Tamara Keefner, PhD, RN, CNE, University of South Dakota, Vermillion, SD, USA.
Mary Minton, PhD, RN, CHPN, South Dakota State University, Brookings, SD, USA.
J Am Psychiatr Nurses Assoc. 2024 Apr;30(2):397-408. doi: 10.1177/10783903221118932. Epub 2022 Aug 25.
Suicidality continues to be the second leading cause of adolescent death. Nurses are in a prime position to address the emotional pain associated with adolescent suicidality but report skepticism and discomfort. Moreover, spirituality is identified as a protective factor against suicidality, yet a gap exists related to exploring spirituality within the context of the emotional pain associated with adolescent suicidality. Building awareness of adolescents' spirituality and emotional pain associated with suicidality is essential to address nurse skepticism and discomfort.
The purpose of this study was to explore young adults' experiences of suicide attempt(s) during adolescence in the context of spirituality using a case study application of participant narratives to Minton and Antonen's B.L.E.S.S. acronym.
A multiple-case study design was used to provide an alternative perspective for understanding adolescent suicidality from a spiritual context. Reed's theory of self-transcendence and the B.L.E.S.S. acronym guided the analysis and interpretation. Convenience online sampling resulted in six adult participants who provided email narratives of their adolescent experiences. Email data collection was guided by Fritz and Vandermause. Analysis of participant narratives followed the protocol of Baxter and Jack.
Participant's narratives revealed self-transcendence that paralleled the five truths about emotional pain and spirituality inherent in the B.L.E.S.S. acronym.
This case study provides nurses a guide for counteracting the barriers of skepticism and stigma to promote help-seeking behavior associated with adolescent suicidality. Further research is needed for the application of the B.L.E.S.S. acronym with other population samples.
自杀仍是青少年死亡的第二大主要原因。护士处于解决与青少年自杀相关的情绪痛苦的最佳位置,但报告存在怀疑和不适。此外,精神信仰被确定为预防自杀的保护因素,但在探索与青少年自杀相关的情绪痛苦有关的精神信仰方面仍存在差距。提高对青少年精神信仰和与自杀相关的情绪痛苦的认识,对于解决护士的怀疑和不适至关重要。
本研究的目的是通过参与者叙述的案例研究应用,在精神信仰背景下探索年轻人在青少年时期自杀尝试的经历,使用 Minton 和 Antonen 的 B.L.E.S.S. 首字母缩略词。
采用多案例研究设计,从精神信仰的角度提供一种理解青少年自杀的替代视角。Reed 的自我超越理论和 B.L.E.S.S. 首字母缩略词指导了分析和解释。便利的在线抽样导致六名成年参与者提供了他们青少年时期经历的电子邮件叙述。电子邮件数据收集遵循 Fritz 和 Vandermause 的指导。参与者叙述的分析遵循 Baxter 和 Jack 的协议。
参与者的叙述揭示了自我超越,与 B.L.E.S.S. 首字母缩略词中关于情绪痛苦和精神信仰的五个真相相呼应。
本案例研究为护士提供了一个指南,以克服怀疑和耻辱的障碍,促进与青少年自杀相关的寻求帮助的行为。需要进一步研究 B.L.E.S.S. 首字母缩略词在其他人群样本中的应用。