請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/7424
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 張書森(Shu-Sen Chang) | |
dc.contributor.author | Yi-Chun Chen | en |
dc.contributor.author | 陳怡君 | zh_TW |
dc.date.accessioned | 2021-05-19T17:43:21Z | - |
dc.date.available | 2021-08-30 | |
dc.date.available | 2021-05-19T17:43:21Z | - |
dc.date.copyright | 2018-08-30 | |
dc.date.issued | 2018 | |
dc.date.submitted | 2018-08-20 | |
dc.identifier.citation | 參考文獻
Amadeo, S., Rereao, M., Malogne, A., Favro, P., Nguyen, N. L., Jehel, L., . . . De Leo, D. (2015). Testing Brief Intervention and Phone Contact among Subjects with Suicidal Behavior: A Randomized Controlled Trial in French Polynesia in the Frames of the World Health Organization/Suicide Trends in At-Risk Territories Study. Ment Illn, 7(2), 5818. Arensman, E., Fitzgerald, T., Bjerke, T., Cooper, J., Corcoran, P., De Leo, D., . . . Van Heeringen, K. (2008). Deliberate self-harm and suicide: Gender-specific trends in eight European regions. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 62, A3-A4. Armitage, C. J. (2009). Effectiveness of experimenter-provided and self-generated implementation intentions to reduce alcohol consumption in a sample of the general population: a randomized exploratory trial. Health Psychol, 28(5), 545-553. Armitage, C. J., Panagioti, M., Abdul Rahim, W., Rowe, R., & O'Connor, R. C. (2015). Completed suicides and self-harm in Malaysia: a systematic review. Gen Hosp Psychiatry, 37(2), 153-165. Armitage, C. J., Rahim, W. A., Rowe, R., & O'Connor, R. C. (2016). An exploratory randomised trial of a simple, brief psychological intervention to reduce subsequent suicidal ideation and behaviour in patients admitted to hospital for self-harm. Br J Psychiatry, 208(5), 470-476. Ballard, E. D., Bosk, A., Snyder, D., Pao, M., Bridge, J. A., Wharff, E. A., . . . Horowitz, L. (2012). Patients' opinions about suicide screening in a pediatric emergency department. Pediatr Emerg Care, 28(1), 34-38. Beghi, M., Rosenbaum, J. F., Cerri, C., & Cornaggia, C. M. (2013). Risk factors for fatal and nonfatal repetition of suicide attempts: a literature review. Neuropsychiatr Dis Treat, 9, 1725-1736. Berrouiguet, S., Larsen, M. E., Mesmeur, C., Gravey, M., Billot, R., Walter, M., . . . Lenca, P. (2018). Toward mHealth Brief Contact Interventions in Suicide Prevention: Case Series From the Suicide Intervention Assisted by Messages (SIAM) Randomized Controlled Trial. JMIR Mhealth Uhealth, 6(1), e8. Betz, M. E., Wintersteen, M., Boudreaux, E. D., Brown, G., Capoccia, L., Currier, G., . . . Harkavy-Friedman, J. (2016). Reducing Suicide Risk: Challenges and Opportunities in the Emergency Department. Ann Emerg Med, 68(6), 758-765. Bilen, K., Ottosson, C., Castren, M., Ponzer, S., Ursing, C., Ranta, P., . . . Pettersson, H. (2011). Deliberate self-harm patients in the emergency department: factors associated with repeated self-harm among 1524 patients. Emerg Med J, 28(12), 1019-1025. Bridle, C., Riemsma, R. P., Pattenden, J., Sowden, A. J., Mather, L., Watt, I. S., & Walker, A. (2005). Systematic review of the effectiveness of health behavior interventions based on the transtheoretical model. Psychology & Health, 20(3), 283-301. Carroll, R., Metcalfe, C., & Gunnell, D. (2014). Hospital Presenting Self-Harm and Risk of Fatal and Non-Fatal Repetition: Systematic Review and Meta-Analysis. PLOS ONE, 