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Gender differences in use of suicide crisis hotlines: a scoping review of current literature 使用自杀危机热线的性别差异:当前文献的范围综述
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-23 DOI: 10.1108/jpmh-10-2021-0136
L. Krishnamurti, Lindsey L. Monteith, Ian McCoy, M. Dichter
PurposeLittle is known about the gender profile of callers to crisis hotlines, despite distinct gender differences in suicide risk and behavior. The authors assessed current knowledge of the role of caller gender in the use of crisis hotlines for suicide, specifically whether there are differences in frequency, reason for call and caller outcomes by gender.Design/methodology/approachThe authors conducted a scoping literature review of peer-reviewed studies published since 2000 in Medline, PubMed and PsychInfo, examining a total of 18 articles based on 16 studies.FindingsOverall, women represent a higher percentage of calls to crisis hotlines worldwide, despite men having higher rates of suicide. Primary reasons for calling hotlines were the same for men and women, regardless of geography or culture. When gender differences in reason for call were reported, they were consistent with literature documenting gender differences in the prevalence of risk factors for suicide, including higher rates of substance use among men and higher instances of domestic violence/abuse among women.Research limitations/implicationsThere was variability in the studies the authors examined. This review was limited to research on crisis telephone hotlines and did not include text or chat services. Due to data reporting, the findings are constrained to reporting on a male/female gender binary.Originality/valueFindings on gender differences in crisis line use suggest a need for continued research in this area to determine how to best meet the needs of callers of all genders.
目的尽管自杀风险和行为存在明显的性别差异,但人们对拨打危机热线的人的性别状况知之甚少。作者评估了目前对来电者性别在使用自杀危机热线中的作用的了解,特别是在频率、来电原因和来电结果方面是否存在性别差异。设计/方法/方法作者对自2000年以来发表在Medline、PubMed和PsychInfo上的同行评审研究进行了范围界定文献综述,基于16项研究共审查了18篇文章。调查结果总体而言,尽管男性自杀率较高,但女性在全球危机热线电话中所占比例较高。拨打热线的主要原因对男性和女性来说是一样的,无论地理或文化如何。当报告呼叫原因的性别差异时,这些差异与记录自杀风险因素流行率的性别差异的文献一致,包括男性药物使用率较高和女性家庭暴力/虐待事件较多。研究局限性/含义作者检查的研究存在可变性。这项审查仅限于对危机电话热线的研究,不包括短信或聊天服务。由于数据报告,调查结果仅限于报告男性/女性二元性别。独创性/价值关于危机热线使用中的性别差异的调查结果表明,需要在这一领域继续进行研究,以确定如何最好地满足所有性别来电者的需求。
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引用次数: 2
Content analysis of reports of student suicide deaths in South African print medium newspapers 南非纸媒报纸上学生自杀死亡报道的内容分析
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-08 DOI: 10.1108/jpmh-10-2021-0129
Lieketseng Ned, W. Chinyamurindi, J. Bantjes
PurposeThe aim was to assess the quality of newspaper reporting of university student suicides in South Africa, using the World Health Organisation guidelines. Suicide among university students is a growing public health problem. The media has an important role to play in preventing student suicides by adhering to international best practice guidelines on ethical reporting of suicides.Design/methodology/approachThis study conducted a content analysis of print medium newspaper articles in the 13 most widely read English language South African newspapers from the period of January 2017 to January 2020.FindingsThe initial search yielded a total of 28 news reports, of which 19 met this study’s inclusion criteria and were analysed using content analysis. The quality of reporting showed both potentially harmful and helpful characteristics. Poor adherence to international reporting guidelines were found in the description of method and location of suicide, sensational headlines, publishing photos of the deceased, linking suicide to criminality, simplistic narration of the life events leading to the suicide and use of sensational and potentially triggering language. No reports adhered to all reporting guidelines. Findings suggests that there are widespread potentially unhelpful practices in the reporting of student suicides and a need for suicide prevention experts to work with journalists to promote critical reflexivity and ethical reasoning when writing about student suicides.Research limitations/implicationsThis study only included news reports published in English in the most widely read newspapers.Originality/valueTo the best of the authors’ knowledge, this is the first study of its kind to systematically examine media reporting on suicide in South Africa.
