Department of Sociology, University of Dhaka, 1000, Dhaka, Bangladesh.
School of Health, Faculty of Medicine and Health, University of New England, 2351, Armidale, NSW, Australia.
BMC Public Health. 2023 May 19;23(1):918. doi: 10.1186/s12889-023-15767-9.
Suicide is more prevalent among disadvantaged, discriminated, and marginalised people with the majority of global suicide deaths occurring in the low-and middle-income countries (LMICs). This can be attributed to sociocultural contexts and exacerbated by access to limited resources and services that can assist with early identification, treatment, and support. Accurate information on the personal experiences of suicide is lacking, as many LMICs legislate that suicide is illegal.
This study aims to review the qualitative literature to explore the experiences of suicide in LMICs from the first-person perspective. Following the PRISMA-2020 guidelines, the search for qualitative literature published between January 2010 and December 2021 was undertaken. A total number of 110 qualitative articles from 2569 primary studies met the inclusion criteria. Included records were appraised, extracted, and synthesised.
The results provide lived experience insight into suicide from those living in LMICs, including understanding variations of the causes of suicides, the impacts on others exposed to suicide, existing support systems, and prevention measures to reduce suicide among LMICs. The study offers a contemporaryunderstanding of how people in LMIC experience suicide.
The findings and recommendations are derived from the similarities and differences within the existing knowledge base that is dominated by evidence from high-income countries. Timely suggestions for future researchers, stakeholders, and policymakers are provided.
自杀在弱势群体、受歧视和边缘化人群中更为普遍，而大多数全球自杀死亡发生在中低收入国家（LMICs）。这可以归因于社会文化背景，加上获得有限资源和服务的机会有限，这些资源和服务可以帮助早期识别、治疗和支持。由于许多 LMICs 将自杀定为非法，因此缺乏关于自杀个人经历的准确信息。
本研究旨在从第一人称的角度审查关于 LMICs 自杀经历的定性文献，以探索其经验。根据 PRISMA-2020 指南，对 2010 年 1 月至 2021 年 12 月期间发表的定性文献进行了搜索。从 2569 篇原始研究中，共有 110 篇定性文章符合纳入标准。纳入的记录进行了评估、提取和综合。
研究结果从生活在 LMICs 的人那里提供了对自杀的生活体验洞察，包括了解自杀原因的变化、对接触自杀的其他人的影响、现有的支持系统以及减少 LMICs 自杀的预防措施。该研究提供了一个当代对 LMICs 中人们如何体验自杀的理解。
研究结果和建议源自现有知识库中的相似点和差异，这些知识库主要来自高收入国家的证据。为未来的研究人员、利益相关者和政策制定者提供了及时的建议。
