大学生自杀保护因素的混合方法研究

Hareli Fernanda Garcia Cecchin, Hellen Emily Rodrigues da Costa, Gabriela Ramos Pacheco, Gabriel Barcellos de Valencia, Sheila Giardini Murta
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摘要

心理健康专业人员、教师、家庭和公共管理者都对年轻人的自杀率感到担忧,尤其是在大学里。全世界每 10 名大学生中,就有 3 人在一生中试图自杀,2 人有自杀倾向。要降低自杀率,就必须采取干预措施,从风险因素和保护因素的角度来认识这一问题。这项研究的总体目标是,根据大学生、心理健康专业人员和巴西北部一所公立大学本科课程协调员的看法,找出大学生自杀的保护因素。研究采用了探索性混合方法设计。通过对 54 名参与者(包括大学生(20 人)、心理健康专业人员(22 人)和课程协调员(12 人))进行访谈和问卷调查来收集数据。数据分析采用了内容分析法和简单的描述性统计方法。研究结果表明,三个群体中被提及最多的自杀保护因素是社会支持、加强内部资源、机构支持以及找到进入大学的改变的意义。虽然三组受众的观点并不一致,但他们经常提到的保护因素还有心理治疗、休闲活动、宗教参与、医疗、公民参与、就业能力、大学提供的社会提升机会以及优质的家庭关系。建议在制定促进大学环境中心理健康和预防自杀的政策时,考虑这些保护性因素。
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A mixed methods study of suicide protective factors in college students
Mental health professionals, teachers, families, and public administrators are concerned about suicide rates among young people, particularly in the university context. For every ten college students worldwide, three attempt suicide in their lifetime, and two experience suicidal ideation. Reducing these rates requires interventions that recognize the problem in terms of risk factors and protective factors. The general aim of the study was to map the protective factors for suicide among college students, as perceived by them, mental health professionals, and coordinators of undergraduate courses in a public university in the North of Brazil. The study followed an exploratory, mixed-method design. Data were collected through interviews and the application of a questionnaire with 54 participants, including college students (n = 20), mental health professionals (n = 22), and course coordinators (n = 12). Data were analyzed using Content Analysis and simple descriptive statistics. The findings show that the protective factors for suicide most cited among the three groups were social support, strengthening of internal resources, institutional support, and finding meaning about the change to enter the university. Although the three audiences did not converge, the protective factors also frequently reported were psychological treatment, leisure activities, religious engagement, medical treatment, civic engagement, employability, opportunities for social ascension offered by the university, and quality family relationships. It is suggested that these protective factors are considered when formulating policies to promote mental health and suicide prevention in the university environment.
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