青少年自杀中的重要事项:在实践中实施的意义

Gordon L. Flett
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摘要

本文旨在从 "重要感 "在保护儿童和青少年免于自杀方面的作用,以及在以儿童权利、儿童健康和儿童保护为目标的暴力预防背景下 "重要感 "未得到充分利用的角度,对 "重要感 "这一概念进行讨论和评论。通过回顾和反思数十年来的心理学研究,本文探讨了 "重要感 "如何对青少年的自杀风险具有高度的保护作用,而 "不重要感 "又如何加剧了自杀的脆弱性和风险。在讨论中,"重要感 "被认为是一种伴随着希望的力量源泉,但当一个年轻人感到自己不被看见、不被倾听、不被重视时,"重要感 "也是其脆弱性的核心源泉。虽然 "重视 "对所有青少年都很重要,但它对经历边缘化的青少年,包括处于种族 化环境中的青少年、寄养青少年以及属于 LGBTQ + 群体的青少年尤为重要。研究表明,"无足轻重 "的感觉与自杀意念、自杀计划和自杀未遂有关。在治疗以及从自杀未遂和其他逆境中恢复的过程中,"无足轻重 "也起着关键作用。总的主题是,"重要 "对于保护和预防自杀至关重要,而 "重要 "的感觉可以在充满关爱的环境和社区中通过充满关爱的人灌输给年轻人。
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Mattering matters in youth suicidality: Implications for implementing in practice

The goal of this paper is to discuss and provide commentary on the construct of mattering in terms of its role in protecting children and adolescents from suicide and its underutilization in violence prevention contexts that target child rights, child health, and child protection. Reviewing and reflecting on decades of psychological research, the current article examines how feelings of mattering among youth are highly protective in terms of suicide risk while feelings of not mattering heighten vulnerability and risk. Mattering is discussed as a source of strength accompanied by hope but it is also a core source of vulnerability when a young person feels unseen, unheard, and unvalued. While mattering is important for all young people, it is especially vital for youth who experience marginalization, including youth in racialized circumstances, youth in foster care, and young people who are members of the LGBTQ ​+ ​community. Research is reviewed that shows consistently that feelings of not mattering are associated with suicide ideation, plans, and attempts. Mattering also has a key role in treatment and the process of recovering from a previous suicide attempt and other adversities. The overarching theme is that mattering is essential in protection and prevention and feelings of mattering can be instilled in young people by caring people in caring settings and communities.

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