9(2), e89944. Chan, M. K., Bhatti, H., Meader, N., Stockton, S., Evans, J., O'Connor, R. C., . . . Kendall, T. (2016). Predicting suicide following self-harm: systematic review of risk factors and risk scales. Br J Psychiatry, 209(4), 277-283. Chen, V. C., Tan, H. K., Cheng, A. T., Chen, C. Y., Liao, L. R., Stewart, R., . . . Prince, M. (2010). Non-fatal repetition of self-harm: population-based prospective cohort study in Taiwan. Br J Psychiatry, 196(1), 31-35. Chen, W. J., Ho, C. K., Shyu, S. S., Chen, C. C., Lin, G. G., Chou, L. S., . . . Chou, F. H. (2013). Employing crisis postcards with case management in Kaohsiung, Taiwan: 6-month outcomes of a randomised controlled trial for suicide attempters. BMC Psychiatry, 13(1), 191. Christiansen, E., & Jensen, B. F. (2007). Risk of repetition of suicide attempt, suicide or all deaths after an episode of attempted suicide: a register-based survival analysis. Aust N Z J Psychiatry, 41(3), 257-265. Chung, C. H., Lai, C. H., Chu, C. M., Pai, L., Kao, S., & Chien, W. C. (2012). A nationwide, population-based, long-term follow-up study of repeated self-harm in Taiwan. BMC Public Health, 12(1), 744. Clements, C., Turnbull, P., Hawton, K., Geulayov, G., Waters, K., Ness, J., . . . Kapur, N. (2016). Rates of self-harm presenting to general hospitals: a comparison of data from the Multicentre Study of Self-Harm in England and Hospital Episode Statistics. BMJ Open, 6(2), e009749. Czyz, E. K., Bohnert, A. S., King, C. A., Price, A. M., Kleinberg, F., & Ilgen, M. A. (2014). Self-efficacy to avoid suicidal action: factor structure and convergent validity among adults in substance use disorder treatment. Suicide Life Threat Behav, 44(6), 698-709. Daigle, M. S., Pouliot, L., Chagnon, F., Greenfield, B., & Mishara, B. (2011). Suicide attempts: prevention of repetition. Can J Psychiatry, 56(10), 621-629. De Vet, E., Oenema, A., Sheeran, P., & Brug, J. (2009). Should implementation intentions interventions be implemented in obesity prevention: the impact of if-then plans on daily physical activity in Dutch adults. Int J Behav Nutr Phys Act, 6, 11. Donley, E. (2015). Psychiatric assessment in the emergency department: preliminary data from consumers about risk assessment following a suicide attempt or deliberate self-harm. Emergency Medicine and Health Care, 3(1). Fedyszyn, I. E., Erlangsen, A., Hjorthoj, C., Madsen, T., & Nordentoft, M. (2016). Repeated Suicide Attempts and Suicide Among Individuals With a First Emergency Department Contact for Attempted Suicide: A Prospective, Nationwide, Danish Register-Based Study. The Journal of clinical psychiatry, 77(6), 832-840. Forma, L., Aaltonen, M., Pulkki, J., Raitanen, J., Rissanen, P., & Jylha, M. (2017). Care service use in 2 years preceding suicide among older adults: comparison with those who died a natural death and those who lived longer. Eur J Ageing, 14(2), 143-153. Franco-Martin, M. A., Munoz-Sanchez, J. L., Sainz-de-Abajo, B., Castillo-Sanchez, G., Hamrioui, S., & de la Torre-Diez, I. (2018). A Systematic Literature Review of Technologies for Suicidal Behavior Prevention. J Med Syst, 42(4), 71. Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol, 13, 117. Gollwitzer, P. M. (1999). Implementation intentions - Strong effects of simple plans. American Psychologist, 54(7), 493-503. Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta‐analysis of effects and processes Advances in Experimental Social Psychology (Vol. Volume 38, pp. 69-119): Academic Press. Grist, R., Porter, J., & Stallard, P. (2018). Acceptability, Use, and Safety of a Mobile Phone App (BlueIce) for Young People Who Self-Harm: Qualitative Study of Service Users' Experience. JMIR Ment Health, 5(1), e16. Hawton, K., Witt, K. G., Salisbury, T. L. T., Arensman, E., Gunnell, D., Hazell, P., . . . van Heeringen, K. (2016). Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis. Lancet Psychiatry, 3(8), 740-750. Hetrick, S. E., Robinson, J., Spittal, M. J., & Carter, G. (2016). Effective psychological and psychosocial approaches to reduce repetition of self-harm: a systematic review, meta-analysis and meta-regression. BMJ Open, 6(9), e011024. Hunter, C., Chantler, K., Kapur, N., & Cooper, J. (2013). Service user perspectives on psychosocial assessment following self-harm and its impact on further help-seeking: a qualitative study. J Affect Disord, 145(3), 315-323. Ichimura, A., Kato, K., Taira, T., Otsuka, H., Seki, T., Nakagawa, Y., & Inokuchi, S. (2018). Psychiatric Hospitalization after Emergency Treatment for Deliberate Self-Harm is Associated with Repeated Deliberate Self-Harm. Archives of Suicide Research, null-null. International Telecommunication Union. (2017). ICT Facts and Figures 2017. Retrieved from Geneva, Switzerland: https://www.itu.int/en/ITU-D/Statistics/Documents/facts/ICTFactsFigures2017.pdf Johnson, S. L., Carver, C. S., & Tharp, J. A. (2017). Suicidality in Bipolar Disorder: The Role of Emotion-Triggered Impulsivity. Suicide Life Threat Behav, 47(2), 177-192. Kapur, N., Cooper, J., Bennewith, O., Gunnell, D., & Hawton, K. (2010). Postcards, green cards and telephone calls: therapeutic contact with individuals following self-harm. Br J Psychiatry, 197(1), 5-7. Kapur, N., Gunnell, D., Hawton, K., Nadeem, S., Khalil, S., Longson, D., . . . Cooper, J. (2013). Messages from Manchester: pilot randomised controlled trial following self-harm. Br J Psychiatry, 203(1), 73-74. Kennard, B. D., Biernesser, C., Wolfe, K. L., Foxwell, A. A., Craddock Lee, S. J., Rial, K. V., . . . Brent, D. A. (2015). Developing a Brief Suicide Prevention Intervention and Mobile Phone Application: a Qualitative Report. J Technol Hum Serv, 33(4), 345-357. Kersten, P., McPherson, K. M., Kayes, N. M., Theadom, A., & McCambridge, A. (2015). Bridging the goal intention-action gap in rehabilitation: a study of if-then implementation intentions in neurorehabilitation. Disabil Rehabil, 37(12), 1073-1081. Kinchin, I., & Doran, C. M. (2017). The Economic Cost of Suicide and Non-Fatal Suicide Behavior in the Australian Workforce and the Potential Impact of a Workplace Suicide Prevention Strategy. Int J Environ Res Public Health, 14(4), 347. Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: converging evidence from four samples. J Abnorm Psychol, 122(1), 231-237. Kuo, C. J., Gunnell, D., Chen, C. C., Yip, P. S., & Chen, Y. Y. (2012). Suicide and non-suicide mortality after self-harm in Taipei City, Taiwan. Br J Psychiatry, 200(5), 405-411. Kwasnicka, D., Presseau, J., White, M., & Sniehotta, F. F. (2013). Does planning how to cope with anticipated barriers facilitate health-related behaviour change? A systematic review. Health Psychology Review, 7(2), 129-145. Kwok, C. L., Yip, P. S., Gunnell, D., Kuo, C. J., & Chen, Y. Y. (2014). Non-fatal repetition of self-harm in Taipei City, Taiwan: cohort study. Br J Psychiatry, 204(5), 