关键词: 急诊科, 自杀未遂, 心理健康服务, 医护人员, 心理体验, 质性研究

Abstract:

Objective To analyze the psychological experience of the emergency medical staff in general hospitals in the treatment of attempted suicide patients,so as to provide references and bases for the clinical development of corresponding interventions and the improvement of mental health services for suicide patients. Methods Using descriptive phenomenological research method,semi-structured in-depth interviews were conducted from December 1 to 10,2019 with emergency medical staff from 2 general hospitals in Hubei Province who had the experience of providing health-care services to attempted suicide patients,and the data was analyzed with the Colaizzi 7-step analysis method. Results The psychological experience of the emergency medical staff was divided into emotional experience and cognitive experience. Emotional experience includes sympathy and regret,incomprehension and puzzlement,worry and pressure;cognitive experience can be summarized as the insufficient ability to deal with psychological problems of suicide patients,new cognition of their own professional roles,and rational thinking of mental health services. Conclusion The emergency medical staff have different degrees of negative emotions when receiving the suicide patients. They have some difficulties and challenges in the prevention of suicide related knowledge and communication skills,and in providing mental health services for suicide patients. Authorities should pay attention to preventing suicide patients from re-suicide,easing the negative emotions of medical staff,developing suicide prevention knowledge and communication skills training,promoting patients’ physical and psychological treatment,and preventing and reducing patients’ suicide.

Key words: Emergency Department, Suicide,Attempted, Mental Health Services, Medical Staff, Psychological Experience, Qualitative Research