英文摘要 |
Recently, the prevalence of suicide in Taiwan has been increasing. Moreover, there is a particularly high risk of suicide following discharge from hospital. Thus, the purpose of this study was to investigate the process of psychiatric suicidal patients who have recently been discharged from hospital and have been cared for by family caregivers at home. A grounded theory approach was used. Fifteen patients who had either suicidal ideas or had attempted suicide were interviewed. Data was analyzed using the constant comparative method by the qualitative software program QSR NUD*IST. The core category emerged was “experienced suicide preventive care from family”. Suicidal patients who felt an inability to cope with life, which led to suicide attempts, were then transferred to psychiatric wards for treatment and care. After discharge, they went home and were cared for by family. In the care process, they felt guarded day and night, as they were observed attentively and attention was paid to their safety. They also felt their basic needs were being maintained, as they were being provided physical care, being sent to hospital for treatment and taking medicine regularly. In addition, they also felt their mental tranquillity being maintained, as they felt being cared about, being accepted, and being instilled of hope. At the end, six patients regained the desire to live but nine patients still had suicide ideas and attempts. Therefore, family need more skills about suicide preventive strategies and resource finding. The mental health team should actively educate family about suicide preventive strategies and help them to build support systems in order to reduce patients’ suicide ideas and attempts. |