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一项关于加拿大和澳大利亚药剂师对自杀的污名化的调查。

A survey of Canadian and Australian pharmacists' stigma of suicide.

作者信息

Murphy Andrea L, O'Reilly Claire L, Ataya Randa, Doucette Steve P, Martin-Misener Ruth, Rosen Alan, Gardner David M

机构信息

College of Pharmacy, Dalhousie University, Halifax, NS, Canada.

Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.

出版信息

SAGE Open Med. 2019 Jan 14;7:2050312118820344. doi: 10.1177/2050312118820344. eCollection 2019.

Abstract

BACKGROUND

There is limited information available regarding community pharmacists' stigma of suicide. Pharmacists regularly interact with people at risk of suicide and stigmatizing attitudes may impact care.

OBJECTIVE

To measure community pharmacists' stigma of suicide.

METHOD

Pharmacists in Canada and Australia completed an online survey with the Stigma of Suicide Scale-Short Form. Data were analysed descriptively and with univariate and multivariate analyses.

RESULTS

Three hundred and ninety-six pharmacists returned completed surveys (Canada n = 235; Australia n = 161; female 70%; mean age = 38.6 ± 12.7 years). The rate of endorsement of stigmatizing terms was low overall. Canadian and Australian pharmacists differed (p < 0.05) for several variables (e.g. age, friend or relative with a mental illness, training in mental health crisis). Pharmacists without someone close to them living with a mental illness were more likely to strongly agree/agree with words describing those who die by suicide as pathetic, stupid, irresponsible, and cowardly. Those without a personal diagnosis of mental illness strongly agreed/agreed with the terms immoral, irresponsible, vengeful, and cowardly. More Australian pharmacists strongly agreed/agreed that people who die by suicide are irresponsible, cowardly, and disconnected. Independent variables associated with a higher stigma were male sex, Australian, and negative perceptions about suicide preventability.

CONCLUSION

Community pharmacists frequently interact with people at risk of suicide and generally have low agreement of stigmatizing terms for people who die by suicide. Research should focus on whether approaches such as contact-based education can minimize existing stigma.

摘要

背景

关于社区药剂师对自杀的污名化问题,现有信息有限。药剂师经常与有自杀风险的人互动,而污名化态度可能会影响护理。

目的

测量社区药剂师对自杀的污名化程度。

方法

加拿大和澳大利亚的药剂师完成了一项使用《自杀污名量表简表》的在线调查。对数据进行了描述性分析以及单变量和多变量分析。

结果

396名药剂师返回了完整的调查问卷(加拿大n = 235;澳大利亚n = 161;女性占70%;平均年龄 = 38.6 ± 12.7岁)。总体而言,对污名化表述的认可率较低。加拿大和澳大利亚的药剂师在几个变量上存在差异(p < 0.05)(例如年龄、有精神疾病的朋友或亲属、心理健康危机方面的培训)。身边没有患精神疾病亲属的药剂师更有可能强烈同意/同意将自杀身亡者描述为可怜、愚蠢、不负责任和懦弱的表述。没有个人精神疾病诊断的药剂师强烈同意/同意将自杀身亡者描述为不道德、不负责任、报复心强和懦弱的表述。更多澳大利亚药剂师强烈同意/同意自杀身亡者是不负责任、懦弱和与人疏远的。与较高污名化相关的独立变量包括男性、澳大利亚人以及对自杀可预防性的负面看法。

结论

社区药剂师经常与有自杀风险的人互动,但总体上对自杀身亡者的污名化表述认可度较低。研究应聚焦于基于接触的教育等方法是否能将现有的污名化程度降至最低。

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