376-382. Larkin, G. L., & Beautrais, A. L. (2010). Emergency departments are underutilized sites for suicide prevention. Crisis, 31(1), 1-6. Liao, X., Liu, J. P., Robison, N., & Xie, Y. M. (2014). [Framework analysis method in qualitative research]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 34(5), 622-626. Milner, A. J., Carter, G., Pirkis, J., Robinson, J., & Spittal, M. J. (2015). Letters, green cards, telephone calls and postcards: systematic and meta-analytic review of brief contact interventions for reducing self-harm, suicide attempts and suicide. Br J Psychiatry, 206(3), 184-190. Morgan, H. G., Jones, E. M., & Owen, J. H. (1993). Secondary prevention of non-fatal deliberate self-harm. The green card study. Br J Psychiatry, 163, 111-112. National Institute for Health and Care Excellence. (2013). Self-harm (Vol. QS34). Manchester, England. O'Cathain, A., Goode, J., Drabble, S. J., Thomas, K. J., Rudolph, A., & Hewison, J. (2014). Getting added value from using qualitative research with randomized controlled trials: a qualitative interview study. Trials, 15, 215. O'Connor, R. C. (2011). The integrated motivational-volitional model of suicidal behavior. Crisis, 32(6), 295-298. O'Connor, R. C., Ferguson, E., Scott, F., Smyth, R., McDaid, D., Park, A. L., . . . Armitage, C. J. (2017). A brief psychological intervention to reduce repetition of self-harm in patients admitted to hospital following a suicide attempt: a randomised controlled trial. Lancet Psychiatry, 4(6), 451-460. O'Connor, R. C., & Nock, M. K. (2014). The psychology of suicidal behaviour. Lancet Psychiatry, 1(1), 73-85. Oettingen, G. (2012). Future thought and behaviour change. European Review of Social Psychology, 23(1), 1-63. Olfson, M., Wall, M., Wang, S., Crystal, S., Gerhard, T., & Blanco, C. (2017). Suicide Following Deliberate Self-Harm. Am J Psychiatry, 174(8), 765-774. Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples. Assessment, 8(4), 443-454. Owens, D., Horrocks, J., & House, A. (2002). Fatal and non-fatal repetition of self-harm. Systematic review. Br J Psychiatry, 181(3), 193-199. Perry, I. J., Corcoran, P., Fitzgerald, A. P., Keeley, H. S., Reulbach, U., & Arensman, E. (2012). The incidence and repetition of hospital-treated deliberate self harm: findings from the world's first national registry. PLOS ONE, 7(2), e31663. Plener, P. L., Schumacher, T. S., Munz, L. M., & Groschwitz, R. C. (2015). The longitudinal course of non-suicidal self-injury and deliberate self-harm: a systematic review of the literature. Borderline Personal Disord Emot Dysregul, 2(1), 2. Public Health Agency. (2012). Northern Ireland Registry of Self-harm. Retrieved from Quinlivan, L., Cooper, J., Meehan, D., Longson, D., Potokar, J., Hulme, T., . . . Kapur, N. (2017). Predictive accuracy of risk scales following self-harm: multicentre, prospective cohort study. Br J Psychiatry, 210(6), 429-436. Rawlings, J., Shevlin, M., Corcoran, R., Morriss, R., & Taylor, P. J. (2015). Out of the blue: Untangling the association between impulsivity and planning in self-harm. J Affect Disord, 184, 29-35. Rees, N., Rapport, F., & Snooks, H. (2015). Perceptions of paramedics and emergency staff about the care they provide to people who self-harm: Constructivist metasynthesis of the qualitative literature. J Psychosom Res, 78(6), 529-535. SBU. (2015). Self-harm: patients’ experiences and perceptions of professional care and