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首页> 美国卫生研究院文献>World Psychiatry >Suicidal process suicidal communication and psychosocial situation of young suicide attempters in a rural Vietnamese community
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Suicidal process suicidal communication and psychosocial situation of young suicide attempters in a rural Vietnamese community

机译：越南农村社区年轻自杀未遂者的自杀过程自杀交流和社会心理状况

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The study aimed to explore the suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural community in Hanoi, Vietnam. Semi-structured interviews were conducted, in a community setting, with 19 suicide attempters aged 15-24 who had been consecutively hospitalized in an intensive care unit. In 12 of 19 cases, the first pressing, distinct and constant suicidal thoughts appeared less than one day before the suicide attempt in question. However, distress and mild, fleeting suicidal thoughts had been present up to six months before the suicide attempt in 16 cases. Five respondents had a suicide plan one to three days before attempting suicide. Altogether, 13 engaged in some form of suicidal communication before their attempt. This communication was, however, difficult for outsiders to interpret. Twelve of the respondents were victims of regular physical abuse and 16 had suffered psychological violence for at least one year before attempting suicide. Eighteen of the respondents used pesticides or raticides in their suicide attempts. None sought advice or consultation in the community despite long-standing psychosocial problems. The strategy of reducing the availability of suicide means (e.g., pesticides or raticides) in Asian countries should be complemented with a long-term suicide-preventive strategy that targets school dropouts and domestic violence, and promotes coping abilities and communication about psychological and social problems as well as recognition of signs of distress and suicidal communication.
机译：该研究旨在探讨越南河内农村社区中未遂自杀未遂者的自杀过程，自杀交流和心理社会状况。在社区中对19名15-24岁的自杀未遂者进行了半结构式访谈，这些自杀者已在重症监护病房连续住院。在19个案例中的12个案例中，最紧迫，独特而持续的自杀念头出现在所涉自杀未遂发生的一天之前。但是，在16起自杀未遂事件发生之前的六个月，一直存在困扰和轻度，短暂的自杀念头。五名受访者在自杀前一到三天制定了自杀计划。在他们尝试之前，共有13个人进行了某种形式的自杀式交流。但是，这种交流很难被外界理解。十二名受访者是经常性虐待的受害者，十六名在自杀前遭受了至少一年的心理暴力。 18名受访者在自杀尝试中使用了杀虫剂或杀鼠剂。尽管存在长期的社会心理问题，但没有人寻求社区的意见或咨询。在亚洲国家，减少自杀手段（例如杀虫剂或杀螨剂）供应的战略应辅之以旨在防止辍学和家庭暴力的长期预防自杀战略，并提高应对能力和就心理和社会问题的沟通以及识别遇险和自杀交流的迹象。

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