青少年及其照顾者受自杀和自残影响的质性研究的系统回顾:对家庭治疗的启示

IF 4.7 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Adolescent Research Review Pub Date : 2021-06-14 DOI:10.1007/s40894-021-00164-3
Di Simes, Ian Shochet, Kate Murray, Isobel G. Sands
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引用次数: 11

摘要

尽管青少年自杀或自残行为的发病率最高,频率也增加,但大多数受影响的青少年没有得到专业护理。基于家庭的干预为这一人群提供了一种很有前景的治疗,然而,关于有效护理的障碍和促进因素,以及满足青年和家庭需求所需的治疗方法,还有很多需要了解。这些见解可以来源于越来越多的定性文献,这些文献报道了受自杀和自残影响的年轻人及其照顾者的观点。这篇系统综述分析了定性研究,以综合这些青年及其照顾者对专业帮助需求和经验的看法。在搜索了4个数据库后,使用一致定性研究方法对35项研究进行了分析。在个人、家庭和系统层面确定了有效护理的障碍。年轻人及其照顾者经历了破裂的关系和压倒性的情绪,阻碍了参与,增加了年轻人的痛苦和自杀,降低了养育子女的效率。医疗保健的系统性障碍包括服务不足、分散和无法获得,以及医疗保健提供者的污名化或轻蔑反应。相比之下,有效的专业护理是及时的、非评判性的、协作性的,包括为青年和护理人员单独和联合举办会议,以满足他们的个人需求并促进关系修复。这篇综述的研究结果支持了以家庭为基础的治疗的价值,该治疗积极解决污名化问题,并强调需要增加服务,以促进从危机到康复的治疗参与。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A Systematic Review of Qualitative Research of the Experiences of Young People and their Caregivers Affected by Suicidality and Self-harm: Implications for Family-Based Treatment

Despite the greatest onset and increased frequency of suicidal or self-harm behavior occurring in adolescence, most youth affected do not receive professional care. Family-based intervention offers a promising treatment for this population, however, there is much to learn about the barriers and facilitators to effective care and the tailoring of treatment necessary to meet youth and family needs. Such insights can be sourced from a growing qualitative literature reporting the views of young people and their caregivers affected by suicidality and self-harm. This systematic review analyzes qualitative research to synthesize the perspectives of these youth and their caregivers about their needs for and experiences of professional help. Following a search of 4 databases, 35 studies were analyzed using Consensual Qualitative Research methods. Barriers to effective care were identified at individual, family, and systems levels. Young people and their caregivers experienced fractured relationships and overwhelming emotions that impeded engagement, increased young people’s distress and suicidality, and reduced parenting efficacy. Systemic barriers to care included insufficient, fragmented, and inaccessible services, and stigmatizing or dismissive responses from healthcare providers. In contrast, effective professional care was timely, non-judgmental, collaborative, and included separate and joint sessions for youth and caregivers to address their individual needs and foster relationship repair. This review’s findings support the value of family-based treatment that pro-actively addresses stigma and highlight the need for increased services that are structured to facilitate therapeutic engagement from crisis through recovery.

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来源期刊
Adolescent Research Review
Adolescent Research Review PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
10.40
自引率
0.00%
发文量
17
期刊介绍: Adolescent Research Review publishes articles that review important contributions to the understanding of adolescence.  The Review draws from the many subdisciplines of developmental science, psychological science, education, criminology, public health, medicine, social work, and other allied disciplines that address the subject of youth and adolescence. The editors are especially interested in articles that bridge gaps between disciplines or that focus on topics that transcend traditional disciplinary boundaries.  Reviews must be cutting edge and comprehensive in the way they advance science, practice or policy relating to adolescents.
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