Understanding and Counseling With Adult Suicidal Survivors: An Ecological Approach

• Main Authors: Chang, Hsiao-Pei, 張曉佩
• Other Authors: Hsiao, Wen
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/19378817673806654256

博士 === 國立暨南國際大學 === 輔導與諮商研究所 === 101 === The purpose of this research was to explore the ecological system factors and key ecological counseling strategies that facilitated overcoming suicidal behaviors in adult suicidal survivors. Narrative inquiry was used to develop an understanding of what was happened in adult suicidal survivors' life contexts and what was helpful in counseling. Four adult suicidal survivors and five mental health professionals participated in this study. Individual interviews were conducted by the researcher and guided by open-ended questions. The interviews were audio-recorded and transcribed entirely. Two independent coders were applied to identify descriptive themes from the transcribed interviews, to compare and to integrate into the final list of coding categories. The findings indicated three characteristics of suicidal factors. First, suicidal factors were ecological not individualistic. Second, there were interaction between factors and their influences were continual. Third, suicide was a kind of social sufferings reflected the imbalanced of systems. The effective strategies and suggestions were:(1)building in-depth therapeutic relationships, (2)using intervening strategies in multiple contexts based on the concept of pragmatic utility, (3)doing advocacy actions to facilitate the change of system, (4)doing more efforts of prevention in daily life, and (5)developing self-care plan including training, continuing education, supervision and team work to promote working effectiveness. The clinical implications of the findings were discussed.