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冰山一角?成年子女对童年时期父母自杀行为的经历。

The tip of an iceberg? Adult children's experiences with parental suicidal behaviour in childhood.

作者信息

Bruaset Geir Tarje, Johansen Jennifer Drummond, Grimholt Tine K

机构信息

Centre of Diaconia and Professional Practice, VID Specialized University, Oslo, Norway.

Oslomet University, Oslo, Norway.

出版信息

Int J Qual Stud Health Well-being. 2025 Dec;20(1):2459299. doi: 10.1080/17482631.2025.2459299. Epub 2025 Jan 30.

Abstract

PURPOSE

This study examined how children exposed to parental suicidal behaviour experienced their parents' suicide attempts, their relationship with their parents, and family life from childhood to adult life.

METHODS

This qualitative, exploratory study conducted semi-structured interviews with 11 participants recruited from next-of-kin organizations and social media. Open-ended interviews addressed childhood experiences, perceived difficulties, and helpful aspects. Interviews lasted approximately 70 minutes and were recorded and transcribed. Thematic analysis was utilized to analyse the data.

RESULTS

We identified two main themes: an unstable, unpredictable upbringing environment and a lifelong responsibility. Participants did not regard their parent's suicide attempt as the most traumatic event of their childhood. Instead, they identified parental instability due to serious mental illness and/or substance abuse as the most stressful factor. This instability imposed significant emotional and practical responsibilities on the children, forcing them to sacrifice their own development and sense of security. Responsibility was characterized as a life lasting burden.

CONCLUSIONS

Adult children of parents with suicidal behaviour reported that their parent's mental illness was the most burdensome aspect of their upbringing, leading to an unstable home with significant responsibilities. These individuals require professional follow-up and should be offered individual counselling sessions as a clinical intervention.

摘要

目的

本研究调查了经历过父母自杀行为的儿童从童年到成年,是如何体验父母的自杀未遂行为、他们与父母的关系以及家庭生活的。

方法

这项定性的探索性研究对从亲属组织和社交媒体招募的11名参与者进行了半结构化访谈。开放式访谈涉及童年经历、感知到的困难和有益的方面。访谈持续约70分钟,进行了录音和转录。采用主题分析法对数据进行分析。

结果

我们确定了两个主要主题:不稳定、不可预测的成长环境和终身责任。参与者并不认为父母的自杀未遂是他们童年最具创伤性的事件。相反,他们认为由于严重精神疾病和/或药物滥用导致的父母不稳定是最具压力的因素。这种不稳定给孩子们带来了重大的情感和实际责任,迫使他们牺牲自己的发展和安全感。责任被描述为一种终身负担。

结论

有自杀行为父母的成年子女报告说,父母的精神疾病是他们成长过程中最沉重的负担,导致家庭不稳定且责任重大。这些人需要专业的跟进,应提供个别咨询服务作为临床干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc34/11789215/5585c6bd6495/ZQHW_A_2459299_F0002_B.jpg

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