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自杀研究与管理中的伦理困境:青年心理健康专业人员的经验。

Ethical dilemmas encountered in suicide research and management: Experiences of young mental health professionals.

机构信息

Department of Psychology, University of Delhi, INDIA.

Centre of Excellence in Mental Health, ABVIMS-Dr. Ram Manohar Lohia Hospital, New Delhi, 110001,INDIA.

出版信息

Indian J Med Ethics. 2022 Apr-Jun;VII(2):93-102. doi: 10.20529/IJME.2021.096.

Abstract

This study aimed to explore ethical dilemmas and challenges faced by young mental healthcare researchers and professionals working with survivors of suicide (hereinafter suicide survivors). Two focus group discussions (FGDs) Researcher FGD (with those engaged in suicide research) and Clinician FGD (with those providing treatment to suicide survivors) - consisting of open-ended questions and lasting for 70-90 minutes were conducted and analysed using Thematic Analysis. Five themes were identified: i) struggling with the incongruity of harm within benefit, ii) difficulty in delineating boundaries, iii) self-doubt in one's professional competence, iv) nature of suicide straining the limits of confidentiality, and v) working with structural limitations. The study helps to understand the obstacles and dilemmas encountered in adhering to ethical principles while working with vulnerable individuals.

摘要

本研究旨在探讨从事自杀幸存者(以下简称自杀幸存者)研究和治疗工作的年轻精神健康保健研究人员和专业人员所面临的伦理困境和挑战。我们进行了两次焦点小组讨论(FGD)——研究者 FGD(由从事自杀研究的人员组成)和临床医生 FGD(由为自杀幸存者提供治疗的人员组成)——采用开放性问题,每次讨论时长为 70-90 分钟,并使用主题分析法进行分析。确定了五个主题:i)在伤害与益处的不一致性中挣扎,ii)难以划定界限,iii)对自身专业能力的怀疑,iv)自杀的本质对保密性的限制,以及 v)在结构性限制下工作。该研究有助于了解在与弱势群体合作时遵守伦理原则所遇到的障碍和困境。

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本文引用的文献

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Suicide in India: A preventable epidemic.印度的自杀现象:一场可预防的流行病。
Indian J Med Res. 2019 Oct;150(4):324-327. doi: 10.4103/ijmr.IJMR_1805_19.

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