加强青少年自杀预防:家庭参与在筛检、干预和预防中的关键作用。

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Matias Gay
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引用次数: 0

摘要

背景:自杀往往源于个人身份和生命叙事的崩溃;然而,传统的风险评估往往忽略了这些更深层次的破坏。叙事认同理论提供了一个视角,将自杀理解为一种自我和意义的危机。目的:本文介绍了一种临床适用的方法,通过三个核心叙述域来评估自杀风险:角色(人是谁),环境(他们来自哪里)和脚本(他们相信他们要去哪里)。方法:利用叙事认同理论和存在主义心理学,指导临床医生识别角色、归属感和未来取向的脱节。基于故事的评估和干预工具被提出,以支持叙事连贯和个人代理的重建。结果:通过人物、环境和剧本绘制叙事中断图,可以早期识别自杀风险,特别是在那些可能不符合传统急性风险阈值的个体中。叙事重新创作干预有助于重建连续性、连贯性和希望。结论:这一叙事框架通过超越症状管理,转向以意义为中心的参与,加强了自杀预防。通过帮助个人重新编织支离破碎的生活故事,临床医生可以更有效地干预自杀的存在性和基于身份的维度。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing youth suicide prevention: The critical role of family involvement in screening, intervention, and postvention.

Background: Suicide often arises from a collapse of personal identity and life narrative; yet, traditional risk assessments frequently overlook these deeper disruptions. Narrative identity theory offers a lens to understand suicidality as a crisis of selfhood and meaning.

Aim: This article introduces a clinically applicable method to assess suicide risk through three core narrative domains: character (who the person is), setting (where they come from), and script (where they believe they are going).

Method: Drawing on narrative identity theory and existential psychology, the proposed approach guides clinicians to identify disconnections in role, belonging, and future orientation. Story-based tools for assessment and intervention are presented to support the reconstruction of narrative coherence and personal agency.

Results: Mapping narrative disruptions across character, setting, and script enables early identification of suicide risk, especially in individuals who may not meet traditional thresholds for acute risk. Narrative reauthoring interventions help reestablish continuity, coherence, and hope.

Conclusion: This narrative framework enhances suicide prevention by moving beyond symptom management toward meaning-centered engagement. By helping individuals reweave fragmented life stories, clinicians can more effectively intervene in the existential and identity-based dimensions of suicidality. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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