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丧亲之痛中的耻辱感:男同性恋者在伴侣自杀后的经历。

Stigma in the bereavement experiences of gay men who have lost a partner to suicide.

机构信息

School of Nursing, University of British Columbia, Vancouver, BC, Canada.

British Columbia Centre on Substance Use, Vancouver, BC, Canada.

出版信息

Cult Health Sex. 2019 Nov;21(11):1273-1289. doi: 10.1080/13691058.2018.1556344. Epub 2019 Jan 15.

Abstract

Despite the high prevalence of suicide in gay communities, the impact of suicide on surviving male partners is poorly understood. This article presents a qualitative case study of two gay men who lost a partner to suicide and explores how stigma may shape gay men's bereavement experiences. Data were collected using photovoice methods and analysed using a thematic approach. Five themes were inductively derived: (1) trying to prevent the inevitable; (2) guilty of keeping secrets; (3) dreams shattered by suicide; (4) abandoned and alone in grief; and (5) a lonesome road to recovery. Within each theme, the article indentifies how stigma-related challenges associated with suicide, mental illness and minority sexual identity shaped gay men's bereavement experiences. Practice and policy implications are discussed, including how the provision of tailored clinical and peer supports can assist gay men in the bereavement of a same-sex partner to suicide. The findings detailed in this study highlight the need for interventions to de-stigmatise mental illness and suicide within and outside the gay community.

摘要

尽管同性恋群体中的自杀现象普遍存在,但对于自杀对幸存的男性伴侣的影响却知之甚少。本文通过对两位因伴侣自杀而失去伴侣的男同性恋者进行定性案例研究,探讨了耻辱感如何影响男同性恋者的丧亲体验。研究采用摄影法收集数据,并采用主题分析方法进行分析。研究归纳出五个主题:(1)试图阻止不可避免的事情发生;(2)对保守秘密感到内疚;(3)被自杀的梦想粉碎;(4)在悲痛中被抛弃和孤独;(5)孤独的康复之路。在每个主题中,文章都指出与自杀、精神疾病和少数性身份相关的耻辱感挑战如何影响了男同性恋者的丧亲体验。讨论了实践和政策的影响,包括如何提供量身定制的临床和同伴支持,以帮助男同性恋者在失去同性伴侣自杀时进行丧亲。本研究详细阐述的结果强调了需要干预措施,以消除同性恋群体内外对精神疾病和自杀的污名化。

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