父母面对子女自杀行为后重建父母身份：一项访谈研究。

Re-constructing parental identity after parents face their offspring's suicidal behaviour: An interview study.

机构信息

Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4, 4200 Slagelse, Denmark; Danish Research Institute for Suicide Prevention, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 4, 2900, Hellerup, Denmark Copenhagen, Denmark; Department of Regional Health Research, University of Southern Denmark, J.B. Winsløws Vej 19, 3, 5000 Odense, Denmark.

Danish Research Institute for Suicide Prevention, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 4, 2900, Hellerup, Denmark Copenhagen, Denmark; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, S850, Baltimore, MD 21205, USA; Center of Mental Health Research, Building 63, The Australian National University, Canberra ACT 2601, Australia; Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 4, 2900 Hellerup, Denmark.

出版信息

Soc Sci Med. 2023 Mar;321:115771. doi: 10.1016/j.socscimed.2023.115771. Epub 2023 Feb 11.

DOI:10.1016/j.socscimed.2023.115771

PMID:36801752

Abstract

INTRODUCTION

Parents are affected when their offspring engages in non-fatal suicidal behaviour. Although research exists on parents' mental and emotional state when they realise this behaviour, relatively little attention has been devoted to exploring how their parental identity is affected.

PURPOSE

To explore how parents re-constructed and negotiated their parental identity after realising that their offspring was suicidal.

METHOD

A qualitative exploratory design was adopted. We conducted semi-structured interviews with 21 Danish parents who self-identified as having offspring at risk of suicidal death. Interviews were transcribed, analysed thematically and interpreted by drawing on the interactionist concepts of negotiated identity and moral career.

FINDINGS

Parents' perspectives on their parental identity were conceptualised as a moral career encompassing three distinct stages. Each stage was negotiated through social interaction with other people and the wider society. Entry into the first stage, disrupted parental identity, occurred when parents realised that they could lose their offspring to suicide. At this stage, parents trusted their own abilities to resolve the situation and keep their offspring safe and alive. This trust was gradually undermined by social encounters, which caused career movement. In the second stage, impasse, parents lost faith in their ability to help their offspring and to change the situation. Whereas some parents gradually resigned entirely to impasse, others regained their trust in their own abilities through social interaction in the third stage, restored parental agency.

CONCLUSION

Offspring's suicidal behaviour disrupted parents' self-identity. Social interaction was fundamental if parents were to re-construct their disrupted parental identity. This study contributes with knowledge about the stages characterising the reconstructive process of parents' self-identity and sense of agency.

摘要

简介

当子女出现非致命性自杀行为时，父母会受到影响。尽管已经有研究探讨了父母在意识到这种行为时的心理和情绪状态，但相对较少关注他们的父母身份是如何受到影响的。

目的

探索父母在意识到子女有自杀风险后如何重新构建和协商他们的父母身份。

方法

采用定性探索性设计。我们对 21 名丹麦父母进行了半结构化访谈，这些父母自我认同为有自杀死亡风险的子女。访谈记录被转录、主题分析，并通过借鉴互动主义的协商身份和道德职业概念进行解释。

发现

父母对其父母身份的看法被概念化为一个道德职业，包括三个不同的阶段。每个阶段都是通过与他人和更广泛的社会的社会互动来协商的。进入第一阶段，即中断的父母身份，发生在父母意识到他们可能会失去子女自杀时。在这个阶段，父母相信自己有能力解决问题，保护子女的安全和生命。这种信任逐渐被社会遭遇所破坏，导致职业生涯的转变。在第二阶段，即僵局，父母失去了帮助子女和改变现状的信心。虽然一些父母最终完全陷入僵局，但另一些父母通过第三阶段，即恢复父母代理的社会互动，重新获得了对自己能力的信任。