"I think I am worth it. I can give up committing suicide": Pathways to recovery for Chinese-Canadian women with a history of suicidal behaviour
"I think I am worth it. I can give up committing suicide": Pathways to recovery for Chinese-Canadian women with a history of suicidal behaviour
复制标题
DOI：
10.1177/1363461518818276
复制
发表时间：
2019-04-01
影响因子：
2.5
通讯作者：
Links, Paul S.
中科院分区：
文献类型：
--
作者：
Zaheer, Juveria;Shera, Wes;Links, Paul S.
这项定性研究探讨了生活在加拿大具有自杀行为史的中国出生妇女的经验和模式。它探讨了许多恢复维度，包括临床，存在，功能，身体和社交。这些妇女描述了短期内从事“生存”恢复，并从长远来看恢复了“繁荣”，生存策略延伸到其复杂道路上恢复的繁荣阶段。生存恢复阶段包括获得具有文化敏感的心理保健以及获得社交和工具支持，以帮助确保安全，管理压力和治疗精神病症状。繁荣的恢复阶段被描述为涉及六个组成部分：与他们的医疗保健提供者一起开发一种解释性模型；进行叙事反思和优先自我保健的过程；参与跨学科护理团队的支持；参与家人和朋友的支持；探索精神和存在的支持；并为未来创造目标和精通感。通过这六种途径，妇女开始体验一种自我效能感和代理感，增强了应对压力和压力的能力，从而使生活意义增强。访谈提供了有关如何改善临床护理以及如何实施更面向恢复的实践方法的见解。
This qualitative study explored the experiences and patterns of recovery of Chinese-born women living in Canada with a history of suicidal behaviour. It explores a number of dimensions of recovery including clinical, existential, functional, physical, and social. The women described engaging in "survival" recovery in the short term and "thriving" recovery in the long term, with survival strategies extending into the thriving phase of recovery during their complex path to it. The survival recovery phase included accessing culturally sensitive mental health care and obtaining social and instrumental support to help ensure safety, manage stress, and treat psychiatric symptoms. The thriving phase of recovery was described as involving six components: developing an explanatory model with their health care provider; undertaking a process of narrative reflection and prioritizing self-care; engaging in interdisciplinary care team support; engaging the support of family and friends; exploring spiritual and existential supports; and creating goals for the future and a sense of mastery. Through these six avenues, the women began to experience a sense of self-efficacy and agency that improved their ability to cope with stress and pressure, leading to building a life with meaning. The interviews provided insights into how clinical care can be improved and how practitioners can implement a more recovery-oriented approach to practice.