Taking care of oneself by regaining control - a key to continue living four to five decades after a suicide attempt in severe depression.
Taking care of oneself by regaining control - a key to continue living four to five decades after a suicide attempt in severe depression.
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DOI：
10.1186/s12888-017-1223-4
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发表时间：
2017-02-13
期刊：
影响因子：
4.4
通讯作者：
Brådvik L
中科院分区：
文献类型：
--
作者：
Crona L;Stenmarker M;Öjehagen A;Hallberg U;Brådvik L
抑郁症是自杀和自杀未遂的一个重要危险因素。一些研究已经研究了自杀企图的途径，但很少有研究认为克服自杀的重要方面。本研究的目的是探讨自杀未遂后继续生活的个人策略。定性扎根理论的方法。13名被诊断为严重抑郁症的前住院患者（1956-1969）在他们最后一次自杀企图（发生在21岁至45岁之间）后42-56年参加了随访。他们在2013年6月至2014年1月期间接受了一次半结构化访谈。自杀企图的途径被定义为“被困在压倒性的情况下”。三个类别描述了恢复过程：“在专业护理下”，“在个人情况下体验救济”和“决定继续生活”。这些类别出现在一个核心类别中，称为“通过重新控制来照顾自己”。无论从抑郁症中恢复过来与否，都会出现自杀倾向。在自杀未遂后的长期过程中，恢复的过程是多方面的和波动的，包括适当的治疗，与他人联系，决策和克服存在问题。
Depression is a strong risk factor for suicide and suicide attempt. Several studies have examined the pathway to suicide attempt, but few studies have considered aspects important for overcoming being suicidal. The aim of the present study was to examine personal strategies to continue living after a suicide attempt. A qualitative grounded theory approach was used. Thirteen former inpatients diagnosed with severe depression (1956–1969) participated in a follow-up 42–56 years after their last suicide attempt, which occurred between the ages of 21 and 45. They were interviewed on one occasion between June 2013 and January 2014, using semi-structured interviews. The pathway to a suicide attempt was defined as ‘being trapped in an overwhelming situation’. Three categories described the recovery process: ‘coming under professional care’, ‘experiencing relief in the personal situation', and ‘making a decision to continue living’. These categories emerged in a core category, labelled ‘taking care of oneself by regaining control’. Overcoming being suicidal occurred regardless of recovering from depression. In the very long-term course following a suicide attempt, the process of recovery is multi-dimensional and fluctuating, and includes appropriate treatment, connecting with others, decision making, and overcoming existential issues.
影响因子：
6.3
作者：
Crona L;Brådvik L
通讯作者：
Brådvik L