singapore 387380, Singapore.
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119007, Singapore.
出版信息
Int J Environ Res Public Health. 2018 Apr 20;15(4):809. doi: 10.3390/ijerph15040809.
Abstract
One important dynamic risk factor for suicide assessment includes suicide precipitant. This exploratory study used a qualitative paradigm to look into the themes surrounding precipitants for suicide attempts in Singapore. Medical records related to suicide attempters who were admitted to the emergency department of a large teaching hospital in Singapore over a three year period were subjected to analysis. A total of 666 cases were examined (69.2% females; 63.8% Chinese, 15% Malays, 15.8% Indians), ages ranged from 10 years old to 85 years old (Mean = 29.7, Standard Deviation = 16.1). The thematic analysis process that was applied to the textual data elicited key concepts labelled as Relationship issues, Financial strain, Socio-legal-academic—environmental stress, and Physical and mental illness and pain. Interpreted with other recent local research on suicide attempters in Singapore, the findings have implications for informing suicide interventions.
摘要
自杀评估的一个重要动态风险因素包括自杀诱发因素。本探索性研究采用定性范式，探讨了新加坡自杀未遂者自杀诱发因素的主题。对在新加坡一家大型教学医院急诊室住院的自杀未遂者的医疗记录进行了分析。共检查了 666 例（69.2%为女性；63.8%为中国人，15%为马来人，15.8%为印度人），年龄从 10 岁到 85 岁不等（平均值=29.7，标准差=16.1）。应用于文本数据的主题分析过程引出了被标记为关系问题、财务压力、社会法律学术环境压力以及身心疾病和疼痛的关键概念。结合新加坡最近其他关于自杀未遂者的研究，这些发现对告知自杀干预措施具有意义。
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