Black Dog Institute, University of New South Wales, Randwick, NSW 2031, Australia.
School of Psychiatry, Faculty of Medicine, University of New South Wales, Randwick, NSW 2031, Australia.
Int J Environ Res Public Health. 2022 Jul 18;19(14):8715. doi: 10.3390/ijerph19148715.
Suicide is the leading cause of death for Australians aged 15 to 44, with fifty to sixty per cent of individuals who die by suicide 'flying under the radar', dying in this way without receiving formal mental health care or treatment. This paper explores how people bereaved by suicide interpret and narrate the lead-up to, act and aftermath of a male family member who died by suicide. We used qualitative semi-structured interviews to explore how narratives of suicide were articulated by loved ones bereaved by suicide. Analytic findings were conceptualised through Bamberg's four layers of cognitive narrative structure-setting, complication, resolution, coda. We derived three complications conveyed by the group as a whole: that the men felt sentenced by fate, charged with fury and were fueled by alcohol. These narratives by individuals bereaved by suicide draw us into the larger picture of meaning-making, the loss of life and finding closure. They also speak to the need for early interventions, as most of these stories are rooted in childhood tragedy that was not sufficiently addressed or supported.
自杀是导致 15 至 44 岁澳大利亚人死亡的主要原因，其中 50%至 60%的自杀者“未被发现”，即未经正式的心理健康护理或治疗而自杀身亡。本文探讨了自杀身亡者的亲人如何解释和叙述一位男性家庭成员自杀身亡前的情况、自杀行为和自杀后的情况。我们使用定性半结构化访谈来探讨自杀身亡者的亲人如何表达对自杀的叙述。通过 Bamberg 的认知叙事结构的四个层次-设定、复杂化、解决、尾声-来对分析结果进行概念化。我们从整个群体中得出了三个复杂的问题：这些男性感到被命运判决，充满愤怒，并且被酒精所驱动。这些由自杀身亡者表达的叙述使我们深入了解了意义的构建、生命的丧失和寻求解脱的更大图景。它们还说明了早期干预的必要性，因为这些故事大多源于童年的悲剧，而这些悲剧并没有得到充分的处理或支持。