support. Retrieved from Stockholm: Shand, F., Vogl, L., & Robinson, J. (2018). Improving patient care after a suicide attempt. Australas Psychiatry, 26(2), 145-148. Sinclair, J. M., Gray, A., Rivero-Arias, O., Saunders, K. E., & Hawton, K. (2011). Healthcare and social services resource use and costs of self-harm patients. Soc Psychiatry Psychiatr Epidemiol, 46(4), 263-271. Skinner, B. F. (2014). Contingencies of reinforcement: A theoretical analysis (Vol. 3): BF Skinner Foundation. Stanley, B., & Brown, G. K. (2012). Safety Planning Intervention: A Brief Intervention to Mitigate Suicide Risk. Cognitive and Behavioral Practice, 19(2), 256-264. Stanley, B., Brown, G. K., Currier, G. W., Lyons, C., Chesin, M., & Knox, K. L. (2015). Brief Intervention and Follow-Up for Suicidal Patients With Repeat Emergency Department Visits Enhances Treatment Engagement. Am J Public Health, 105(8), 1570-1572. Taylor, T. L., Hawton, K., Fortune, S., & Kapur, N. (2009). Attitudes towards clinical services among people who self-harm: systematic review. Br J Psychiatry, 194(2), 104-110. Tsiachristas, A., McDaid, D., Casey, D., Brand, F., Leal, J., Park, A. L., . . . Hawton, K. (2017). General hospital costs in England of medical and psychiatric care for patients who self-harm: a retrospective analysis. Lancet Psychiatry, 4(10), 759-767. Witt, K., Spittal, M. J., Carter, G., Pirkis, J., Hetrick, S., Currier, D., . . . Milner, A. (2017). Effectiveness of online and mobile telephone applications ('apps') for the self-management of suicidal ideation and self-harm: a systematic review and meta-analysis. BMC Psychiatry, 17(1), 297. Woodford, R., Spittal, M. J., Milner, A., McGill, K., Kapur, N., Pirkis, J., . . . Carter, G. (2017). Accuracy of Clinician Predictions of Future Self-Harm: A Systematic Review and Meta-Analysis of Predictive Studies. Suicide Life Threat Behav, 0(0). World Health Organization. (2016). Global health estimates 2015 summary tables: Global deaths by cause, age and sex, 2000-2015. Retrieved from http://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html Wu, C. Y., Whitley, R., Stewart, R., & Liu, S. I. (2012). Pathways to care and help-seeking experience prior to self-harm: a qualitative study in Taiwan. J Nurs Res, 20(1), 32-41. 全國自殺防治中心. (2017). 2017世界自殺防治日記者會 「關鍵一刻,扭轉一生」. Retrieved from http://tspc.tw/tspc/uploadfiles/File/20170903news.pdf 邱震寰, 郭千哲, 陳映燁, 陳喬琪, 李明濱, 林俊宏, . . . 林純綺. (2006). 初次自殺企圖者與重複自殺企圖者流行病學特徵之比較. [Comparison of Epidemiological Characteristics between First-ever and Repeated Suicide Attempters]. 北市醫學雜誌, 3(10), 1000-1007. 財團法人臺灣網路資訊中心. (2017). 2017年臺灣寬頻網路使用調查報告. Retrieved from https://www.twnic.net.tw/download/200307/20170721e.pdf 黃郁心, 吳書儀, 林承儒, 孫芳如, & 劉珣瑛. (2010). Emergency Management of Adolescent Self-harm: Patients' Characteristics and Effect of Case Management. [至急診之自傷青少年的特色及個案管理計畫之療效評估]. 臺灣精神醫學, 24(3), 181-190. 衛生福利部. (2017). 105年死因統計結果分析. Retrieved from http://www.mohw.gov.tw/cp-16-33598-1.html | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/7424 | - |
dc.description.abstract | 背景與目的
