School of Social Work, Faculty of Medicine and Health, University of New England, Armidale, NSW, Australia.
SANE Australia, South Melbourne, Vic., Australia.
Int J Ment Health Nurs. 2021 Jun;30(3):667-682. doi: 10.1111/inm.12829. Epub 2020 Dec 23.
There is currently limited information about the impact and experiences of a suicide attempt on the well-being of a person providing care before, during, or after the attempt. Scant evidence available suggests that providing care has a profound impact on the support person or carers' own physical and psychological health; they may experience adverse health, financial, and functional outcomes, collectively described as 'caregiver burden'. This project sought to understand insights into the experience of providing care for someone who has previously attempted suicide. The larger study was designed in three phases consisting of an online survey, semi-structured interviews, and a follow-up survey. This paper reports the qualitative findings of the interviews which were thematically analysed. Two symbiotic themes emerged: the lived experience of caring and the impact of engagement and support from the healthcare system. The authors concluded that that the carer position is a multidimensional role involving informal agreements and situational or time-based support. Further, awareness of this shifting relationship needs to be embedded in the provision of care by health professionals following a suicide attempt. Recommendations for enhanced health system response are proposed.
目前关于在自杀企图之前、期间或之后提供护理的人,其幸福感受到自杀企图影响的情况和相关体验的信息有限。现有的少量证据表明,提供护理对支持人员或照顾者自身的身心健康有深远影响;他们可能会经历不良的健康、经济和功能结果,这些结果被统称为“照顾者负担”。该项目旨在深入了解为有过自杀企图的人提供护理的体验。更大的研究设计为三个阶段,包括在线调查、半结构化访谈和后续调查。本文报告了对访谈的定性发现,并对其进行了主题分析。出现了两个共生主题:照顾的亲身经历和来自医疗保健系统的参与和支持的影响。作者得出结论,照顾者的角色是一个多维度的角色,涉及非正式协议和基于情况或时间的支持。此外,在自杀企图后,卫生专业人员提供护理时需要意识到这种关系的变化。提出了增强卫生系统反应的建议。