“振作起来,继续下去”:对英国退役人员寻求自我伤害和自杀行为帮助的定性探索。

IF 4.2 2区 医学 Q1 PSYCHIATRY
Charlotte Williamson, Walter Busuttil, Amos Simms, Laura Palmer, Sharon A M Stevelink, Marie-Louise Sharp
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引用次数: 0

摘要

背景:有相当比例的英国军事人员遇到心理健康问题时不寻求专业支持。虽然促进寻求帮助是一项关键的自杀预防策略,但在英国武装部队中,人们对寻求自我伤害和自杀行为的帮助知之甚少。目的:探讨英国退役军人在自我伤害、自杀意念和自杀企图方面的求助经历。方法:参与者是通过一项现有的纵向队列研究招募的,该研究探索了英国武装部队的健康和福祉。本研究邀请报告有终身自残和/或自杀行为的退役人员分组参加半结构化访谈,共15人参加,分别代表寻求帮助/非寻求帮助和正式/非正式支持。访谈采用反身性专题分析进行分析。结果:发展出5个不同但又相互关联的主题:(1)军人心态;(2)污名;(3)害怕后果;(4)获得和意识到支持;(5)协助寻求帮助的人。结论:寻求帮助的决定和体验受到若干障碍和促进因素的影响。提供一种环境,使军人感到愿意并能够获得对自残和自杀行为的支持,可以减轻对他们健康和福祉的影响,并最终挽救生命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'Man up and get on with it': a qualitative exploration of UK ex-serving personnel's experiences of seeking help for self-harm and suicidal behaviours.

Background: A substantial proportion of UK military personnel experiencing mental health problems do not seek professional support. Although the promotion of help-seeking is a key suicide prevention strategy, little is known about help-seeking for self-harm and suicidal behaviours among the UK Armed Forces.Objective: This study aimed to explore UK ex-serving personnel's experiences of seeking help for self-harm, suicidal ideation, and suicide attempts.Method: Participants were recruited via an existing longitudinal cohort study exploring the health and well-being of the UK Armed Forces. A subgroup of ex-serving personnel reporting lifetime self-harm and/or suicidal behaviours was invited to participate in semi-structured interviews and 15 individuals participated, representing help-seekers/non-help-seekers and formal/informal support. Interviews were analysed using reflexive thematic analysis.Results: Five distinct but related and interacting themes were developed: (1) military mindset; (2) stigma; (3) fear of consequences; (4) access to and awareness of support; and (5) facilitators to help-seeking.Conclusions: Help-seeking decisions and experiences were influenced by several barriers and facilitators. Providing an environment where military populations feel willing and able to access support for self-harm and suicidal behaviours could lessen the impact on their health and well-being and ultimately save lives.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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