自殺與自我傷害是全球重要公共衛生議題。自我傷害者之後死於自殺的風險約是一般人口的數十倍,但過去十年來自我傷害之後重複自傷的發生率並沒有下降,顯示急切需要有實證支持的介入方式,以減少自我傷害者之後重複自傷的風險。急診室提供了進行自殺防治介入的機會,因為它是許多自傷者首次接觸醫療服務的場域,然而,以往的介入方式大多需要大量人力資源與時間成本,不利於在急性場域進行。近來有國外學者基於心理學理論,發展出簡短心理介入──「自助技巧清單」,有助於形成行為改變的執行意圖,有初步證據顯示可以降低重複自我傷害的發生。本研究目的為發展中文化的「自助技巧清單」,並了解自傷病人使用此介入工具的經驗。 研究方法 本研究採用質性研究設計,招募14位來自精神科門診與病房的自傷病患,透過半結構式深度訪談,探索其過去的自傷經驗與其它因應方式。研究者初步將「自助技巧清單」翻譯為中文,並經過反譯(back translation),以確保翻譯的正確性。在訪談中,研究者提供網頁版以及紙本版中文「自助技巧清單」,請受訪者分享操作的經驗、感受與建議。訪談過程皆以錄音方式記錄,並謄寫成逐字稿,運用架構式分析法,在動態的分析過程中形成框架,並呈現與詮釋文本資料的意義。 研究結果 受訪者的平均受訪時間為60分鐘,女性9人,男性5人,以20-29歲的年輕族群最多(n=8),且大都位於行為改變階段的行動期(n=10)。研究者根據訪談資料,提出「危機因應模式」,呈現自傷者在危機情境下,選擇自傷與非自傷因應方式的相關因素。在危機情境下,某些因素使自傷者最後以自傷行為作為因應方式,這些因素包括:避免自殺、認知窄縮、求助污名、負面求助經驗,與擔心麻煩他人;其它因素則幫助病人採取非自傷的因應,包括:正面求助經驗、重視個人形象、有未完成的事、考量對他人的影響,以及對親密關係的期盼。 與「自助技巧清單」接受度有關的因素則包括:操作簡易、提供因應方式、閱讀理解困難、負面感受、對內容的不認同等。某些個案建議,急診室可能並非良好介入時機;較多受訪者偏好網頁版「自助技巧清單」。具體化策略、個人化策略、提高吸引力、提供資訊,以及提供關懷與聯繫,是使用者對「自助技巧清單」的建議與期望。最後,本研究綜合受訪者的回饋,提出修正版中文「自助技巧清單」。 結論 危機因應模式以自傷者主觀經驗為出發點,提供了自殺防治不同的觀點,服務提供者應慎重看待自傷者的主觀感受。在臺灣以「自助技巧清單」進行減少自傷的介入,應使內容容易理解、介面容易操作、避免文字內容可能造成的負面感受,並提供較具體、為個人設計、能銜接相關資源,且具吸引力的內容。我們根據研究結果修正與改善中文版「自助技巧清單」,將可應用於進一步的試驗研究。 | zh_TW |
dc.description.abstract | Background and research aim
Suicide and self-harm are major global public health issues. People who self-harm are tens of times more likely to die by suicide. However, there is no evidence that the incidence of self-harm repetition has decreased over the past 10 years. Therefore, there is an urgent need for evidence-based interventions to reduce risk of self-harm repetition. Emergency department, as the first contact point for many people who self-harm, provides a window of opportunity to intervene suicidal behaviors. However, existing treatments of reducing self-harm repetition mostly require intensive human resources and time costs and thus are unsuitable at the emergency department setting. The volitional help sheet (VHS) is a brief, theory-based intervention that can help people form implementation intentions and facilitate behavioral changes. There was preliminary evidence showing that it may reduce self-harm repetition. The aim of this study was to develop the Chinese version of volitional help sheet and explore user experiences about this intervention. Methods We conducted a qualitative study. Face-to-face semi-structured interviews were conducted with Taiwanese patients who self-harmed over the past year. Patients’ past experiences with self-harming and non-self-harming coping strategies were explored. The VHS was translated into Chinese and back translation was used to ensure the correctness of translation. A web-based version of VHS was also developed in addition to the paper version. The patients were asked to use the Chinese version of VHS, paper-based and web-based, and share their perceptions and feedback. All the interviews were audio-recorded and transcribed verbatim. The framework method was used for data analysis, with a framework being developed to summarize patients’ past experiences of coping with crisis. Results The 14 interviews conducted were in average 60 min in length. Nine female patients and five male patients were interviewed; eight of them were 20-29 years old. Most patients were in action stage for behavioral change. A framework of ‘crisis-coping model’ was developed to incorporate a range of factors that influenced patients’ self-harming or non-self-harming behaviors at times of crisis. At crisis, factors that may contribute to self-harm included – to avert suicide, cognitive restriction, stigma around help-seeking, negative experiences with help-seeking, and concerns about bothering others. By contrast, factors that facilitated non-self-harming behaviors included positive experiences with help-seeking, fear of the disfiguring effect of self-harming act, expectations