目的:利用世界卫生组织的指导方针,评估南非报纸对大学生自杀事件的报道质量。大学生自杀是一个日益严重的公共卫生问题。媒体在防止学生自杀方面可发挥重要作用,应遵守有关道德报道自杀的国际最佳做法准则。设计/方法/方法本研究对2017年1月至2020年1月期间南非13家最广泛阅读的英语报纸上的印刷媒体报纸文章进行了内容分析。最初的搜索总共产生了28篇新闻报道,其中19篇符合本研究的纳入标准,并使用内容分析进行分析。报告的质量既显示出潜在的有害特征,也显示出有益特征。在描述自杀的方法和地点、耸人听闻的标题、发布死者的照片、将自杀与犯罪联系起来、对导致自杀的生活事件的简单叙述以及使用耸人听闻和可能引发自杀的语言等方面,都发现了对国际报道准则的不遵守。没有报告符合所有报告准则。研究结果表明,在报道学生自杀事件时,普遍存在潜在的无益做法,因此需要自杀预防专家与记者合作,在报道学生自杀事件时促进批判性反思和道德推理。研究的局限性/意义本研究仅包括在最广泛阅读的报纸上用英语发表的新闻报道。原创性/价值据作者所知,这是第一次系统地研究南非媒体对自杀的报道。
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引用次数: 1
Structural indicators of suicide: an exploration of state-level risk factors among Black and White people in the United States, 2015-2019. 自杀的结构指标:2015-2019年美国黑人和白人州级风险因素的探索。
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-02-10 Epub Date: 2022-01-05 DOI: 10.1108/jpmh-09-2021-0111
Ryan A Robertson, Corbin J Standley, John F Gunn, Ijeoma Opara

Purpose –: Death by suicide among Black people in the USA have increased by 35.6% within the past decade. Among youth under the age of 24 years old, death by suicide among Black youth have risen substantially. Researchers have found that structural inequities (e.g. educational attainment) and state-specific variables (e.g. minimum wage, incarceration rates) may increase risk for suicide among Black people compared to White people in the USA. Given the limited understanding of how such factors systematically affect Black and White communities differently, this paper aims to examine these relationships across US states using publicly available data from 2015 to 2019.

Design/methodology/approach –: Data were aggregated from various national sources including the National Center for Education Statistics, the Department of Labor, the FBI's Crime in the US Reports and the Census Bureau. Four generalized estimating equations (GEE) models were used to examine the impact of state-level variables on suicide rates: Black adults suicide rate, Black youth (24 years and younger) suicide rate, White adult suicide rate and White youth suicide rate. Each model includes state-level hate group rates, minimum wage, violent crime rates, gross vacancy rates, and race-specific state-level poverty rates, incarceration rates and graduation rates.

Findings –: Across all GEE models, suicide rates rose between 2015-2019 (ß = 1.11 - 2.78; ß = 0.91 - 1.82; ß = 0.52 - 3.09; ß = 0.16 - 1.53). For the Black adult suicide rate, state rates increased as the proportion of Black incarceration rose (ß = 1.14) but fell as the gross housing vacancy rates increased (ß = -1.52). Among Black youth, state suicide rates rose as Black incarcerations increased (ß = 0.93). For the adult White suicide rate, state rates increased as White incarceration (ß = 1.05) and percent uninsured increased (ß = 1.83), but fell as White graduation rates increased (ß = -2.36). Finally, among White youth, state suicide rates increased as the White incarceration rate rose (ß = 0.55) and as the violent crime rate rose (ß = 0.55) but decreased as state minimum wages (ß = -0.61), White poverty rates (ß = -0.40) and graduation rates increased (ß = -0.97).

Originality/value –: This work underscores how structural factors are associated with suicide rates, and how such factors differentially impact White and Black communities.

