Transformation of Suffering Experiences: the analysis of suicidal processing for attempted suicide adult patients

• Main Authors: shiow-Rong Jeang, 蔣秀容
• Other Authors: M. F. Lin
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/38830815993543854113

碩士 === 國立成功大學 === 護理學系碩博士班 === 91 === Transformation of Suffering Experiences: the analysis of suicidal processing for attempted suicide adult patients Abstract The aim of this study was to explore the process of experience perceived by adult suicidal attempters. It was based on a qualitative phenomenological method and theoretical sampling and using suicide attempted patients moved from emergency room onto acute psychiatric wards at a medical center as study subjects. The researcher took a role of doing participant observation and established a trustful relationship with the subjects. After obtaining their consents, the researcher gave in-depth interviews conducted by a semi-structured interview guide to them under a context receiving no interruption. A total of seven patients were interviewed, and data collection was carried on till conceptual saturation. The content of interview was tape-recorded and transcribed later on. The interview transcripts from the tape recordings were then analyzed using a phenomenological method. This research found two types of suicidal attempts. The type of “impulsive suicidal attempt,” including two subjects, indicated individuals who kept promoting factors to suicidal behaviors such as the thoughts of “vanity of life” and “self-destruction” as well as antagonistic factors such as “family affections,” “awakening oneself,” and “searching for external support” when facing unsolvable life events. As triggering events happened, individuals would take into an action of suicide at an impulse if the driving force of promoting factors were stronger than the antagonistic ones’. The rest five subjects with “planned suicidal attempt” made up the thoughts of “falling in a dilemma,” “vanity of life” and “self-destruction” as well as emotion responses of “agonized frustration,” “despair” and “indignation and hatred,” all of which would promote suicide, when undergoing the difficulty of unsolvable life events. Though the thought of “family affection” was also kept, the antagonistic force might be too weak to stop the development of suicide plan, which would result in a suicide action. The suicidal attempters perceived the process of experience in the stages of gestation, motivation, and action. This study intended to display the complicated conflicts in subjects’ minds with the issues of their thoughts, emotions, physical and behavioral responses. The analysis of suicidal attempts can be useful in providing clinical search with factors against suicide, such as the enhancement of family ties, the increase of self-awakening ability, and the search for external supports. The issues of thoughts, emotions, physical and behavioral responses in each stage of suicide attempt experience process can also serve as a reference for early evaluating the important warnings of suicidal behaviors. Furthermore, the positive effects from in-depth interviews with suicidal attempters help to indicate that these persons indeed require someone to analyze their suicide experience process and to release the struggles and conflicts long kept in their minds.