toward intimate relationship, wishes to be fulfilled, and considerations about the impact on others. Factors associated with the acceptability with the VHS included easy use, provision of detailed coping strategies, difficulties in understanding the text used in the VHS, negative perceptions, and disagreeing with the situations and solutions included in the VHS. Some patients commented that emergency department (ED) may not be a suitable setting for the VHS intervention as at ED they were too distressed to engage in the task. More patients preferred the web-based version of VHS compared to the paper-based version. Patients provided the following suggestions about the VHS – to provide detailed, practical, and tailored coping strategies; to make the design more attractive; to provide information about resources; and to use caring words in the follow-up booster VHS. A modified Chinese version of VHS was developed based on patients’ feedback. Conclusion The crisis-coping model based on patients’ experiences provides a useful perspective for suicide prevention. Service providers should take into serious considerations patients’ subjective perceptions. In Taiwan, the VHS intervention for self-harm repetition should make its content easy to understand, make its design friendly and attractive for users, avoid wording that may bring negative feelings, and provide practical and tailored coping strategies and information about resources. The modified Chinese version of VHS can be used in a clinical trial to examine its effectiveness in reducing self-harm repetition. | en |
dc.description.provenance | Made available in DSpace on 2021-05-19T17:43:21Z (GMT). No. of bitstreams: 1 ntu-107-R05850007-1.pdf: 2368812 bytes, checksum: 4b9809311c735f5430fbe7689f7c3c17 (MD5) Previous issue date: 2018 | en |
dc.description.tableofcontents | 目錄
中文摘要 ii Abstract iv 目錄 vi 表目錄 viii 圖目錄 ix 第壹章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 2 第三節 研究重要性 2 第貳章 文獻回顧 3 第一節 自殺與自我傷害 3 第二節 重複自傷的風險因子 5 第三節 減少重複自傷的介入研究 6 第四節 VHS應用理論回顧 9 第五節 自傷者的求助經驗 11 文獻小結 12 第叁章 研究方法 13 第一節 研究設計 13 第二節 研究對象 13 第三節 研究工具 14 第四節 研究程序 18 第肆章 研究結果 20 第一節 危機因應模式 24 一、 危機情境的狀態 25 二、 因應方式 27 三、 自傷行為的驅動力 30 四、 自助/求助行為的驅動力 35 第二節 介入工具回饋 38 一、 接受度 39 二、 實務可行性 44 三、 建議與期待 47 四、 限制 50 五、 未來發展 52 第三節 介入設計 53 一、 修正版VHS 54 二、 追加介入 57 第伍章 討論 58 第一節 危機因應模式的意義 58 第二節 與先前研究的比較 59 一、 介入研究 59 二、 執行意圖機制 59 第三節 研究限制 60 參考文獻 62 附錄一、訪談大綱 70 附錄二、自填問卷 71 附錄三、初版中文化VHS 72 附錄四、臨床試驗/研究許可書 73 附錄五、修正版中文化VHS 74 | |
dc.language.iso | zh-TW | |
dc.title | 在醫院進行簡短心理介入以減少重複自傷的可行性:病人感受之質性研究 | zh_TW |
dc.title | The feasibility of a brief psychological intervention to reduce self-harm repetition at hospital: a qualitative study of patients' perceptions. | en |
dc.type | Thesis | |
dc.date.schoolyear | 106-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 官晨怡(Chen-I Kuan),吳其炘(Chi-Shin Wu) | |
dc.subject.keyword | 自我傷害,可行性研究,質性研究,訪談研究,行為介入,簡短介入, | zh_TW |
dc.subject.keyword | self-harm,feasibility study,qualitative study,interview study,psychological intervention,brief intervention, | en |
dc.relation.page | 74 | |
dc.identifier.doi | 10.6342/NTU201803900 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2018-08-20 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康行為與社區科學研究所 | zh_TW |
顯示於系所單位: | 健康行為與社區科學研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-107-1.pdf | 2.31 MB | Adobe PDF | 檢視/開啟 |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。