Sjuksköterskor inom somatiken möter patienter med psykisk ohälsa i sitt dagliga omvårdnadsarbete. Syftet med studien var att belysa sjuksköterskans upplevelser av omvårdnad av en patient som utfört suicidal handling och vårdas på somatisk akutavdelning/akutmottagning. Författarna använde sig av en kvalitativ metod med intervjuer som datainsamlingsmetod. Tio sjuksköterskor intervjuades som arbetade inom akutsjukvård och hade minst ett års erfarenhet. Resultatet bestod av fyra teman; svårigheter i omvårdnaden, känslor i mötet med patienten, resurser och samarbete med psykiatrin. Resultat visade att allmänsjuksköterskan önskade mer psykologisk grundkunskap för att utveckla sin omvårdnad av den suicidala patienten, med exempelvis samtalsteknik, eftersom de ansåg att kommunikationen med patienten var utmanande. Även ett bättre tillvägagångssätt för att närma sig, bemöta och knyta an i en vårdrelation med patienterna. Samarbetet mellan psykiatrin och den somatiska vården var inte tillfredställande vilket gjorde sjuksköterskans omvårdnadsarbete svårare. Det behövdes en tydlighet i utförandet av omvårdnad och arbetsrutiner för patienter som vårdades inom både somatik och psykiatri. / Nurses’ within the somatic care are encountered with patients with mental illness in their daily work. The aims of the study were to enlighten nurses’ experience of caring for a patient that has committed a suicidal act and are cared for in a somatic acute ward. The authors used a qualitative method with interviews for collecting data. Ten nurses’ were interviewed that worked with acute care and had at least one year experience. The result contains four themes; difficulties with caring, feelings in meeting with the patient, resources and cooperation with psychiatry. Result showed that general nurses’ described a wish for more psychological knowledge to improve their care for the suicidal patient, for example dialogue technique, because they thought that the communication with the patient was challenging. Also a better way to get close, meet and connect in a relationship with the patient. The cooperation between psychiatry care and somatic care were not satisfying which made caring more difficult for the nurse. There were needs to clarify the caring and working routines for patients that are cared for in both the somatic and psychiatry care.

The study investigated 17 suicidal girls attending Equine Assisted Psychotherapy (EAP) sessions as a complementary therapy. In particular, the study focused on three main issues. First, whether the patients’ happiness, warm emotions, awareness, relaxation, control, loquacity, and coordination improved over time. Second, whether riders and novices benefited equally from the therapy. Lastly, whether and how horse responsiveness and patient’s motivation affected the outcome. Individual Growth Curves analysis was used to answer these questions. The results showed a significant improvement in awareness and coordination, and a small change in warm emotion and relaxation over time. Moreover, previous riding experience was related to higher scores in warm emotions, awareness, control, and coordination. However, this effect faded over time as the clients became more familiar with EAP. Finally, the patient’s attitude, reflected in the horse’s responses, influenced positively the overall outcome. In conclusion, beginners might need more time in order to feel comfortable with the EAP environment. Thus, it is crucial to set appropriate goals. Additionally, patient’s motivation is an important factor for the success of the therapy, as it will be reflected in the horse’s responsiveness, and will eventually lead to greater improvements. Overall, the results suggested that patients’ experiences with horse riding, horse responsiveness, and motivation are important elements of EAP that are related to improvements in suicidal girls over time.

The study investigated 17 suicidal girls attending Equine Assisted Psychotherapy (EAP) sessions as a complementary therapy. In particular, the study focused on three main issues. First, whether the patients’ happiness, warm emotions, awareness, relaxation, control, loquacity, and coordination improved over time. Second, whether riders and novices benefited equally from the therapy. Lastly, whether and how horse responsiveness and patient’s motivation affected the outcome. Individual Growth Curves analysis was used to answer these questions. The results showed a significant improvement in awareness and coordination, and a small change in warm emotion and relaxation over time. Moreover, previous riding experience was related to higher scores in warm emotions, awareness, control, and coordination. However, this effect faded over time as the clients became more familiar with EAP. Finally, the patient’s attitude, reflected in the horse’s responses, influenced positively the overall outcome. In conclusion, beginners might need more time in order to feel comfortable with the EAP environment. Thus, it is crucial to set appropriate goals. Additionally, patient’s motivation is an important factor for the success of the therapy, as it will be reflected in the horse’s responsiveness, and will eventually lead to greater improvements. Overall, the results suggested that patients’ experiences with horse riding, horse responsiveness, and motivation are important elements of EAP that are related to improvements in suicidal girls over time.

