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[基层医疗专业人员对有自杀行为者的看法:一项定性研究]

[Beliefs of primary care professionals regarding people with suicidal behavior: A qualitative study].

作者信息

Dois Castellón Angelina, Inostroza Ortega Tomás

机构信息

Escuela de Enfermería, Centro Colaborador OPS/OMS Pontificia Universidad Católica de Chile, Santiago, Chile; Magíster en Psicología de la Salud, Pontificia Universidad Católica de Chile.

Escuela de Enfermería, Centro Colaborador OPS/OMS Pontificia Universidad Católica de Chile, Santiago, Chile; Magíster en Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Aten Primaria. 2025 Mar;57(3):102839. doi: 10.1016/j.aprim.2023.102839. Epub 2024 Oct 15.

Abstract

In Chile, suicide is a public health problem. The National Suicide Prevention Program has influenced the stabilization of suicide rates and considers as one of its components the training of primary care professionals in addressing suicidal behavior. It has been shown that the way in which professionals approach the phenomenon has a high influence on the implementation of preventive measures. The objective of this qualitative descriptive study. is to explore the beliefs of primary care professionals regarding people with suicidal behavior. It was developed in 3family health centers in Santiago de Chile with fourteen health professionals participants. Semi-structured interviews were carried out. The data were analyzed according to the procedures proposed by Grounded Theory. The beliefs of the participating professionals regarding suicidal behavior are grouped into (1) validation of suicidal behavior and (2) suicidal behavior should not be judged. A frequent ambivalence of the participants between these 2elements stands out, which makes it difficult for them to consider a single professional position regarding suicide. The beliefs reflect a relativization of the value of life, and ambivalent beliefs regarding the voluntary end of life, based on value judgments regarding suicide. The results can serve to guide future training for health teams in addressing suicidal behaviors.

摘要

在智利,自杀是一个公共卫生问题。国家预防自杀计划对自杀率的稳定产生了影响,并将对初级保健专业人员进行应对自杀行为的培训视为其组成部分之一。研究表明,专业人员处理这一现象的方式对预防措施的实施有很大影响。这项定性描述性研究的目的是探讨初级保健专业人员对有自杀行为者的看法。该研究在智利圣地亚哥的3家家庭健康中心开展,有14名卫生专业人员参与。进行了半结构化访谈。数据根据扎根理论提出的程序进行分析。参与研究的专业人员对自杀行为的看法分为两类:(1)对自杀行为的认可;(2)不应评判自杀行为。参与者在这两个因素之间经常表现出矛盾态度,这使得他们难以就自杀问题形成单一的专业立场。这些看法反映了生命价值的相对化,以及基于对自杀的价值判断而对生命自愿终结的矛盾看法。研究结果可为指导卫生团队未来应对自杀行为的培训提供参考。

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本文引用的文献

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[Euthanasia in Chile].
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