目的:在过去十年中,美国黑人自杀死亡人数增加了35.6%。在24岁以下的青年中,黑人青年自杀死亡人数大幅上升。研究人员发现,与美国白人相比,结构性不平等(如教育程度)和特定州的变量(如最低工资、监禁率)可能会增加黑人自杀的风险。鉴于对这些因素如何系统地对黑人和白人社区产生不同影响的了解有限,本文旨在使用2015年至2019年的公开数据来研究美国各州之间的这些关系。设计/方法/途径:数据来自各种国家来源,包括国家教育统计中心、劳工部、联邦调查局的《美国犯罪报告》和人口普查局。使用四个广义估计方程(GEE)模型来检验州级变量对自杀率的影响:黑人成年人自杀率、黑人青年(24岁及以下)自杀率、白人成年人自杀率和白人青年自杀率。每种模型都包括州级仇恨群体比率、最低工资、暴力犯罪率、总空缺率以及特定种族的州级贫困率、监禁率和毕业率。研究结果-:在所有GEE模型中,自杀率在2015-2019年间都有所上升(ß=1.11-2.78;ß;=0.91-1.82;𶟷=0.52-3.09;坙=0.16-1.53)。就黑人成年自杀率而言,州自杀率随着黑人监禁比例的上升而上升(蟉=1.14),但随着住房空置率的上升而下降(22361=-1.52)。在黑人青年中,州自杀率随着黑人监禁人数的增加而上升(ß=0.93)。就成年白人自杀率而言,州自杀率随白人监禁人数的上升而上升(223;=1.05),未参保率也随白人毕业率的上升而下降(土=-2.36)。最后,在白人青年中,州自杀率随着白人监禁率的上升而上升(ß=0.55),随着暴力犯罪率的上升(ł=0.55;),但随着州最低工资(土=-0.61)、白人贫困率(坶=0.40)和毕业率(Ú=0.97)的上升而下降,以及这些因素如何对白人和黑人社区产生不同的影响。
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引用次数: 0
Burden and benefits-related suicides: “misperception” or state crafted reality? 与负担和福利相关的自杀:“误解”还是国家制造的现实?
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-18 DOI: 10.1108/jpmh-09-2021-0124
C. Mills
Purpose This article aims to focus on deaths by suicide in relation to UK welfare reform as a case study to question one of suicidology’s most dominant theories – the Interpersonal Theory of Suicide (Joiner, 2005) and its influential ideas on “perceived burdensomeness” – as well as wider ideologies on suicide and mental health reflected in this approach. Design/methodology/approach This article draws on evidence from disabled people’s campaigning groups (primary sources) and research literature (secondary sources), which shows the negative psychological impact of burden discourse and how this shows up in people’s accounts of feeling suicidal, in suicide notes and in family accounts of those who have died by suicide. It uses this evidence to problematise the Interpersonal Theory of Suicide (Joiner, 2005), specifically its ideas about “burden” as an individual misperception, and the assumption that suicide is always the outcome of mental health problems. Findings The findings highlight the systemic, intersectional and cumulative production of suicidality by governmental “welfare reform” in the UK, through positioning welfare claimants as “burdens” on society. They show that by locating the problem of burdensomeness in individual “misperceptions”, the Interpersonal Theory allows the government’s role in crafting stigmatisation and conditions of suicidality to be overlooked and to be reproduced. Originality/value The article raises urgent ethical questions about the application of approaches, such as the Interpersonal Theory of Suicide, to benefits-related suicides and calls for approaches to benefits-related harm and suicide to be rooted in social and disability justice.
目的本文旨在关注自杀死亡与英国福利改革的关系,作为一个案例研究,以质疑自杀学最主流的理论之一——自杀的人际理论(Joiner,2005)及其对“感知负担”的影响思想,以及这种方法中反映的更广泛的自杀和心理健康意识形态。设计/方法/方法本文借鉴了残疾人竞选团体(主要来源)和研究文献(次要来源)的证据,这些证据显示了负担话语的负面心理影响,以及这种影响如何表现在人们对自杀倾向的描述、遗书和自杀者的家庭描述中。它利用这些证据来质疑自杀的人际理论(Joiner,2005),特别是其关于“负担”作为个人误解的观点,以及自杀始终是心理健康问题的结果的假设。调查结果通过将福利申请人定位为社会的“负担”,突出了英国政府“福利改革”导致自杀的系统性、交叉性和累积性。他们表明,通过定位个人“误解”中的负担问题,人际理论允许政府在制造污名化和自杀条件方面的作用被忽视并被复制。原创性/价值这篇文章提出了关于将自杀的人际理论等方法应用于福利相关自杀的紧迫伦理问题,并呼吁将福利相关伤害和自杀的方法植根于社会和残疾正义。
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引用次数: 3
Self-inflicted. Deliberate. Death-intentioned. A critical policy analysis of UK suicide prevention policies 2009-2019 自己造成的。经过深思熟虑的。Death-intentioned。2009-2019年英国自杀预防政策的关键政策分析
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-17 DOI: 10.1108/jpmh-09-2021-0113
Hazel Marzetti, A. Oaten, A. Chandler, Ana Jordan
