Understanding self-harm and suicide websites - A qualitative interview study of young adult website users

Understanding self-harm and suicide websites - A qualitative interview study of young adult website users
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DOI:
10.1027/0227-5910.29.3.118
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发表时间:
2008-01-01
影响因子:
3
通讯作者:
Fortune, Sarah
Fortune, Sarah
中科院分区:
医学3区
文献类型:
--
作者:
Baker, Darren;Fortune, Sarah

文献摘要

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自残和自杀网站受到了文学和广泛媒体的严厉批评,尽管事实上人们对它们知之甚少。到目前为止,还没有研究采访过这些网站的用户。本定性研究旨在探讨从事自我伤害和自杀行为的年轻人的账户,并使用专门针对这些问题的网站,以便对这些网站有更广泛的了解,并确定未来研究的潜在影响。通过电子邮件对10名参与者进行了深度访谈,他们直接从自我伤害和自杀网站上招募。使用话语分析,我们确定了参与者撰写网站的三种主要方式。他们将社区构建为同理心和理解的来源,作为社区,作为应对社会和心理困扰的一种方式。这些话语让用户获得了重要的、有社会价值的身份,比如被理解、属于一个社区以及处理自己的问题。如果卫生专业人员和研究人员希望了解使用自残和自杀网站的人,并让他们参与他们的服务,他们必须采取更平衡的观点,而不是仅仅关注与使用这些网站相关的可能风险。
Self-harm and suicide websites have been heavily criticized both in the literature and the wider media, despite the fact that very little is known about them. To date, no study has interviewed users of these sites about them. This qualitative study aims to explore the accounts of young adults who engage in self-harming and suicidal behaviors and use websites dedicated to these issues, in order to develop a broader understanding of these websites and to identify potential implications for future research. In-depth interviews were conducted via e-mail with 10 participants, who were recruited directly from self-harm and suicide websites. Using discourse analysis, we identified three main ways in which participants wrote about the sites. They constructed them as sources of empathy and understanding, as communities, and as a way of coping with social and psychological distress. These discourses gave users access to important, socially valued identities, such as being understood, belonging to a community and coping with their problems. If health professionals and researchers hope to understand people who use self-harm and suicide websites, and engage them in their services, they must take a more balanced view and not focus solely on the possible risks associated with using such sites.