Department of Psychiatry, Faculty of Medicine and Health Sciences, 26697Stellenbosch University, South Africa.
Institute for Life Course Health Research, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
Qual Health Res. 2022 Oct;32(12):1767-1779. doi: 10.1177/10497323221119314. Epub 2022 Aug 8.
Exploring perinatal women's experience of nonfatal suicidal behaviour (NFSB) could help illuminate the contexts in which perinatal suicide occurs and new ways to conceptualise maternal suicide prevention. Our aim was to explore perinatal women's subjective experience of NFSB in South Africa. Data were collected via in-depth interviews with seven perinatal women hospitalised following NFSB. Thematic analysis showed how poverty and gender norms shape experiences of pregnancy and highlighted the need for eco-systemic interventions for perinatal women in resource scarce environments to increase social support, assist with childcare, improve educational retention, challenge gender norms and increase paternal involvement. Pregnancy can precipitate biographical disruption by disturbing women's view of themselves and their futures. An inability to reconstruct a coherent narrative and re-imagine the future impedes the transition to motherhood and provides a context for suicide. Using the concept of biographical disruption to frame perinatal suicide, could identify novel approaches to suicide prevention.
探索围产期女性非致命性自杀行为（NFSB）的体验，可以帮助阐明围产期自杀发生的背景，并为孕产妇自杀预防提供新的概念化方法。我们的目的是探索南非围产期女性对 NFSB 的主观体验。研究通过对七名因 NFSB 住院的围产期女性进行深入访谈收集数据。主题分析显示，贫困和性别规范如何塑造怀孕体验，并强调在资源匮乏的环境中为围产期女性提供生态系统干预的必要性，以增加社会支持、帮助照顾儿童、提高教育保留率、挑战性别规范和增加父亲的参与度。怀孕可能会通过扰乱女性对自己和未来的看法，导致传记性破坏。无法重建连贯的叙述和重新想象未来，会阻碍向母亲身份的过渡，并为自杀提供一个背景。使用传记性破坏的概念来构建围产期自杀，可以为自杀预防提供新的方法。