PurposeWith encouragement from the World Health Organisation, national suicide prevention policies have come to be regarded as an essential component of the global effort to reduce suicide. However, despite their global significance, the construction, conceptualisation and proposed provisions offered in suicide prevention policies have, to date, been under researched; this study aims to address this gap.Design/methodology/approachwe critically analysed eight contemporary UK suicide prevention policy documents in use in all four nations of the UK between 2009 and 2019, using Bacchi and Goodwin’s post-structural critical policy analysis.FindingsThe authors argue that across this sample of suicide prevention policies, suicide is constructed as self-inflicted, deliberate and death-intentioned. Consequently, these supposedly neutral definitions of suicide have some significant and problematic effects, often individualising, pathologising and depoliticising suicide in ways that dislocate suicides from the emotional worlds in which they occur. Accordingly, although suicide prevention policies have the potential to think beyond the boundaries of clinical practice, and consider suicide prevention more holistically, the policies in this sample take a relatively narrow focus, often reducing suicide to a single momentary act and centring death prevention at the expense of considering ways to make individual lives more liveable.Originality/valueUK suicide prevention policies have not been subject to critical analysis; to the best of the authors’ knowledge, this study represents the first attempt to examine the way in which suicide is constructed in UK suicide prevention policy documents.
在世界卫生组织的鼓励下,国家自杀预防政策已被视为全球减少自杀努力的重要组成部分。然而,尽管具有全球意义,迄今为止,自杀预防政策的构建,概念化和拟议条款一直在研究中;本研究旨在解决这一差距。设计/方法/方法我们使用Bacchi和Goodwin的后结构批判政策分析,批判性地分析了2009年至2019年期间英国所有四个国家使用的八项当代英国自杀预防政策文件。研究结果作者认为,在这些自杀预防政策的样本中,自杀被构建为自我造成的、故意的和有死亡意图的。因此,这些所谓的自杀中立定义产生了一些重大而有问题的影响,通常是个体化、病态化和非政治化的自杀,使自杀与发生自杀的情感世界脱节。因此,尽管自杀预防政策有可能超越临床实践的界限,更全面地考虑自杀预防,但本样本中的政策所关注的范围相对狭窄,往往将自杀减少到单一的瞬间行为,并以考虑使个人生活更宜居的方法为代价,将死亡预防作为中心。独创性/价值英国自杀预防政策没有受到批判性分析;据作者所知,这项研究代表了第一次尝试检验自杀在英国自杀预防政策文件中被构建的方式。
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引用次数: 4
Suicide as a medical education curricular topic: a documentary analysis of Brazilian federal medical schools 自杀作为医学教育课程主题:巴西联邦医学院的文献分析
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-12 DOI: 10.1108/jpmh-07-2021-0087
Thiago Aguiar Jesuino, Mariana Camelier-Mascarenhas, Thaiane Santos Ferreira, Júlia Barreto de Farias, Leticia de Oliveira Lima, Ivete Maria Santos Oliveira
PurposePhysicians worldwide need to be able to identify and assess suicide risk or behavior in their consults. The proper training of medical staff is an important form of suicide prevention, especially because 80% of the patients who died by suicide were in contact with a health-care service in the year of their death. The purpose of this study is to verify if some of the most important Brazilian medical schools includes discussions regarding suicide in their curricula, and describe them.Design/methodology/approachThe study performed a documentary analysis of all Brazilian federal higher education institutions. The analysis involved selecting the institutions that approached the topic of suicide in their curricula, and sorting it by keywords. The curricula that contained such keywords were then entirely read, analyzed and all components found were described regarding course period, workload and approach.FindingsWithin the 68 analyzed institutions, 19 (28%) included suicide in their curricula with a total of 31 components approaching suicide among them. Those components belonged to different stages of the course and had different workloads and approaches. A total of seven different approaches were identified: Clinical (54.8%); Emergency (16.1%); Medical Psychology (9.7%); Ethics (6.5%); Social (6.5%); Occupational (3.2%) and Forensic (3.2%).Originality/valueTo the best of the authors’ knowledge, the study is the first to address medical education regarding suicide in a large number of Brazilian institutions. It is also one of the few studies worldwide to quantify suicide discussion on a large number of institutions using documentary analysis.
