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首页> 美国卫生研究院文献>PLoS Clinical Trials >Using the internet for suicide-related purposes: Contrasting findings from young people in the community and self-harm patients admitted to hospital
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Using the internet for suicide-related purposes: Contrasting findings from young people in the community and self-harm patients admitted to hospital

机译：使用互联网实现与自杀有关的目的：社区年轻人和住院的自残患者的调查结果对比

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Despite accelerating interest in the impact of the internet on suicidal behaviour, empirical work has not captured detailed narratives from those who engaged in suicide-related internet use. This study explored the suicide-related online behaviour of two contrasting samples of distressed users, focusing on their purpose, methods and the main content viewed. In-depth interviews were conducted in the UK between 2014–2016 with i) young people in the community; and ii) self-harm patients presenting to hospital emergency departments. Data were analysed using methods of constant comparison. Suicide-related internet use varied according to the severity of suicidal feelings. In the young people sample, where severity was lower, use was characterised by disorganised browsing without clear purpose. A range of content was ‘stumbled upon’ including information about suicide methods. They also pursued opportunities to interact with others and explore online help. Self-harm patients were a higher severity group with a history of suicidal behaviour. Their use was purposeful and strategic, focused around ‘researching’ suicide methods to maximise effectiveness. They made specific choices about content viewed; many consulting factual content in preference to user generated accounts, while help content and communication was avoided. Findings indicate further action is necessary to improve online safety. Also, novel online help approaches are needed to engage individuals experiencing suicidal crisis. Awareness of the nature of suicide-related internet use and how this may reflect the status of an individual’s suicidal thinking could be beneficial to clinicians to promote safety and indicate risk.
机译：尽管人们越来越关注互联网对自杀行为的影响，但是实证研究并未从那些从事自杀相关互联网使用的人那里获得详尽的叙述。这项研究探讨了两个受苦用户对比样本的自杀相关在线行为，重点是他们的目的，方法和主要内容。 2014年至2016年间在英国进行了深度访谈，内容包括：i）社区中的年轻人； ii）自伤患者到医院急诊科就诊。使用恒定比较的方法分析数据。与自杀相关的互联网使用因自杀感受的严重程度而异。在严重程度较低的年轻人样本中，使用的特点是浏览混乱，没有明确的目的。 “偶然发现”了一系列内容，包括有关自杀方法的信息。他们还寻求与他人互动和探索在线帮助的机会。自残患者是具有自杀行为史的高危人群。他们的使用是有目的且具有战略意义的，侧重于“研究”自杀方法以最大化有效性。他们对观看的内容做出了具体选择；许多咨询事实性内容优先于用户生成的帐户，而避免了帮助内容和沟通。调查结果表明，必须采取进一步的措施来提高在线安全性。而且，需要新颖的在线帮助方法来吸引经历自杀危机的个人。意识到与自杀有关的互联网使用的性质以及这如何反映个人自杀想法的状况，可能有助于临床医生提高安全性并指出风险。

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