一项关于智障或自闭症患者自杀行为的探索性研究：考察他们对自杀和死亡的理解，以及其直接支持人员的看法。

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-10-29 DOI:10.1111/jar.13318

Sarrah Thomas Persechino, Diane Morin, Cécile Bardon

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引用次数: 0

摘要

背景：智障或自闭症患者的自杀行为发生率与普通人群相当或更高，但人们对相关的风险因素却知之甚少。本研究探讨了这些人群的自杀倾向，重点关注他们对自杀和死亡的理解，以及他们的直接支持人员对其自杀倾向的看法：方法：对 23 名有自杀倾向和无自杀倾向的参与者及其支持人员进行了半结构化访谈，并对访谈内容进行了定性分析，以提取共同的主题并在不同群体之间进行比较：结果：记录了各种自杀行为。一般来说，与无自杀倾向的参与者相比，有自杀倾向的参与者对自杀和死亡的理解更为透彻。虽然工作人员经常承认从未与客户讨论过这个话题，但大多数人认为他们对死亡有准确的理解：研究结果表明，死亡观念与自杀行为之间存在相互作用，在临床环境中需要围绕死亡和自杀展开讨论。本文讨论了未来研究和临床实践的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

An Exploratory Study on the Suicidal Behaviours of People With Intellectual Disability or Autism: Examining Their Understanding of Suicide and Death, and the Perceptions of Their Direct Support Staff

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An Exploratory Study on the Suicidal Behaviours of People With Intellectual Disability or Autism: Examining Their Understanding of Suicide and Death, and the Perceptions of Their Direct Support Staff

Background

Individuals with intellectual disability or autism exhibit suicidal behaviours at an equal or greater rate than the general population, yet little is known about associated risk factors. This study explores suicidality in these populations, focusing on their understanding of suicide and death and perceptions of their direct support staff regarding their suicidality.

Method

Semi-structured interviews from 23 suicidal and non-suicidal participants and their support staff were analysed qualitatively to extract common themes and compare between groups.

Results

A breadth of suicidal behaviours was documented. Generally, suicidal participants demonstrated a more elaborate understanding of suicide and death than non-suicidal participants. While staff often acknowledged never having discussed the topic with their client, most assumed they understood death accurately.

Conclusion

Results suggest interactions between conceptions of death and suicidal behaviour and a need for discussion around death and suicide in clinical settings. Implications for future research and clinical practice are discussed.

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.