目的全世界的医生都需要能够在他们的咨询中识别和评估自杀风险或行为。对医务人员进行适当培训是预防自杀的一种重要形式,特别是因为80%的自杀死亡患者在死亡当年曾与保健服务机构接触。本研究的目的是验证一些最重要的巴西医学院是否在其课程中包括关于自杀的讨论,并对其进行描述。本研究对巴西所有联邦高等教育机构进行了文献分析。分析包括选择在课程中涉及自杀主题的机构,并按关键词进行分类。然后,对包含这些关键词的课程进行全面阅读和分析,并对发现的所有组成部分进行描述,包括课程期限、工作量和方法。在68所被分析的院校中,有19所(28%)将自杀纳入其课程,其中共有31个组成部分与自杀有关。这些组成部分属于课程的不同阶段,具有不同的工作量和方法。共确定了7种不同的途径:临床(54.8%);紧急(16.1%);医学心理学(9.7%);道德(6.5%);社会(6.5%);职业(3.2%)和法医(3.2%)。原创性/价值据作者所知,这项研究是第一个解决巴西大量机构中有关自杀的医学教育问题的研究。这也是世界上为数不多的使用文献分析量化大量机构自杀讨论的研究之一。
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引用次数: 0
Correlates of disclosure of non-suicidal self-injury amongst Australian university students 澳大利亚大学生非自杀性自伤行为披露的相关因素
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-11 DOI: 10.1108/jpmh-07-2021-0089
Sylvanna Mirichlis, P. Hasking, Stephen P. Lewis, M. Boyes
PurposeNon-suicidal self-injury (NSSI) is associated with psychological disorders and suicidal thoughts and behaviours; disclosure of NSSI can serve as a catalyst for help-seeking and self-advocacy amongst people who have self-injured. This study aims to identify the socio-demographic, NSSI-related, socio-cognitive and socio-emotional correlates of NSSI disclosure. Given elevated rates of NSSI amongst university students, this study aimed to investigate these factors amongst this population.Design/methodology/approachAustralian university students (n = 573) completed online surveys; 80.2% had previously disclosed self-injury.FindingsNSSI disclosure was associated with having a mental illness diagnosis, intrapersonal NSSI functions, specifically marking distress and anti-dissociation, having physical scars from NSSI, greater perceived impact of NSSI, less expectation that NSSI would result in communication and greater social support from friends and significant others.Originality/valueExpanding on previous works in the area, this study incorporated cognitions about NSSI. The ways in which individuals think about the noticeability and impact of their NSSI, and the potential to gain support, are associated with the decision to disclose self-injury. Addressing the way individuals with lived experience consolidate these considerations could facilitate their agency in whether to disclose their NSSI and highlight considerations for health-care professionals working with clients who have lived experience of NSSI.
目的非自杀性自伤(NSSI)与心理障碍、自杀念头和行为有关;NSSI的披露可以成为自伤者寻求帮助和自我宣传的催化剂。本研究旨在确定NSSI披露的社会人口学、NSSI相关、社会认知和社会情感相关性。鉴于大学生中NSSI的发病率较高,本研究旨在调查这一人群中的这些因素。设计/方法/方法澳大利亚大学生(n=573)完成了在线调查;80.2%的人之前曾披露过自我不愉快。发现NSSI披露与精神疾病诊断、个人NSSI功能(特别是标记痛苦和反分离)、NSSI造成的身体创伤、NSSI的感知影响更大、对NSSI会导致沟通的期望更低以及朋友和重要他人的社会支持更大有关。原创性/价值本研究在该领域先前工作的基础上,结合了对NSSI的认识。个人思考NSSI的可察觉性和影响,以及获得支持的可能性的方式,与披露自伤的决定有关。解决有生活经验的个人如何整合这些考虑因素,可以促进他们的机构是否披露他们的NSSI,并强调与有NSSI生活经验的客户合作的医疗保健专业人员的考虑因素。
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引用次数: 2
Dying at work. Work-related suicide – how does the UK regulatory context measure up? 死于工作。与工作有关的自杀——英国的监管环境如何衡量?
