Groh Carla J, Anthony Maureen, Gash Jean
University of Detroit Mercy, 4001 W. McNichols Road, Detroit, MI 48219, United States.
Arch Psychiatr Nurs. 2018 Jun;32(3):469-474. doi: 10.1016/j.apnu.2018.01.007. Epub 2018 Feb 2.
The suicide rate in Guyana was five times higher than the world average in 2014 (WHO) which puts Guyana at the top of the list with 44.2 per 100,000 people, the highest suicide rate in the world. For every completed suicide, there are survivors who experience high levels of psychological, physical, and social distress, and report feelings of guilt, shame, social stigma, and search for meaning.
The aim of this qualitative study was to explore how family members coped and understand the suicide of their loved one, and to determine what resources were available to help them during this transition.
Ten family members were recruited to participate in a focus group. The focus group lasted approximately 90 min and was recorded. The audio recordings were later transcribed.
Four overarching themes emerged from the data: (1) perceived causes of suicide, (2) perceived solutions, (3) barriers to helping persons who are suicidal, and (4) personal and community reactions to suicide.
Nurses in Guyana are uniquely positioned to take a leadership role in creating and implementing postvention programs for suicide survivors that are culturally and ethnically relevant. Opportunities to partner with schools of nursing in higher income countries are explored.
2014年圭亚那的自杀率比世界平均水平高出五倍（世界卫生组织），每10万人中有44.2人自杀，这使圭亚那位居世界自杀率榜首。每有一例自杀既遂，就有幸存者，他们会经历高度的心理、身体和社会痛苦，并报告有内疚、羞耻、社会污名化的感觉，以及寻求意义。
这项定性研究的目的是探讨家庭成员如何应对并理解其亲人的自杀行为，并确定在这一过渡期间有哪些资源可帮助他们。
招募了10名家庭成员参加焦点小组。焦点小组持续了约90分钟并进行了录音。录音随后被转录。
数据中出现了四个总体主题：（1）自杀的感知原因，（2）感知的解决方案，（3）帮助有自杀倾向者的障碍，以及（4）个人和社区对自杀的反应。
圭亚那的护士在为自杀幸存者创建和实施具有文化和种族相关性的善后干预项目方面具有独特的领导地位。探讨了与高收入国家护理学院合作的机会。
