Background: Studies show that people bereaved by suicide often feel a strong need for professional help. It is hypothesized that aspects related to suicide bereavement, such as stigmatization, shame or guilt, hinder help-seeking process of the bereaved. However, little is known about help-seeking behaviors of people who has lost someone due to suicide. Aims: This study was conducted to attain a better understanding of the contributing factors, including the specific features of grief following suicide, to help-seeking behaviors of the bereaved by suicide. Methods: The sample consisted of 82 adults bereaved by suicide (64 female; average age 37.79, SD = 14.33). Instruments assessing stigmatization, shame, guilt levels, well-being, tendency to disclose emotional distress and attitudes toward seeking professional psychological help were used. The participants were also asked an open-ended question what professional help-seeking barriers they had encountered. Comparisons between the groups, logistic regression analysis and thematic analysis of the qualitative data were performed. Results: The findings revealed that bereaved participants who sought professional psychological help reported experiencing stigmatization and feeling guilty after the loss significantly more often. Also the results showed that attitudes toward mental health specialists had the highest prognostic value in predicting help-seeking behaviors of the bereaved. The participants themselves identified the gaps in the health care system as main barriers to seeking help. Conclusion: The results challenge previously spread notion that stigmatization, guilt and shame after suicide can act only as help-seeking barriers.
This paper aims to investigate helpful relationship characteristics in suicide attempt healthcare. Semi-structured interviews with seven participants (5 women, 2 men; mean age = 26) were conducted after a suicide attempt. All participants took part in the Attempted Suicide Short Intervention Program (ASSIP). Findings revealed the necessity of an egalitarian, attentive, benevolent and competent relationship with healthcare specialists.Coercive clinical management was considered disrespectful, while the needs for physical safety and freedom were expressed. A suicide-specific treatment program in addition to standard care was considered helpful, in particular the development of warning signs and safety strategies.
Tyrimo tikslas. Šiuo tyrimu siekta palyginti subjektyvią Lietuvos moterų gimdymo patirtį ir gautą priežiūrą iki COVID-19 pandemijos ir jos laikotarpiu, pagal Pasaulio sveikatos organizacijos (PSO) gimdymo priežiūros rekomendacijose suformuluotus aspektus. Tyrimo metodai. Tyrime dalyvavo 2685 moterys nuo 16 iki 48 metų (M = 29,5; SD = 4,63), gimdžiusių Lietuvos gimdymo stacionaruose 2019–2020 m. Tyrimo dalyvės atsakė į klausimus apie savo gimdymo eigą, joms suteiktą gimdymo priežiūrą, atliktas medicinines intervencijas, subjektyvų personalo elgesio ir gimdymo patirties vertinimą. Rezultatai. COVID-19 pandemijos laikotarpiu gimdžiusios moterys turėjo reikšmingai mažesnę galimybę rinktis lydintį asmenį, turėjo mažiau laisvės judėti sąrėmių metu, naudojo mažiau nemedikamentinio gimdymo skausmo malšinimo būdų, patyrė mažiau spaudimo sutikti su siūlomomis gimdymo intervencijomis, gavo ne tokią išsamią informaciją apie naujagimio ir savo pačios būklę po gimdymo, vertino personalo elgesį pogimdyminiu laikotarpiu kaip mažiau rūpestingą, jautėsi ne tokios saugios ligoninėje ir prasčiau vertino gautą pogimdyminę priežiūrą nei gimdžiusios iki pandemijos. Vis dėlto beveik visi gauti statistiškai reikšmingi skirtumai buvo nedideli. Išvados. Tyrimo rezultatai parodė skirtumus moterų gautoje gimdymo priežiūroje ir subjektyviame gimdymo patyrime iki pandemijos ir jos laikotarpiu, taip pat atskleidė bendrus esamos gimdymo priežiūros sistemos trūkumus.
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