关键词: 青少年, 自杀未遂, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate the psychological experience of adolescent suicide attempters. Methods Computer search was conducted on Pubmed，CINAHL，Embase，PsychInfo，Web of Science，Cochrane Library，CNKI，Wanfang Database，VIP database，and Chinese Biomedical Literature database to retrieve qualitative studies on the psychological experience of adolescent patients with suicide attempts. The retrieval period was from the establishment of the databases to July 2022. Qualitative research quality evaluation criteria（2016 edition） of the Joanna Briggs Institute（JBI） Center for Evidence-based Health Care in Australia were used for literature quality evaluation，and meta-integration method was used for integrated analysis of the results. Results A total of 11 studies were included，and 61 research results were extracted，which were summarized into 9 new categories and integrated into 4 integrated results. ①mental and emotional storms，including mental and emotional breakdown，feeling of love and regaining confidence；②obstructed life and study，including lack of life goals，heavy academic pressure；③conflicted intimate relationships，including family friction，love failure，friendship failure；④adjustment and coping，including multiple external support，self-adjustment and perception. Conclusion Nursing staff should pay attention to the psychological experience of adolescent patients with suicide attempts，guide them to relieve the pressure of life and study，relieve family conflicts，assist patients to establish a positive view of friendship and love，and jointly develop a long-term intervention program of multidisciplinary，in order to prevent patients from suicide again.

Key words: Teenagers, Attempted Suicide, Qualitative Research, Meta Integration, Evidence-Based Nursing