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[巴伐利亚州父母自杀及自杀未遂后家庭护理状况的横断面研究]

[Cross-sectional study on the state of care for families after suicide and attempted suicide of a parent in Bavaria].

作者信息

Finkeldei Simon, Kern Tita, Rinne-Wolf Susanna

机构信息

AETAS Kinderstiftung, München, Deutschland.

Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München, Uptown München-Campus D, Georg-Brauchle-Ring 60/62, 80992 München, Deutschland.

出版信息

Pravent Gesundh. 2022 Sep 19:1-9. doi: 10.1007/s11553-022-00981-x.

Abstract

BACKGROUND

In 2019 the highest absolute number of suicides in Germany was registered in Bavaria, with 1520 cases. Suicide as a cause of death is particularly stressful for relatives and the risk of affected children committing suicide themselves later in life is significantly increased. Early and specific approaches of so-called psychosocial emergency care are professionally indicated after highly stressful life experiences, such as the suicide of a close person.

OBJECTIVE

The aim of the cross-sectional study is to assess the services available for families after suicide and attempted suicide of a parent in Bavaria and thus to identify the needs.

METHODS

Data on services, the (self)assessment of competences on trauma-specific aspects and the general assessment of the care situation and quality in Bavaria were collected from 108 youth welfare offices and counselling centers by telephone survey and analyzed descriptively.

RESULTS

Cases of suicide and attempted suicide occur in the counselling and care reality of staff in youth welfare offices and counselling centers. The most frequently mentioned help is referral to other mostly curative services. Of the staff interviewed in counselling centers and youth welfare offices, 80% consider the introduction of a central emergency telephone number for families and professionals to be sensible.

CONCLUSION

Professionals see the need for counselling among those affected and want to meet this need in their own institution but do not feel sufficiently empowered to do so due to limited internal and external offers as well as their own qualifications. In most cases, the services to which referrals are made are not specific, suitable, or available at short notice, which is a critical factor in view of the high risk of illness among the children and adolescents concerned. There is a need for immediately accessible specific support for both professionals and affected families, e.g. through an emergency telephone number.

摘要

背景

2019年,德国自杀人数绝对值最高的地区是巴伐利亚州,有1520例。自杀作为一种死亡原因,对亲属来说压力尤其大,受影响儿童日后自杀的风险也会显著增加。在经历如亲人自杀等高度紧张的生活事件后,专业上需要采取早期且特定的所谓心理社会紧急护理方法。

目的

这项横断面研究的目的是评估巴伐利亚州父母自杀和自杀未遂后为家庭提供的服务,从而确定需求。

方法

通过电话调查从108个青年福利办公室和咨询中心收集了有关服务、对创伤特定方面能力的(自我)评估以及巴伐利亚州护理情况和质量的总体评估数据,并进行描述性分析。

结果

自杀和自杀未遂事件发生在青年福利办公室和咨询中心工作人员的咨询和护理实际工作中。最常提到的帮助是转介到其他大多是治疗性的服务机构。在咨询中心和青年福利办公室接受采访的工作人员中,80%认为为家庭和专业人员引入一个中央紧急电话号码是明智的。

结论

专业人员认为受影响者有咨询需求,希望在自己的机构满足这一需求,但由于内部和外部提供的服务有限以及自身资质问题,他们觉得没有足够的能力这样做。在大多数情况下,转介所去的服务机构不具体、不合适或无法短时间内提供服务,鉴于相关儿童和青少年患病风险高,这是一个关键因素。需要为专业人员和受影响家庭提供可立即获得的特定支持,例如通过一个紧急电话号码。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0941/9483877/a8ade4cad9d2/11553_2022_981_Fig1_HTML.jpg

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