Suicidal Thoughts and Behaviors in Parents Caring for Children with Disabilities and Long-Term Illnesses.

IF 2.5 3区 医学 Q2 PSYCHIATRY
Siobhan T O'Dwyer, Anna Sansom, Becky Mars, Lisa Reakes, Charmaine Andrewartha, Julia Melluish, Anna Walker, Lucy Biddle, Tom Slater, Dan Burrows, Richard P Hastings, Paul Moran, Paul Stallard, Astrid Janssens
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Abstract

Objective: There is a growing body of evidence on suicide risk in family carers, but minimal research on parents caring for children with disabilities and long-term illnesses. The aim of this study was to conduct the first dedicated research on suicide risk in parent carers and identify: (1) the number of parent carers experiencing suicidal thoughts and behaviors, and (2) the risk and protective factors for suicidality in this population.

Method: A cross-sectional survey of parent carers in England (n = 750), co-produced with parent carers. Suicidal thoughts and behaviors were measured with questions from the Adult Psychiatric Morbidity Survey. Frequencies summarized the proportion of carers experiencing suicidal thoughts and behaviors. Logistic regressions identified risk and protective factors.

Results: 42% of parents had experienced suicidal thoughts and behaviors while caring for a disabled or chronically ill child. Only half had sought help for these experiences. Depression, entrapment, dysfunctional coping, and having a mental health diagnosis prior to caring, were significant risk factors.

Conclusion: Parent carers contemplate suicide at levels that exceed those of other family carers and the general public. There is an urgent need, in policy and practice, to recognize parent carers as a priority group for prevention and intervention.

照顾残疾儿童和长期患病儿童的父母的自杀想法和行为。
目的:有关家庭照护者自杀风险的证据越来越多,但有关照护残疾儿童和长期患病儿童的父母的研究却少之又少。本研究旨在首次对父母照护者的自杀风险进行专门研究,并确定:(1)有自杀想法和行为的父母照护者的人数,以及(2)该人群的自杀风险和保护因素:方法:对英格兰的父母照护者(n = 750)进行横断面调查,与父母照护者共同制作。自杀想法和行为通过成人精神病发病率调查中的问题进行测量。频率总结了有自杀想法和行为的照护者的比例。逻辑回归确定了风险和保护因素:42%的父母在照顾残疾儿童或慢性病儿童时曾有过自杀念头和行为。只有一半的家长曾就这些经历寻求过帮助。抑郁、禁锢、功能失调的应对方式以及在照顾孩子之前曾被诊断出患有精神疾病是重要的风险因素:结论:父母照护者的自杀倾向高于其他家庭照护者和普通公众。在政策和实践中,迫切需要认识到父母照顾者是预防和干预的优先群体。
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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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