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新冠疫情时期的联结:Reddit作为应对自杀念头的支持来源

Connectedness in the time of COVID-19: Reddit as a source of support for coping with suicidal thinking.

作者信息

McAuliffe Corey, Slemon Allie, Goodyear Trevor, McGuinness Liza, Shaffer Elizabeth, Jenkins Emily K

机构信息

School of Nursing, University of British Columbia, T201-2211 Westbrook Mall, Vancouver, British Columbia, V6T 2B5, Canada.

British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada.

出版信息

SSM Qual Res Health. 2022 Dec;2:100062. doi: 10.1016/j.ssmqr.2022.100062. Epub 2022 Feb 19.

Abstract

The COVID-19 pandemic is adversely impacting suicidality at a population level, with consequences resulting from a variety of pandemic-driven disruptions, including social activities and connectedness. This paper uses a single case study design to explore how members of the Reddit r community create a sense of connectedness among those who have suicidal thoughts due to the pandemic. Data were gathered from posts to the subreddit forum from February 2020 through December 2020. The second step of Klonsky and May's (2015) Three-Step Theory (3ST) of suicide, , was used as the theoretical framework. This study explored 's constructed environment, users' dialogical interactions, and the four primary tenets of connectedness as proposed by Klonsky and May - Purpose and Meaning, Relationships, Religiosity, and Employment. Findings demonstrate a deep sense of connectedness for online community members. Relationships and Purpose and Meaning featured as the most salient sources of connectedness within this subreddit, whereas Religiosity was rarely discussed, and Employment was often spoken of in negative terms (i.e., creating mental distress, rather than facilitating connectedness). Contributors' responses offered various opportunities for connectedness both on- and off-line. Safe online spaces, such as , can serve as a protective factor amid suicidality, facilitating connectedness, and thereby helping to curtail suicidal thoughts from advancing to suicidal actions. This subreddit and similar online spaces can benefit specific populations who may otherwise find it challenging to access services or who wish to remain anonymous.

摘要

新冠疫情正在对总体人群的自杀倾向产生不利影响,其后果源于疫情引发的各种干扰,包括社会活动和人际关系。本文采用单案例研究设计,探讨Reddit r社区的成员如何在因疫情而产生自杀念头的人群中营造一种联系感。数据收集自2020年2月至2020年12月在该子版块论坛发布的帖子。克隆斯基和梅(2015年)的自杀三步理论(3ST)的第二步被用作理论框架。本研究探讨了该社区的建构环境、用户的对话互动,以及克隆斯基和梅提出的联系感的四个主要原则——目的与意义、人际关系、宗教信仰和就业。研究结果表明,在线社区成员有强烈的联系感。人际关系以及目的与意义是这个子版块中联系感最突出的来源,而宗教信仰很少被讨论,就业常常被负面提及(即造成心理困扰,而非促进联系)。参与者的回复提供了线上和线下各种建立联系的机会。安全的在线空间,如该子版块,可以在自杀倾向问题中起到保护作用,促进联系,从而有助于阻止自杀念头演变为自杀行为。这个子版块和类似的在线空间可以使特定人群受益,否则他们可能会发现获得服务具有挑战性,或者希望保持匿名。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e489/8856747/83981f99f103/gr1.jpg

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