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-11 DOI: 10.1108/jpmh-09-2021-0114
Sarah Waters, Hilda Palmer
PurposeThe purpose of this paper is to examine how work-related suicides are monitored, investigated and regulated in the UK, examining a small selection of cases and drawing on international comparison with other countries. Effective data collection and regulation are the cornerstone of suicide prevention, and this paper aims to consider whether the UK’s current regulatory framework provides an effective basis for preventing work-related suicides.Design/methodology/approachThis study draws on qualitative sociological methods and is based on an in-depth analysis of 12 suicide cases occurring between 2015 and 2020. In each case, work-related causal factors had been previously identified by at least one official source (police enquiry, coroner or employer’s investigation). This study analysed multiple sources of documentation and undertook interviews with individuals close to each suicide case. The aim of this study was to consider the organisational response of three stakeholder organisations to the suicides: the Health and Safety Executive (HSE), the coroner and the employer.FindingsThe study points to serious shortcomings in the UK’s regulatory response to work-related suicides. Suicides are currently not recorded, investigated or regulated. Whereas the fracture of an arm or leg in the workplace needs to be reported to the HSE for further investigation, a suicide occurring in the workplace or that is work-related does not need to be reported to any public agency. Employers are not required to investigate an employee suicide or make any changes to workplace policies and practices in the aftermath of a suicide. The work-related factors that may have caused one suicide may, therefore, continue to pose health and safety risks to other employees.Originality/valueWhereas some recent studies have examined work-related suicides within specific occupations in the UK, to the best of the authors’ knowledge, this is the first study to analyse the UK’s regulatory framework for work-related suicides. The study on which the paper is based produced a set of recommendations that were targeted at key stakeholder organisations.
目的本文的目的是研究英国如何对与工作有关的自杀进行监测、调查和监管,研究少量案例,并与其他国家进行国际比较。有效的数据收集和监管是预防自杀的基石,本文旨在考虑英国目前的监管框架是否为预防与工作相关的自杀提供了有效的基础。设计/方法论/方法本研究采用了定性社会学方法,并基于对2015年至2020年间发生的12起自杀案件的深入分析。在每一个案例中,与工作相关的因果因素之前都至少由一个官方来源(警方调查、验尸官或雇主调查)确定。这项研究分析了多个文件来源,并采访了与每个自杀案件关系密切的个人。本研究的目的是考虑三个利益相关者组织对自杀事件的组织反应:健康与安全执行局(HSE)、验尸官和雇主。调查结果这项研究指出,英国对与工作有关的自杀的监管措施存在严重缺陷。自杀目前没有记录、调查或管制。尽管工作场所的手臂或腿部骨折需要向HSE报告以进行进一步调查,但在工作场所发生的自杀或与工作有关的自杀不需要向任何公共机构报告。雇主不需要调查员工自杀事件,也不需要在自杀后对工作场所的政策和做法做出任何改变。因此,可能导致一人自杀的与工作相关的因素可能会继续对其他员工的健康和安全构成风险。原创性/价值尽管最近的一些研究调查了英国特定职业中与工作相关的自杀,但据作者所知,这是第一项分析英国与工作相关自杀监管框架的研究。该论文所基于的研究提出了一系列针对关键利益相关者组织的建议。
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引用次数: 0
Self-harm and suicidal content online, harmful or helpful? A systematic review of the recent evidence 网上的自残和自杀内容,有害还是有益?对最近证据的系统回顾
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-05 DOI: 10.1108/jpmh-09-2021-0118
C. Brennan, Sonia Saraiva, Elizabeth Mitchell, Richard Melia, Lydia Campbell, Natalie King, A. House
PurposeThere are calls for greater regulation of online content related to self-harm and suicide, particularly that which is user-generated. However, the online space is a source of support and advice, including an important sharing of experiences. This study aims to explore what it is about such online content, and how people interact with it, that may confer harm or offer benefit.Design/methodology/approachThe authors undertook a systematic review of the published evidence, using customised searches up to February 2021 in seven databases. The authors included empirical research on the internet or online use and self-harm or suicide content that had been indexed since 2015. The authors undertook a theoretically driven narrative synthesis.FindingsFrom 4,493 unique records, 87 met our inclusion criteria. The literature is rapidly expanding and not all the evidence is high quality, with very few longitudinal or intervention studies so little evidence to understand possible causal links. Very little content online is classifiable as explicitly harmful or definitively helpful, with responses varying by the individual and immediate context. The authors present a framework that seeks to represent the interplay in online use between the person, the medium, the content and the outcome.Originality/valueThis review highlights that content should not be considered separately to the person accessing it, so online safety means thinking about all users. Blanket removal or unthinking regulation may be more harmful than helpful. A focus on safe browsing is important and tools that limit time and diversify content would support this.
