Sociocultural perspectives on suicidal behaviour at the Coast Region of Kenya: an exploratory qualitative study.
Sociocultural perspectives on suicidal behaviour at the Coast Region of Kenya: an exploratory qualitative study.
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DOI：
10.1136/bmjopen-2021-056640
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发表时间：
2022-04-06
期刊：
影响因子：
2.9
通讯作者：
Tijdink J
中科院分区：
文献类型：
--
作者：
Ongeri L;Nyawira M;Kariuki SM;Theuri C;Bitta M;Penninx B;Newton CR;Tijdink J
探索感知的社会文化因素，可能会影响来自肯尼亚沿海地区的主要信息提供者的自杀倾向。我们采用了探索性定性研究设计。肯尼亚沿海的蒙巴萨和基利菲县。25名主要知情人，包括社区领袖、专业人士和直接或间接受自杀影响的社区成员。我们对有目的地选择的关键信息提供者进行了深入访谈，以收集有关自杀的社会文化观点的数据。专题分析是利用归纳和演绎过程来确定关键专题。通过对25个深度访谈的归纳性内容分析，确定了四个关键主题，它们对于理解与自杀有关的文化观点非常重要：（1）自杀行为的耻辱，自杀受害者被认为是软弱或疯狂的，自杀行为是邪恶和非法的;（2）将超自然的因果关系归因于自杀，例如，由于巫术或遗传诅咒;（3）获得护理的途径错综复杂，具体而言，延迟获得生物医学护理和偏好非正式治疗师;（4）性别和年龄差异影响自杀动机、自杀方法和自杀寻求护理行为。这项研究提供了一个深入了解的文化因素归因于自杀在这个农村社区，可能会产生耻辱，歧视和精神卫生保健在这个社区的穷人。我们建议采取多管齐下和多层次的自杀预防干预措施，旨在改变污名化的态度，信仰和行为，并改善社区精神卫生保健的可及性。
To explore perceived sociocultural factors that may influence suicidality from key informants residing in coastal Kenya. We used an exploratory qualitative study design. Mombasa and Kilifi Counties of Coastal Kenya. 25 key informants including community leaders, professionals and community members directly and indirectly affected by suicidality. We conducted in-depth interviews with purposively selected key informants to collect data on sociocultural perspectives of suicide. Thematic analysis was used to identify key themes using both inductive and deductive processes. Four key themes were identified from the inductive content analysis of 25 in-depth interviews as being important for understanding cultural perspectives related to suicidality: (1) the stigma of suicidal behaviour, with suicidal victims perceived as weak or crazy, and suicidal act as evil and illegal; (2) the attribution of supernatural causality to suicide, for example, due to sorcery or inherited curses; (3) the convoluted pathway to care, specifically, delayed access to biomedical care and preference for informal healers; and (4) gender and age differences influencing suicide motivation, method of suicide and care seeking behaviour for suicidality. This study provides an in depth understanding of cultural factors attributed to suicide in this rural community that may engender stigma, discrimination and poor access to mental healthcare in this community. We recommend multipronged and multilevel suicide prevention interventions targeted at changing stigmatising attitudes, beliefs and behaviours, and improving access to mental healthcare in the community.
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