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作为自杀幸存者的存在性孤独和生命苦难:反思性生活世界研究。

Existential loneliness and life suffering in being a suicide survivor: a reflective lifeworld research study.

机构信息

Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.

Division of Emergency Medical Services and University Health Care Research Center, Örebro University Hospital, Örebro, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2122157. doi: 10.1080/17482631.2022.2122157.

Abstract

PURPOSE

The aim of the study was to describe the loss of a family member by suicide, based on the lived experience of suicide survivors.

METHODS

A phenomenology study with a Reflective Lifeworld Research approach was conducted, consisting of sixteen interviews with eight suicide survivors.

RESULTS

The essence of losing a family member by suicide encompasses experiences of involuntary and existential loneliness, life suffering, and additional burdens in a life that is radically transformed, comprising prolonged and energy-intensive attempts to understand. Life for the family member encompasses a constant fear of being judged and an ambiguous silence, where this silence can both lead to involuntary loneliness and be a source of support and fellowship. Support mechanisms inside the family fall apart, and it becomes obvious that the survivors' experiences affect others. The loss also implies an active endeavour to maintain the memory of the deceased.

CONCLUSIONS

Based on these results, it is important for professionals to accept the survivors as suffering human beings early-from the point of the notification of death-and consider them as patients in need of compassionate care. Such support might reduce life suffering, counteract stigma and involuntary loneliness, and work simultaneously as suicide prevention.

摘要

目的

本研究旨在通过自杀幸存者的生活体验来描述因自杀而失去亲人的情况。

方法

采用现象学研究方法和反思生活世界研究方法,对 8 名自杀幸存者进行了 16 次访谈。

结果

因自杀而失去亲人的本质包括经历无法控制的和存在主义的孤独、生命痛苦以及生活发生根本改变所带来的额外负担,包括长期的、精力充沛的试图理解的过程。对于亲人来说,生活中一直存在着被评判的恐惧和模糊的沉默,这种沉默既会导致无法控制的孤独,也会成为支持和陪伴的来源。家庭内部的支持机制瓦解,幸存者的经历会影响到其他人这一点变得显而易见。这种损失还意味着需要积极努力维护死者的记忆。

结论

基于这些结果,专业人员从通知死亡的那一刻起,就应该将幸存者视为正在受苦的人,并将他们视为需要同情关怀的患者,这一点非常重要。这种支持可能会减轻生命痛苦、消除污名化和无法控制的孤独感,同时也可以起到预防自杀的作用。

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