目的有人呼吁加强对与自残和自杀有关的网络内容的监管,尤其是用户生成的内容。然而,在线空间是支持和建议的来源,包括重要的经验分享。这项研究旨在探索这类在线内容是什么,以及人们如何与之互动,这可能会带来伤害或好处。设计/方法论/方法作者对已发表的证据进行了系统审查,使用截至2021年2月的七个数据库中的定制搜索。作者包括自2015年以来索引的关于互联网或网络使用以及自残或自杀内容的实证研究。作者进行了理论驱动的叙事综合。发现在4493个独特记录中,有87个符合我们的入选标准。文献正在迅速扩展,并非所有证据都是高质量的,很少有纵向或干预研究,因此了解可能的因果关系的证据很少。网上几乎没有什么内容可以被归类为明显有害或绝对有益的,根据个人和直接环境的不同,人们的反应也有所不同。作者提出了一个框架,试图代表个人、媒体、内容和结果之间在网络使用中的相互作用。原创/价值这篇评论强调,内容不应与访问内容的人分开考虑,因此网络安全意味着要考虑所有用户。一刀切的取消或不假思索的监管可能弊大于利。关注安全浏览很重要,限制时间和内容多样化的工具将支持这一点。
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引用次数: 6
“You cannot pour from an empty cup!”: child well-being service providers’ and policymakers’ professional supervision, coping and well-being during COVID-19 “你不能从空杯子里倒!”:儿童福利服务提供商和政策制定者在新冠肺炎期间的专业监督、应对和福利
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-05 DOI: 10.1108/jpmh-08-2021-0095
D. Karadzhov, Jennifer Davidson, Graham Wilson
PurposeThis paper aims to present findings from 440 responses regarding the experiences of supervision, coping and well-being of 83 service providers and policymakers from eight countries working to support children’s well-being during the COVID-19 pandemic.Design/methodology/approachA smartphone survey hosted on a custom-built app was used. The data were analysed using qualitative content analysis. The data were gathered in the last quarter of 2020.FindingsWhile most respondents described the supervision they received as “useful” – both personally and professionally – and reported several characteristics of effective supervision practices, concerns about not receiving optimal support were also voiced. Respondents shared a range of stress management and other self-care practices they used but also revealed their difficulties optimally managing the stresses and anxieties during the COVID-19 pandemic. As a result, some respondents shared they were feeling helpless, unmotivated and unproductive. Yet, overall, responses were imbued with messages about hope, perseverance and self-compassion.Originality/valueUsing a bespoke smartphone app, rich and intimate insights were generated in real time from a wide range of professionals across high- and low- and middle-income countries – indicating the need to better support their well-being and service delivery.
目的本文旨在介绍来自8个国家的83名服务提供者和政策制定者在新冠肺炎大流行期间支持儿童福祉的监督、应对和福祉方面的440份答复的结果。设计/方法/方法使用了在定制应用程序上进行的智能手机调查。数据采用定性内容分析法进行分析。这些数据是在2020年最后一个季度收集的。调查发现,尽管大多数受访者将他们接受的监督描述为“有用的”——无论是个人还是职业——并报告了有效监督实践的几个特征,但也有人对得不到最佳支持表示担忧。受访者分享了他们使用的一系列压力管理和其他自我护理实践,但也揭示了他们在新冠肺炎大流行期间难以最佳管理压力和焦虑。因此,一些受访者表示,他们感到无助、没有动力、没有生产力。然而,总的来说,人们的反应充满了希望、毅力和自我同情的信息。独创性/价值使用定制的智能手机应用程序,高收入、低收入和中等收入国家的广泛专业人士实时产生了丰富而亲密的见解,这表明需要更好地支持他们的福祉和服务提供。
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引用次数: 1
期刊
Journal of Public Mental Health
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