"就像一棵橡树在铁丝网上慢慢生长:"从晚年自杀丧亲的创伤经历中学习

Trish Hafford-Letchfield, Jeffrey R. Hanna, Evan Grant, Lesley Ryder-Davies, Nicola Cogan, Jolie Goodman, Susan Rassmussen
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引用次数: 0

摘要

自杀丧亲是一种创伤性的、改变人生的经历。然而,人们对自杀丧亲者的亲身经历知之甚少,而在当前的自杀预防和干预策略中,老年人的声音也明显缺失。本文试图通过转型学习的视角,了解晚年自杀丧亲者在自杀研究中产生的不同个人经历和途径。我们采用定性范式,探讨了 24 名年龄在 66-92 岁之间的自杀丧亲者在意义建构、应对和适应需求方面的关键主题和特征。由具有亲身经历的研究人员主持的深入访谈产生了两个关于经验中心地位的主题:自杀创伤后的批判性反思和晚年生活的意义建构;以及探索之旅及其如何与社会和政治权利相互作用。研究结果表明,有必要开展进一步的研究,以产生以实践为基础的证据,从而确定自杀丧亲对晚年生活的影响,以及在评估和确定他们的支持需求时,他们的需求可能是如何独特的;以及如何更全面地应对老年人因这些学习经历而产生的社会心理问题。建议考虑开发更多由服务使用者主导的社会、社区和治疗干预措施的可能性,这些干预措施利用了有生活经验的老年人的真实知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“It’s like an oak tree growing slowly across a barbed wire fence:” Learning from traumatic experience of bereavement by suicide in later life
Bereavement by suicide is a traumatic and life-changing experience. However, little is known about the lived experiences of people bereaved by suicide themselves, and older people’s voices are notably absent from the current suicide prevention and intervention strategies. This paper seeks to understand the different individual experiences and pathways arising from the suicide research for people in later life who have been bereaved by suicide through the lens of transformational learning. Using a qualitative paradigm, we explored the critical themes and features evident in the meaning making, coping, and adaptation needs of 24 people aged 66 – 92 years who were bereaved by suicide. In-depth interviews led by researchers with lived experience generated two themes on the centrality of experience: Critical reflection and meaning making in later life following suicide trauma; and the journey of discovery and how this interacted with social and political rights. Findings suggest that further research is necessary to generate practice-based evidence, which identifies the impact of bereavement by suicide on people in later life and how their needs for support might be unique when being assessed and identified; and how to respond more holistically to older people with psychosocial problems, which stem from these learning experiences. Recommendations consider the potential for developing more service user-led social, community-based, and therapeutic interventions, which utilizes the authentic knowledge of older people with lived experiences.
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