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与身体残疾共存的母亲的自杀意念和应对策略:加纳的一项定性探索性研究。

Suicidal ideations and coping strategies of mothers living with physical disabilities: a qualitative exploratory study in Ghana.

机构信息

School of Nursing, Wisconsin International University College-Ghana, P.O. Box LG 751, Legon, Accra, Ghana.

School of Nursing and Midwifery, College of Health Sciences, University of Ghana, P.O. Box LG 43, Legon, Accra, Ghana.

出版信息

BMC Psychiatry. 2018 Nov 9;18(1):360. doi: 10.1186/s12888-018-1938-x.

Abstract

BACKGROUND

Suicide is higher among adults with disabilities compared to their counterparts without disabilities and suicide is mostly preceded with suicidal ideations. For each successful suicide, there could be many ideations and attempts. Limited scientific data exist on the issue of mothers with disabilities and suicidal ideations. Therefore, this study explored suicidal ideations and coping strategies of mothers living with physical disabilities in Ghana.

METHODS

Qualitative descriptive exploratory design was used and data was collected through individualized in-depth interviews. All participants were purposefully selected after informed consent was sought. Data was audiotaped, transcribed and analyzed inductively using content analysis technique.

RESULTS

Almost all the women in this study reported suicidal ideations from time to time. Poisoning was the most predominant means which the women had considered to use if they ever attempted the suicide. Suicidal thoughts were precipitated mainly by discrimination. Their resilience and ability to cope were due to self-motivation, children, counselling, assistance from relatives and prayer.

CONCLUSION

We concluded that, it is crucial for all health professionals to explore and identify suicidal intentions among mothers with disabilities for them to be referred to the appropriate units for necessary help.

摘要

背景

与没有残疾的成年人相比,残疾成年人的自杀率更高,而且自杀大多伴随着自杀意念。每一次成功的自杀背后,可能都有很多的自杀意念和尝试。关于残疾母亲和自杀意念的问题,科学数据有限。因此,本研究探讨了加纳肢体残疾母亲的自杀意念和应对策略。

方法

采用定性描述性探索性设计,通过个体深入访谈收集数据。在获得知情同意后,有目的选择所有参与者。使用内容分析技术,通过录音、转录和归纳分析数据。

结果

本研究中的几乎所有女性都报告说她们不时有自杀意念。如果她们曾经试图自杀,中毒是她们最常考虑使用的手段。自杀念头主要是由歧视引起的。她们的适应能力和应对能力源于自我激励、孩子、咨询、亲属的帮助和祈祷。

结论

我们的结论是,所有卫生专业人员都必须探讨和识别残疾母亲的自杀意图,以便将她们转介到适当的单位获得必要的帮助。

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本文引用的文献

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Suicidal Ideation Among Adults with Disability in Western Canada: A Brief Report.加拿大西部成年残疾人的自杀意念:简要报告
Community Ment Health J. 2016 Jul;52(5):519-26. doi: 10.1007/s10597-015-9911-3. Epub 2015 Jul 23.
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Attempted suicide in Ghana: motivation, stigma, and coping.加纳的自杀未遂:动机、耻辱感与应对方式
Death Stud. 2015 Jan-Jun;39(1-5):274-80. doi: 10.1080/07481187.2014.991955. Epub 2015 Jan 6.

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