Characterizing suicide-related self-disclosure by peer specialists: a qualitative analysis of audio-recorded sessions.
Characterizing suicide-related self-disclosure by peer specialists: a qualitative analysis of audio-recorded sessions.
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DOI：
10.1080/18387357.2021.2010585
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发表时间：
2022
影响因子：
1.4
通讯作者：
Pfeiffer, Paul N.
中科院分区：
文献类型：
--
作者：
Klim, Casimir;Vitous, C. Ann;Keller-Cohen, Deborah;Vega, Eduardo;Forman, Jane;Lapidos, Adrienne;Abraham, Kristen M.;Pfeiffer, Paul N.
我们的特点是同伴支持专家的自我披露有关自杀和收件人的反应，为高风险的个人，可能包括同伴支持通知服务。我们使用了归纳法和主题分析，以确定主题的录音之间的同伴支持专家培训的自杀相关的自我披露和10名研究参与者谁被收治到住院精神科单位与自杀意念或自杀企图的初始会议。第一个主题是“我曾经有过自杀倾向，但这些细节并不重要”，这反映了同龄人在介绍中简短地提到了他们历史中与自杀有关的方面，而参与者并没有对这些方面做出具体回应。第二个主题，“自杀是我面临的挑战之一”，反映了同行专家和参与者的反应更详细的披露，自杀是所讨论的心理健康挑战和生活压力的一部分，而不是重点。第三个主题“让我们专注于我的康复和我学到的东西”反映了同龄人引导他们的自我披露远离自杀，并对他们的康复有所帮助。同行专家的介绍或整体康复叙述中嵌入的与自杀相关的自我披露传达了一种共同的经历，同时将对话重点放在自杀以外的心理健康挑战上。
We characterized peer support specialists’ self-disclosures related to suicide and recipient responses to inform services for high-risk individuals that may include peer support. We used an inductive approach and thematic analysis to identify themes from audio recordings of initial sessions between peer support specialists trained in suicide-related self-disclosure and 10 study participants who were admitted to inpatient psychiatry units with suicidal ideation or a suicide attempt. The first theme, “I’ve been suicidal, but those details are not important”, reflects that peers mentioned suicide-related aspects of their histories briefly, often as part of introductions, without participants responding specifically to those aspects. The second theme, “Being suicidal is one of the challenges I’ve faced”, reflects that in more detailed disclosures by peer specialists and in participant responses, suicide is a part of the mental health challenges and life stressors discussed, not the focus. The third theme “Let’s focus on my recovery and what I’ve learned” reflects that peers steered their self-disclosures away from suicide and towards what was helpful in their recovery. Suicide-related self-disclosures embedded within peer specialists’ introduction or overall recovery narrative convey a shared experience while focusing conversation on mental health challenges other than suicide.
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