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探索有自杀行为和自杀念头的伊朗青少年的生活经历。

Exploring the Lived Experiences of Iranian Adolescents Exhibiting Suicidal Behavior and Ideation.

作者信息

Arbabi Khatereh, Yeh Christine Jean, Sangkar Parvaneh Rahmati

机构信息

Counselling and Guidance, Department of Education, National University of Malaysia (UKM), Bangi, Selangor, Malaysia.

Department of Counselling Psychology, School of Education, University of San Francisco, 2130 Fulton Street, San Francisco, CA, 94117, USA.

出版信息

Res Child Adolesc Psychopathol. 2025 Feb 10. doi: 10.1007/s10802-025-01295-0.

DOI:10.1007/s10802-025-01295-0
PMID:39928064
Abstract

UNLABELLED

Suicide is a complex phenomenon influenced by various individual and contextual factors that may inform prevention efforts. This research is part of a comprehensive project conducted in the chain clinics of Iris Company (pseudonym) throughout Iran. 1). The objective of the study was to expand the current literature on adolescent suicidality by qualitatively exploring the lived experiences of adolescents with a history of at least one suicide attempt and suicidal ideation through in-depth semi-structured interviews. 2).

PARTICIPANTS

The sample included 69 Iranian adolescents (38 females and 31 males) aged 15-19 years from diverse cultural and societal backgrounds across various regions of Iran. 3).

RESULTS

Data were analyzed using the Colaizzi method of phenomenological analysis (Praveena & Sasikumar, 2021), resulting in six main themes and 14 sub-themes. The main themes were: (1) overwhelming emotional pain, (2) influence of traditional cultural values, (3) desire for stronger connections, (4) openness to treatment, (5) wish to improve life, and (6) feeling trapped in the present. 4).

CONCLUSIONS

This study addresses gaps in prior research and aims to advance the understanding of adolescent suicide prevention. The authors emphasize the importance of family and relational contexts in understanding suicide risk among adolescents and highlight the roles of family therapy and peer support in developing prevention and intervention strategies for at-risk youth.

摘要

未标注

自杀是一种复杂的现象,受多种个体和环境因素影响,这些因素可为预防工作提供信息。本研究是在伊朗各地Iris公司(化名)的连锁诊所开展的一个综合项目的一部分。1)。本研究的目的是通过深入的半结构化访谈,定性探索有至少一次自杀未遂和自杀意念史的青少年的生活经历,以扩展当前关于青少年自杀倾向的文献。2)。

参与者

样本包括69名15至19岁的伊朗青少年(38名女性和31名男性),他们来自伊朗不同地区,具有不同的文化和社会背景。3)。

结果

采用现象学分析的科莱齐方法(普拉维娜和萨西库马尔,2021年)对数据进行分析,得出六个主要主题和14个子主题。主要主题包括:(1)压倒性的情感痛苦,(2)传统文化价值观的影响,(3)对更紧密联系的渴望,(4)对治疗的开放态度,(5)改善生活的愿望,以及(6)感觉被困在当下。4)。

结论

本研究弥补了先前研究的不足,旨在增进对青少年自杀预防的理解。作者强调家庭和关系背景在理解青少年自杀风险中的重要性,并突出家庭治疗和同伴支持在为高危青少年制定预防和干预策略中的作用。

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本文引用的文献

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Belief and Risk Factors Associated with Suicidal and Self-harm Behaviour among Young Adults of Kathmandu District.与加德满都地区青年自杀和自残行为相关的信念和危险因素。
J Nepal Health Res Counc. 2024 Mar 22;21(3):445-449.
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Practice-based insights from specialized clinicians into youth suicide risk assessment and psychotherapy: A qualitative study.基于实践的专业临床医生对青少年自杀风险评估和心理治疗的见解:一项定性研究。
Psychother Res. 2024 Sep;34(7):972-990. doi: 10.1080/10503307.2023.2253360. Epub 2023 Sep 25.
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Predicting prolonged non-suicidal self-injury behaviour and suicidal ideations in adolescence - the role of personal and environmental factors.
预测青少年长期非自杀性自伤行为和自杀意念——个人及环境因素的作用
Curr Psychol. 2023 Feb 24:1-12. doi: 10.1007/s12144-023-04404-8.
4
Risk of suicide attempt repetition after an index attempt: A systematic review and meta-analysis.初次自杀未遂后再次自杀未遂的风险:一项系统评价与荟萃分析。
Gen Hosp Psychiatry. 2023 Mar-Apr;81:51-56. doi: 10.1016/j.genhosppsych.2023.01.007. Epub 2023 Jan 23.
5
Social Anxiety and Suicidality in Youth: A Systematic Review and Meta-analysis.青少年社交焦虑与自杀倾向:系统评价和荟萃分析。
Res Child Adolesc Psychopathol. 2023 Apr;51(4):441-454. doi: 10.1007/s10802-022-00996-0. Epub 2022 Dec 16.
6
Suicidal Desire in Adolescents: An Examination of the Interpersonal Psychological Theory Using Daily Diaries.青少年的自杀意念:使用日记对人际关系心理治疗理论的检验。
J Clin Child Adolesc Psychol. 2024 Nov-Dec;53(6):863-877. doi: 10.1080/15374416.2022.2051525. Epub 2022 Apr 27.
7
Suicide Attempts among School-Attending Adolescents in Mongolia: Associated Factors and Gender Differences.蒙古在校青少年的自杀未遂:相关因素与性别差异。
Int J Environ Res Public Health. 2022 Mar 4;19(5):2991. doi: 10.3390/ijerph19052991.
8
Suicide in cultural context: An ecosocial approach.文化背景下的自杀:一种生态社会视角。
Transcult Psychiatry. 2022 Feb;59(1):3-12. doi: 10.1177/13634615221076424.
9
Sample sizes for saturation in qualitative research: A systematic review of empirical tests.定性研究中饱和度的样本量:实证检验的系统综述。
Soc Sci Med. 2022 Jan;292:114523. doi: 10.1016/j.socscimed.2021.114523. Epub 2021 Nov 2.
10
Thwarted Belongingness Mediates Interpersonal Stress and Suicidal Thoughts: An Intensive Longitudinal Study with High-risk Adolescents.归属感受挫介导人际压力与自杀念头:一项针对高危青少年的密集纵向研究。
J Clin Child Adolesc Psychol. 2022 May-Jun;51(3):295-311. doi: 10.1080/15374416.2021.1969654. Epub 2021 Sep 27.