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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Spirituality and Religion in Youth Suicide Attempters’ Trajectories of Mental Health Service Utilization: The Year before a Suicide Attempt
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Spirituality and Religion in Youth Suicide Attempters’ Trajectories of Mental Health Service Utilization: The Year before a Suicide Attempt

机译：青年自杀未遂者心理卫生服务利用轨迹中的精神与宗教：自杀未遂的前一年

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摘要

Objective Youth suicide attempters are high-risk for suicide. Many have untreated mental disorders and are not receiving services. It is crucial to understand potential influences associated with service use. Spirituality/religion are one influence in youths’ mental health service trajectories. This study explored youths’ experiences of spirituality/religion as it relates to their help-seeking the year before their suicide attempt. Method: Fifteen youth (aged 14–18) who made a suicide attempt(s) one to two years prior were consecutively recruited through the Depressive Disorders Program of a psychiatric hospital and interviewed using a mixed-methods design, including an adapted psychological autopsy method. Results: Three themes emerged: religious community members acted as a bridge, step, or provider to mental health services; religious/spiritual discourses were encountered within services; and many youths reported changes in spirituality/religious beliefs the year before their suicide attempt. Conclusions: Spirituality/religion can have a role in these youths’ service trajectories. How this confers protection or challenges needs to be clarified. Our findings can inform policies supporting training religious leaders about suicide intervention to foster coordination with mental health services, and service-providers in judiciously approaching spiritual/religious themes in suicide prevention.
机译：目的青少年自杀未遂者的自杀风险很高。许多人患有未经治疗的精神障碍，没有得到服务。了解与服务使用相关的潜在影响至关重要。精神/宗教信仰是影响青少年心理健康服务轨迹的因素之一。这项研究探讨了青年人的精神/宗教经历，因为这与他们自杀未遂的前一年寻求帮助有关。方法：通过精神病院的“抑郁症计划”连续招募了15至1至2岁的未成年人（14至18岁），并采用混合方法设计进行了访谈，其中包括适应性心理尸检方法。结果：出现了三个主题：宗教社区成员充当精神卫生服务的桥梁，步骤或提供者;服务中遇到宗教/精神话语;许多年轻人在自杀未遂的前一年报告了他们的精神/宗教信仰发生了变化。结论：精神/宗教可以在这些年轻人的服务轨迹中起作用。需要澄清这如何赋予保护或挑战。我们的发现可以为支持培训宗教领袖的有关自杀干预的政策提供信息，以促进与精神卫生服务的协调，以及服务提供者在预防自杀方面明智地接近精神/宗教主题。

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