自杀研究的障碍也是自杀预防的障碍:在肿瘤学中进行混合方法项目的见解

IF 2.6 Q1 PSYCHIATRY
Judith Hirschmiller , Tamara Schwinn , Jörg Wiltink , Manfred E. Beutel , Rüdiger Zwerenz , Elmar Brähler , Mareike Ernst
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引用次数: 0

摘要

癌症患者有自杀的危险。有必要对具体的风险/保护因素进行更多的研究,并了解临床实践中预防工作的障碍和资源。这篇文章报告了在通过患者调查和对医疗保健专业人员(HCPs)的访谈研究等方法解决这些研究差距的研究项目实现过程中的困难。在整个招聘和实施过程中,我们记录了遇到的障碍并系统地分析了它们。我们确定了研究努力的三个主要障碍类别,这些障碍也对自杀预防的有效性有意义:首先,自杀的想法和行为在肿瘤学中不(允许)成为一个问题,包括否认它们的发生,最小化它们的相关性,所谓的肿瘤结构的适当性,以及拒绝承担责任;第二,流行的自杀迷思,特别是医源性伤害;第三,强烈的负面情绪反应会破坏对话。我们解释这些经验,反对以前的考虑失调反应自杀患者在医疗环境和分析其原因和功能。这些发现强调了在医学领域,特别是肿瘤学领域,对自杀预防进行结构化教育的迫切需要。解决医务人员之间的知识差距和情感障碍对于促进采取主动的、以证据为基础的自杀预防方法至关重要。未来的努力应该集中在将自杀风险评估和干预策略整合到常规癌症治疗中,同时改善跨学科合作和机构支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers to suicide research are also barriers to suicide prevention:Insights from conducting a mixed-methods project in oncology
Cancer patients are at risk for suicidal crises. There is a need for more research concerning specific risk/protective factors and knowledge about barriers and resources of prevention efforts in clinical practice. This contribution reports on difficulties during the realization of a research project that aimed to address these research gaps, among other approaches, via a patient survey and an interview study with healthcare professionals (HCPs). Throughout recruitment and implementation, we documented the barriers encountered and systematically analyzed them.
We identified three main categories of obstacles toward the research endeavor that also hold meaning for the efficacy of suicide prevention: First, suicidal thoughts and behaviors are not (allowed to be) an issue in oncology, subsuming the denial of their occurrence, the minimization of their relevance, the alleged appropriateness of the construct to oncology, and the rejection of responsibility; second, prevailing suicide myths, in particular of iatrogenic harm; and third, strong, negative emotional reactions undermining dialogue.
We interpret these experiences against previous considerations of dysregulated responses to suicidal patients in the healthcare setting and analyze their causes and functions. These findings highlight the urgent need for structured education on suicide prevention across medical disciplines, particularly in oncology. Addressing both knowledge gaps and emotional barriers among HCPs is crucial for fostering a proactive, evidence-based approach to suicide prevention. Future efforts should focus on integrating suicide risk assessment and intervention strategies into routine cancer care, alongside improved interdisciplinary collaboration and institutional support.
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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
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审稿时长
118 days
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