School of Health, University of New England, Armidale, NSW, Australia.
Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Health Soc Care Community. 2019 Jul;27(4):965-972. doi: 10.1111/hsc.12713. Epub 2019 Jan 24.
Exposure to suicide and the associated impacts for those left behind can be long lasting and traumatic. Literature has predominantly examined the experience of suicide and impact from the perspective of those closest to the deceased-with studies primarily focused on kin relationships. Appropriate and timely support delivered by skilled professionals, through the provision of postvention support, has been suggested as a way to reduce morbidity and mortality associated with exposure to suicide. The evidence regarding what support, for whom, and the timing of support is scarce. As an extension of this scarcity, there is minimal research examining the ways in which provision of this postvention (that is, support following exposure to suicide) support impacts workers. This paper explores service use data gathered to evaluate a nation-wide Australian suicide postvention service, in conjunction with qualitative data from those providing postvention support to those exposed to suicide to understand who accesses support and the impact of providing such support on service providers. Postvention workers provide insight into the demands of responding to suicide, the pressure of being on call, and the ways in which they are able to maintain their well-being through external supervision.
接触自杀事件以及由此给相关人员带来的影响可能是持久而创伤性的。文献主要从与死者关系最密切的人的角度来研究自杀经历和影响,研究主要集中在亲属关系上。通过提供事后预防支持,由熟练的专业人员提供适当和及时的支持,被认为是减少与接触自杀相关的发病率和死亡率的一种方法。关于支持什么、支持谁以及何时提供支持的证据很少。由于这种稀缺性的延伸,几乎没有研究探讨提供这种事后预防(即接触自杀后的支持)支持会如何影响工作人员。本文通过使用服务使用数据来评估澳大利亚全国范围内的自杀事后预防服务,并结合那些为接触自杀的人提供事后预防支持的人的定性数据,了解谁可以获得支持以及提供这种支持对服务提供者的影响。事后预防工作者深入了解了应对自杀的需求、随叫随到的压力,以及他们通过外部监督来保持自身幸福感的方式。