Department of Psychiatric Nursing, College of Nursing, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Psychiatry, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2021 Apr 30;59(236):374-379. doi: 10.31729/jnma.6246.
Understanding the attitude of caregivers towards suicide attempters could be useful in suicide prevention. The objective of this study was to study attitude towards suicide among caregivers of patients with suicide attempt admitted to a tertiary care hospital in Nepal.
A descriptive cross-sectional study was conducted with 52 caregivers of patients with suicide attempt who had been admitted to a tertiary care hospital of Nepal after obtaining ethical clearance from Institutional Review Committee (ref. IRC/0797/016). Data were collected through interviews using the Attitude towards Suicide Questionnaire and in-depth interviews conducted on five caregivers using the interview framework developed in the department for the purpose. Data and descriptive analysis were done using Statistical Package for the Social Sciences version 21. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Content analysis was used for qualitative data.
Majority of the caregivers 34 (65.4%) had unfavorable attitude towards suicide. Caregivers reported that mental and chronic physical illness, financial difficulty, working environment, and social factors such as undue pressure and failure to perform the task, difficulty maintaining the relationship, abuse, and neglect could be some of the possible causes of suicide. Caring and understanding attitude of family members, health professionals, and society towards the suicidal individuals providing appropriate training and education to the public would help in reducing the stigma and burden of suicidal patients.
The overall attitude of the caregivers was unfavorable. Interventions targeted towards improving attitude towards suicide could be helpful in suicide prevention.
了解照顾者对自杀未遂者的态度可能对自杀预防有用。本研究的目的是研究尼泊尔一家三级保健医院自杀未遂患者照顾者的自杀态度。
本研究采用描述性横断面研究,对尼泊尔一家三级保健医院收治的 52 名自杀未遂患者的照顾者进行了研究,该研究获得了机构审查委员会的伦理批准(参考 IRC/0797/016)。使用自杀态度问卷通过访谈收集数据,并对 5 名照顾者进行深入访谈,使用部门为研究目的制定的访谈框架进行。使用社会科学统计软件包 21 版进行数据和描述性分析。计算了 95%置信区间的点估计值,以及二进制数据的频率和百分比。使用内容分析法对定性数据进行分析。
大多数照顾者(65.4%)对自杀持不利态度。照顾者报告说,精神和慢性躯体疾病、经济困难、工作环境以及社会因素,如过度压力和未能完成任务、难以维持关系、虐待和忽视,可能是自杀的一些可能原因。家庭成员、卫生专业人员和社会对自杀者的关怀和理解态度,为公众提供适当的培训和教育,有助于减少自杀患者的耻辱感和负担。
照顾者的总体态度是不利的。针对改善自杀态度的干预措施可能有助于预防自杀。