Rajaram Gowri, Gibson Kerry L, Kartal Dzenana, Lamblin Michelle, Richards Hannah, Davies Pemma, Witt Katrina, Robinson Jo
Orygen, Parkville, Victoria, Australia
The University of Melbourne, Melbourne, Victoria, Australia.
BMJ Open. 2025 Apr 2;15(4):e093859. doi: 10.1136/bmjopen-2024-093859.
To understand the help-seeking experiences of young people from culturally and linguistically diverse (CALD) backgrounds who have experienced suicidal thoughts and behaviours (STB).
Qualitative study using semistructured interviews and reflexive thematic analysis.
A specialist, youth-focused Hospital Outreach Post-suicidal Engagement (HOPE) aftercare service delivered by Orygen in North-West Melbourne, Australia.
Eight young people aged 16-24 years (mean: 18.7±3.1 years, 50% female) from various CALD backgrounds who had been discharged from the HOPE aftercare service within the past 12 months.
Four themes were identified: (1) cultural taboos and generational differences create challenges in communicating with family; (2) isolation is a barrier to reaching out; (3) it's hard to disclose and discuss STB with clinicians and (4) not being taken seriously in clinical settings.
These findings highlight social, cultural and organisational barriers that shape the help-seeking journeys of young people from CALD backgrounds experiencing STB. Results suggest a need for culturally sensitive suicide prevention strategies, enhanced cultural competency in healthcare settings and efforts to improve mental health literacy within CALD communities.
了解来自文化和语言背景多元(CALD)的年轻人在经历自杀念头和行为(STB)后的求助经历。
采用半结构化访谈和反思性主题分析的定性研究。
澳大利亚墨尔本西北部由Orygen提供的一项专门针对年轻人的医院外展自杀后参与(HOPE)后续护理服务。
8名年龄在16 - 24岁之间(平均:18.7±3.1岁,50%为女性)、来自不同CALD背景且在过去12个月内已从HOPE后续护理服务中出院的年轻人。
确定了四个主题:(1)文化禁忌和代际差异给与家人沟通带来挑战;(2)孤立是寻求帮助的障碍;(3)难以向临床医生披露和讨论自杀念头和行为;(4)在临床环境中未被认真对待。
这些发现凸显了影响有自杀念头和行为的CALD背景年轻人求助过程的社会、文化和组织障碍。结果表明需要制定具有文化敏感性的自杀预防策略,提高医疗保健环境中的文化能力,并努力提高CALD社区内的心理健康素养。