Thesis (Ph. D.)--York University, 2001. Graduate Programme in Psychology. / Typescript. Includes bibliographical references (leaves 191-220). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pNQ67919.

published_or_final_version / Community Medicine / Master / Master of Public Health

Objectives This thesis aimed to investigate the relationship between intimate partner abuse and suicidality, to deepen our understanding of the factors and mechanisms involved in increasing suicide risk in this group. This investigation was carried out using the framework of the Integrated Motivational-Volitional (IMV) Model of Suicidal Behaviour (O’Connor, 2011), and this research aimed to act as a test of this theoretical model. Method In order to achieve the above objectives, two major studies were conducted. These were prospective studies, with Study one being exploratory and utilising a large scale survey design, and Study two carrying out an in-depth investigation. These studies utilised a general population sample consisting of both males and females, and compared those with and without experience of intimate partner abuse. Both studies are reported over two chapters, one focusing on the relationship between intimate partner abuse and suicidality, and the other reporting the testing of the IMV Model. Results This research identified a number of key aspects relating to intimate partner abuse which are involved in increasing suicide risk within this group, such as the frequency of the abuse experienced, levels of control within the abusive relationship, and severity of stalking and harassment behaviours experienced. Investigation of the key elements of the IMV Model revealed that perceptions of internal entrapment play a significant mediating role in the relationship between intimate partner abuse and suicidality. In addition, social support and future thinking were found to act as moderators of this relationship. Conclusions This research makes a valuable contribution to the understanding of intimate partner abuse and suicidality, and highlights a number of important issues with regards to the conceptualisation and measurement of IPA. It has also identifies the importance of considering aspects such as stalking, perceptions of internal entrapment, and levels of control within relationships, when investigating suicidality within this group. This research used the context of IPA and suicidality to test the IMV Model, which has significantly increased out understanding of suicidality in relation to IPA. The IMV Model was shown to be a useful framework for understanding this relationship, however limitations of the model were identified. Further research is needed to test the model further and to explore the relationship of some of the elements within the context of IPA and suicidality.

Aim: This study aims to investigate the experience of stress and the factors that impact on the intern psychologist in relation to first consultation with a non-fatal suicidal client. Intra and interpersonal factors, as well as institutional/environmental factors that influence/impact on intern clinical/counselling psychologist level of stress when assessing and managing a non-fatal suicidal client were identified. Methodology: The research methodology chosen for this study is based on the aim of the study, which is to investigate the experience of stress perceived by intern clinical/counselling psychologists in relation to consultation with a non-fatal suicidal client. A qualitative methodological approach will be used in this study as it allows for greater in-depth investigation and understanding of the experiences of intern clinical/counselling psychologists towards suicidal clients than would be generated by quantitative research methods. Five intern clinical/counseling psychologists were used in this qualitative study. They were interviewed using a semi-structured in- depth interview. The data was transcribed and analysed using thematic analysis. Findings: A variety of stressors were identified by the interns, but the majority described common variables. The main sources of stress for the interns was first contact with suicidal clients and lack of practical training and experience. The working environment, which included work load, administrative work and academic and competency based requirements, was also deemed stressful. In terms of personal stress, interns reported family and friends to be a source of stress at times. Personality also contributed to the interns levels of stress. Socio-cultural factors which impacted on the interns experience of stress in relation to consultation with non-fatal suicidal clients included, language difficulties and cultural differences. Recommendations: The internship was generally described as stressful. Recommendations included more practical experience and training prior to the commencement of the internship. This will equip interns with the skills and abilities necessary in successfully assessing and managing high risk clients. Organisational and professional factors can also be modified and include support as well as an understanding of the policies and procedures of the institution in which the internship is being done. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2007.

It was suspected that about 2 cases of parasuicide were admitted daily to RK Khan Hospital and this suspicion was confirmed by this study. Most of the cases were female, and in the 15 - 24 year age group. Patients were admitted mainly in the evenings and on Sundays. The majority earned less than R500 per month and were mainly manual-skilled and semi-skilled workers predominantly from Chatsworth. Non-violent means were the common mode of parasuicide, the causes being family, marital and romantic problems. The hospital social worker dealt with the cases and referred patients to relevant organisations outside the hospital for management. Certain patients were referred to the Psychiatric Outpatient Clinic at the Hospital as there was no resident psychiatrist. / Thesis (MMed-Community Health)-University of Natal, 1984.

Young adults who self-injure may prefer to disclose these experiences to peers versus professionals, however, past research has demonstrated that their responses are rated as less helpful compared to other recipients. To better understand this phenomenon, the current study sought to investigate NSSI disclosures from the point of view of the disclosure recipient. Given the relation between various interpersonal trait variables (e.g., receptiveness, responsiveness, agreeableness), relationship factors (friendship quality, duration), and intimate self-disclosures, aspects of particular individuals and relationships may also play a role in the context of peer-to-peer NSSI disclosures and how effective these disclosure responses may be. An online battery of questionnaires was administered to examine these research questions in a population of 230 university students (178 females, M age = 18.38). 107 participants reported receiving a NSSI disclosure from a friend. Having a history of NSSI, lower social support, and greater perceived relative power were found to significantly predict receiving a NSSI disclosure from a friend and receptiveness and social support were found to significantly predict the recipients’ degree of helpful responding to the NSSI disclosure. Findings illuminate the important role of friends and of the friendship itself in facilitating the help-seeking process and promoting NSSI cessation. Research directions and implications are discussed.

No description available.