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对青少年因自杀事件住院的父母经历的定性研究:重塑、动员和适应

Qualitative study of the experience of parents whose adolescent has been hospitalized for a suicidal episode: reshaping, mobilizing, and adapting.

作者信息

Carquet Amélie, Carretier Emilie, Lachal Jonathan, Radjack Rahmeth, Minassian Sevan, Moro Marie Rose

机构信息

Paris Cité University, 75006, Paris, France.

APHP, Cochin Hospital, Maison de Solenn, 75014, Paris, France.

出版信息

BMC Psychiatry. 2025 Aug 12;25(1):781. doi: 10.1186/s12888-025-07216-1.

Abstract

BACKGROUND

A suicidal crisis is a set of symptoms that can occur frequently during adolescence. It can require hospitalization, a form of care that often also facilitates work with the adolescent's parents, whose inclusion has proven beneficial. The objective of this work is to analyze parents' experience of their adolescent's suicidal crisis and hospitalization.

METHODS

This is a qualitative study with data collected from semi-structured interviews of 13 parents of teens who had been hospitalized in an adolescent psychiatry ward for a suicidal crisis. The data were analyzed with Interpretative Phenomenological Analysis.

RESULTS

Parents described how the adolescent's suicidal crisis drastically disrupted their relationships both with the youth and within the family, as well as strongly affecting their own well-being. Hospitalization was often perceived as a relief by protecting the adolescent. Separation from the teen and the care offered, including family sessions, led simultaneously to reorganization and support of the family. The construction of a new family and personal equilibrium continued after hospitalization with the search for strategies to prevent acute recurrence.

CONCLUSIONS

Parents faced with their adolescent's suicidal crisis are immediately affected and mobilized. The youth's hospital admission supports the family's mobilization while inducing its reshaping but does not appear entirely sufficient. It is crucial to provide interventions that enhance parents' skills in supporting their suicidal teen and to promote parental empowerment and family recovery. Specifically, approaches combining psychoeducation, family-based work and peer support with other parents hold promise in addressing parental needs in this context.

摘要

背景

自杀危机是一组在青少年时期可能频繁出现的症状。它可能需要住院治疗,这种护理形式通常也有助于与青少年的父母合作,事实证明让父母参与进来是有益的。这项工作的目的是分析父母在其青少年子女自杀危机和住院期间的经历。

方法

这是一项定性研究,数据收集自对13位青少年父母的半结构化访谈,这些青少年因自杀危机在青少年精神科病房住院。采用解释现象学分析方法对数据进行分析。

结果

父母们描述了青少年的自杀危机如何严重破坏了他们与青少年以及家庭内部的关系,同时也强烈影响了他们自身的幸福感。住院治疗通常被视为通过保护青少年而带来的一种解脱。与青少年的分离以及所提供的护理,包括家庭会议,同时导致了家庭的重组和支持。住院后,通过寻找预防急性复发的策略,新的家庭和个人平衡得以持续构建。

结论

面对青少年自杀危机的父母会立即受到影响并被调动起来。青少年住院有助于家庭的动员,同时促使家庭重塑,但似乎并不完全足够。提供干预措施以提高父母支持自杀倾向青少年的技能,并促进父母赋权和家庭康复至关重要。具体而言,将心理教育、基于家庭的工作和与其他父母的同伴支持相结合的方法有望满足这一背景下父母的需求。

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