摘要
目的 了解抑郁症伴自杀未遂青少年患者在恢复过程中的心理感受及需求,分析阻碍其恢复的心理因素,为帮助抑郁症伴自杀未遂青少年的身心恢复提供参考。方法 采用目的抽样法选取11例自杀未遂青少年患者为访谈对象,基于现象学研究对其进行面对面半结构式访谈并收集资料,采用定性内容分析法对资料进行处理与分析。结果 访谈总时长586 min,文本资料总字数为66 348字。共提炼出3个主题和8个子主题,即恢复中的阻力部分(持续自杀想法的绝望感、被抑郁情绪裹挟的无力感、双重污名压力的无望感),恢复中的体悟部分(内省未遂经历、感悟存活意义),恢复中的期许部分(渴求父母理解、期望摆脱痛苦、祈求世界谅解)。结论 抑郁症伴自杀未遂青少年在恢复阶段存在不良心理体验和对自杀事件的偏见认知,加之受抑郁情绪的影响,阻碍其恢复进程。建议医护人员加强对自杀未遂青少年的心理支持与自杀知识教育,采取有效干预措施以促进其恢复身心健康。
Objective To understand the psychological feelings and needs of adolescent patients with depression and suicide attempts in the process of recovery,and to analyze the psychological factors hindering their recovery,so as to provide references for assisting in the physical and mental recovery of adolescents with depression and suicide attempts.Methods Eleven adolescent patients with suicide attempts were selected by purposive sampling method,face-to-face semi-structured interviews were conducted based on phenomenological research to collect data,which were then processed and analyzed using qualitative content analysis.Results The total duration of the interviews was 586 minutes,and the total number of words in the textual data was 66348.A total of three themes and eight sub-themes were distilled,namely,the resistance part of recovery(despair of persistent suicidal thoughts,powerlessness of being wrapped up in depression,and hopelessness of the pressure of double stigma),the realizations in the recovery process(introspection of the attempted experience,and sense of the significance of survival),and the expectations in the recovery process(longing for parental understanding,expectation of being free from pain,and praying for the world s forgiveness).Conclusions Adolescents with depression and suicide attempts experience negative psychological states and biased cognitions about suicide events during their recovery phase,which,coupled with the influence of depressive emotions,hinders their recovery process.It is suggested that healthcare professionals should strengthen psychological support and suicide knowledge education for adolescents with suicide attempts,and implement effective intervention measures to promote their physical and mental health recovery.
作者
王晓宁
缪群芳
王建女
赵月琰
黄晓琴
WANG Xiaoning;MIAO Qunfang;WANG Jiannü;ZHAO Yueyan;HUANG Xiaoqin(School of Nursing,Hangzhou Normal University,Hangzhou 311121,China;School of Clinical Medicine,Hangzhou Normal University,Hangzhou 311121,China;Nursing Department,Hangzhou Seventh People s Hospital,Hangzhou 310013,China)
出处
《健康研究》
CAS
2024年第5期548-552,共5页
Health Research
基金
2022年浙江省爱在延长炎症性肠病基金会青峰科研资助项目(CCCF-QF-2022B78-6)。
关键词
抑郁症
自杀未遂
青少年
恢复体验
质性研究
depression
suicide attempt
adolescents
recovery experience
qualitative research
