Teen Suicide Attempt: The Subjective Experience of the Family

Szmulewicz T, E. O, M. S., Maino M de la P, Moya C, Zuloaga F, Morales C
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Abstract

This study aimed to understand the impact of a teenage child’s suicide attempt at a family level, based on the subjective experience of the family as a whole. A qualitative study based on an hour and a half interview with the entire family was performed within two weeks of the suicide attempt. Ten adolescents hospitalized in a psychiatric unit of a Health Service of the Metropolitan Region, in Chile, and their families, were interviewed. The interviews were recorded, transcribed and analyzed using the Grounded Theory methodology. Three major categories emerge from the analysis: Process Vision, Family Dynamics and Hospitalization Experience. Families perceive a before and after of the suicide attempt in the subsequent evolution of the family system. Changes occur in the way they ‘read’ the experiences and signs prior to the suicide attempt, in the understanding of what happened, and in the transformations of the relational dynamics as a consequence. Family resilience will depend on their history and how they have learned to cope with difficulties. Although one of the most recurrent reports regarding the suicide attempt refers to the traumatic component that it had in all the family members, they also state that this event has meant great learning as a family and an opportunity to grow, to get to know each other better and help each other. The benefits for the family of having a safe space to talk about how they feel and elaborate on what happened, without fear of being judged, has been highlighted. This enhance the need to incorporate the family as a whole when we think about an adolescent suicide attempt, both in understanding the phenomenon and in intervention and treatment.
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青少年自杀倾向:家庭的主观体验
本研究旨在了解青少年自杀企图在家庭层面的影响,基于整个家庭的主观经验。在自杀未遂的两周内,对整个家庭进行了一个半小时的访谈,并进行了定性研究。对智利首都地区卫生服务中心精神病科住院的10名青少年及其家人进行了访谈。访谈记录,转录和分析使用扎根理论的方法。分析中出现了三个主要类别:过程愿景、家庭动态和住院经验。在随后的家庭制度演变中,家庭感知到自杀企图的前后。改变发生在他们“阅读”自杀企图之前的经历和迹象的方式上,发生在对发生的事情的理解上,以及作为结果的关系动态的转变上。家庭的恢复力将取决于他们的历史以及他们如何学会应对困难。虽然关于自杀企图的最常见的报道之一是所有家庭成员都有创伤性的成分,但他们也指出,这一事件意味着作为一个家庭的伟大学习和成长的机会,更好地了解彼此,互相帮助。有一个安全的空间来谈论他们的感受和详细说明所发生的事情,而不用担心被评判,这对家庭的好处得到了强调。当我们考虑青少年自杀企图时,无论是在理解这一现象,还是在干预和治疗方面,这都加强了将家庭作为一个整体的必要性。
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