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

摘要：

目的 系统评价青少年自杀未遂患者的心理体验。方法 计算机检索PubMed、CINAHL、PsychInfo、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库，筛选有关青少年自杀未遂患者的心理体验的质性研究，检索时限为建库至2022年7月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心制订的质性研究质量评价标准（2016版）进行文献质量评价，采用Meta整合方法对结果进行整合分析。结果 共纳入11篇文献，包括4篇现象学研究、6篇描述性质性研究、1篇扎根理论研究。提炼出61个研究结果，归纳成9个新类别，综合成4个整合结果：①思想与情感风暴，包括精神与情绪崩溃、感受爱意并重拾信心；②生活与学业受阻，包括生活目标缺失、学业压力繁重；③冲突的亲密关系，包括家庭摩擦、爱情失利、友情受挫；④调适与应对，包括多元的外部支持、自我调适与感悟。结论 护理人员应关注青少年自杀未遂患者的心理体验，引导其缓解生活与学业压力，缓和家庭矛盾，协助患者树立正确的友情观及爱情观，并联合多学科制订长效的干预方案，预防患者再次自杀。

关键词: 青少年, 自杀未遂, 质性研究, Meta整合, 循证护理学