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自杀身亡者家属经历尸检过程的体验:一项采用主题分析法的定性研究。

How suicide-bereaved family members experience the inquest process: a qualitative study using thematic analysis.

机构信息

a School of Public Health, University College Cork , Cork , Ireland.

b National Suicide Research Foundation , Cork , Ireland.

出版信息

Int J Qual Stud Health Well-being. 2019 Dec;14(1):1563430. doi: 10.1080/17482631.2018.1563430.

Abstract

PURPOSE

Suicide bereavement confers unique risk and distress. In several countries, bereaved family members are called on to attend an inquest, an official public inquiry into deaths caused by external factors. The current study aimed to explore how suicide-bereaved family members (n = 18) experienced the inquest process, through qualitative semi-structured interviews.

METHOD

Participants were identified via coroner's records and had previously taken part in a case-control study.

RESULTS

Qualitative findings indicated four overall themes with respect to family members' experiences of the inquest process: "inquest as fearfully unknown", "structural processes of the inquest", "enduring public and private pain to obtain answers" and "gaining answers and making sense". Most family members experienced distress and fear as a result of several elements of the inquest process. Some participants had positive experiences but these did not outweigh the distress experienced by the majority of family members regarding their overall experience of the inquest process.

CONCLUSIONS

Key recommendations include informing family members of the main aspects and purpose of the inquest process beforehand, adapting the process to maximise the privacy and comfort of the bereaved relatives, and restricting graphic evidence being heard, where possible, to minimise distress experienced by family members.

摘要

目的

自杀丧亲带来了独特的风险和痛苦。在一些国家,丧亲的家庭成员被要求参加死因研讯,这是对外部因素导致的死亡进行的正式公开调查。本研究旨在通过定性半结构式访谈,探讨自杀丧亲家庭成员(n=18)如何体验死因研讯过程。

方法

通过验尸官的记录确定参与者,并让他们之前参加过病例对照研究。

结果

定性研究结果表明,家属对死因研讯过程的体验有四个总体主题:“死因研讯令人恐惧的未知”、“死因研讯的结构过程”、“为获取答案而忍受公共和私人的痛苦”和“获取答案并理解”。由于死因研讯过程的几个要素,大多数家属感到痛苦和恐惧。一些参与者有积极的体验,但这些并没有超过大多数家属对死因研讯过程整体体验所经历的痛苦。

结论

主要建议包括事先向家属告知死因研讯过程的主要方面和目的,调整程序以最大限度地保护丧亲亲属的隐私和舒适感,并尽可能限制听到图形证据,以减少家属所经历的痛苦。

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