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直系亲属自杀和其他突然死亡:死亡后六个月的悲伤反应分析。

Suicide and other sudden death bereavement of immediate family members: An analysis of grief reactions six-months after death.

机构信息

Australian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Mt Gravatt Campus, QLD 4122, Australia.

Australian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Mt Gravatt Campus, QLD 4122, Australia.

出版信息

J Affect Disord. 2019 Jan 15;243:96-102. doi: 10.1016/j.jad.2018.09.018. Epub 2018 Sep 12.

Abstract

INTRODUCTION

While suicide bereavement has been assumed to be different from bereavement following death by other modes, a number of studies have reported that there are several similarities, particularly for violent deaths. The aims of the current study are to test, using confirmatory factor analysis, the factor structure of Grief Experience Questionnaire (GEQ) that has been proposed in other studies; and to compare short term grief reactions, mental health, and suicidality six-months after bereavement in close family members bereaved by suicide versus sudden death.

METHODS

Participants were 142 adults who were bereaved following a suicide and 63 who were bereaved following the sudden death of a family member. Data were collected six-months after the death.

RESULTS

Analyses did not show good fits for the factor structures proposed for the GEQ in earlier studies. However, a relatively good fit was found for an 8-factor version of the originally proposed GEQ. Bereavement type (suicide vs. sudden death) significantly predicted rejection, somatic reactions, stigmatisation, responsibility and shame on the GEQ, after adjusting for kinship type, gender, age, pre-bereavement diagnosis of mental illness and self-harm behaviours of both the deceased and the bereaved, and current mental health and suicidal ideation of the bereaved.

LIMITATIONS

Different recruitment methods were used and response rates were relatively low.

CONCLUSIONS

The new knowledge of bereaved experiences specific to suicide loss at six-months post death, should be channelled into determining the most practical and satisfactory ways to alleviate the impacts of these potentially changeable states of experience.

摘要

简介

尽管人们认为自杀丧亲不同于其他方式导致的丧亲之痛,但许多研究报告表明,这两者存在一些相似之处,尤其是在暴力死亡的情况下。本研究的目的是使用验证性因素分析来检验其他研究中提出的 grief experience questionnaire (GEQ) 的因素结构;并比较自杀和非自杀性家庭成员丧亲后 6 个月的短期悲伤反应、心理健康和自杀意念。

方法

参与者包括 142 名因自杀而丧亲的成年人和 63 名因家庭成员突然死亡而丧亲的成年人。数据是在死亡后 6 个月收集的。

结果

分析结果显示,该研究中提出的 grief experience questionnaire (GEQ) 的因素结构拟合度不佳。然而,在对 GEQ 的 8 个因素版本进行分析后,发现拟合度相对较好。在调整了亲属关系类型、性别、年龄、死者和幸存者的精神疾病诊断前史以及幸存者的当前心理健康和自杀意念等因素后,丧亲类型(自杀与突然死亡)显著预测了 GEQ 的拒绝、躯体反应、污名化、责任和羞耻感。

局限性

使用了不同的招募方法,应答率相对较低。

结论

这些关于自杀丧亲后 6 个月特定悲伤体验的新知识,应该用于确定减轻这些潜在可改变的体验状态影响的最实际和最令人满意的方法。

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