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情感关系不稳定与青少年自杀:一项定性研究。

Instability of emotional relationships and suicide among youth: a qualitative study.

机构信息

Nursing Department, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.

Nursing Department, Health in Emergencies and Disasters Research Center, University of Social Welfare and Rehabilitation Science (USWR), Tehran, Iran.

出版信息

BMC Psychiatry. 2023 Jan 18;23(1):50. doi: 10.1186/s12888-023-04534-0.

DOI:10.1186/s12888-023-04534-0
PMID:36653769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9850597/
Abstract

BACKGROUND

Interpersonal problems are one of the factors for understanding the complex issues that result in suicide attempts and self-injury by poisoning. The quality of familial relationships is a predictor of the occurrence and outcome of suicide attempts. This study aimed to explore motives for self-poisoning suicide attempts amongst young adults.

METHOD

This research was a qualitative study conducted using semi-structured interviews in 2019 in Kermanshah Province, Iran. Eighteen participants who had attempted suicide by self-poisoning were interviewed, and information was collected until data saturation was achieved. The interviews were recorded and transcribed, and the data were analyzed through content analysis.

RESULTS

The results included the category of instability in emotional relationships with the three sub-categories of 1- Emotional failure, 2- Emotional trauma, and 3- Loss of emotional resilience (caused by emotional failure and emotional trauma within the previous few months). Instability in emotional relationships creates feelings of disgrace, humiliation, burdensomeness, worthlessness, and insignificance, which increases the chances of attempting suicide.

CONCLUSION

The study results provided an in-depth understanding of romantic, and unstable familial relationships as a significant factor in suicide attempts, demonstrating the role of emotional stress in attempting suicide. The present study provided information on the risk factors and warning signs for psychiatrists and nurses dealing with suicidal patients to take effective measures to prevent suicide through social support.

摘要

背景

人际关系问题是理解导致自杀未遂和自杀性自伤的复杂问题的因素之一。家庭关系的质量是预测自杀未遂发生和结果的一个因素。本研究旨在探讨年轻人自杀性自伤的动机。

方法

这是 2019 年在伊朗克尔曼沙阿省进行的一项定性研究,采用半结构式访谈。访谈了 18 名曾试图自杀性自伤的参与者,直到达到数据饱和。对访谈进行了录音和转录,并通过内容分析对数据进行了分析。

结果

结果包括情感关系不稳定的类别,包括三个子类别:1-情感失败,2-情感创伤,3-情感弹性丧失(由前几个月的情感失败和情感创伤引起)。情感关系的不稳定会产生耻辱、创伤、负担、无价值和无足轻重的感觉,这会增加自杀的可能性。

结论

研究结果深入了解了浪漫关系和不稳定的家庭关系是自杀未遂的一个重要因素,表明情感压力在自杀企图中的作用。本研究为处理自杀患者的精神科医生和护士提供了有关风险因素和预警信号的信息,以便通过社会支持采取有效措施预防自杀。

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Behav Res Ther. 2019 Sep;120:103394. doi: 10.1016/j.brat.2019.03.015. Epub 2019 Apr 9.
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Suicidal Thoughts, Attempts and Motives Among University Students in 12 Muslim-Majority Countries.12 个穆斯林国家大学生的自杀想法、企图和动机。
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Risk factors for suicide in offspring bereaved by sudden parental death from external causes.因外部原因导致父母突然意外死亡的子女自杀的风险因素。
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Factors that Affect Suicide Attempts of Adolescents in Multicultural Families in Korea.影响韩国多元文化家庭青少年自杀未遂的因素。
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Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research.自杀意念和行为的风险因素:50 年研究的荟萃分析。
Psychol Bull. 2017 Feb;143(2):187-232. doi: 10.1037/bul0000084. Epub 2016 Nov 14.
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Which deliberate self-poisoning patients are most likely to make high-lethality suicide attempts?哪些蓄意自我中毒患者最有可能做出高致死性自杀尝试?
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