School of Psychology, University of New England, Armidale, NSW, Australia.
Tavistock and Portman NHS Foundation Trust, London, UK.
Crisis. 2020 Nov;41(6):483-489. doi: 10.1027/0227-5910/a000653. Epub 2020 Feb 8.
There is limited research investigating the risks for young friends exposed to the suicide of peers. This study aimed to better understand the impact of suicide bereavement on rural young people. Participants in this a mixed-method study were 18 young people who had been exposed to a friend's suicide and who resided in rural Australia. Quantitative data were analyzed with SPSS and qualitative data were analyzed thematically. Participants reported high levels of depression, anxiety, and alcohol use. Key themes were communication about the death, responses to the death, and coping with the death. Young people identified as close friends with the person who died were at less risk of their own suicidal behavior, but demonstrated increased mental health concerns. More peripheral friends were identified at greater risk of suicide. The limitations of the study were the purposeful sampling open to selection bias, lack of randomization, and results from one point in time. These findings support that guidelines and interventions following a youth suicide need to better target both the peripheral friends, owing to their greater suicide risk, and the closer friends, owing to other mental health concerns.
针对年轻的同伴自杀暴露者的风险，相关研究有限。本研究旨在更好地了解丧友对农村青少年的影响。本混合方法研究的参与者是 18 名曾接触过朋友自杀的农村澳大利亚年轻人。使用 SPSS 对定量数据进行分析，采用主题分析法对定性数据进行分析。参与者报告了高度的抑郁、焦虑和酗酒。主要主题是关于死亡的沟通、对死亡的反应和应对死亡。与死者关系密切的年轻人自杀行为的风险较低，但表现出更多的心理健康问题。关系稍远的朋友被认为有更大的自杀风险。该研究的局限性在于有选择偏倚的目的性抽样、缺乏随机化以及仅反映一时的结果。这些发现支持以下观点，即针对青少年自杀的指南和干预措施需要更好地针对边缘朋友（因为他们的自杀风险更大）和更亲密的朋友（因为他们有其他心理健康问题）。
