Family’s experience in caring for clients with suicidal risk in Indonesia
Abstract
Suicide is one of the psychiatric emergencies that require comprehensive care because individuals are at risk of endangering themselves, others and the surrounding. Suicide in Indonesia is increasing. Families have a major role in caring for clients and preventing suicide but family burdens have not been studied profoundly. The aim of the study was to get an overview of family experience of caring for clients with suicide risk. The research design was qualitative with descriptive phenomenology approach involving six participants. Data was collected by in depth interview and analyzed using Colaizzi method. The results of the study found five themes; suicide attempts is a complex burden for families, behavioral changes as a suicide sign, concern as a form of family and community support, family perceptions about the causes and consequences of attempted suicide and coping strategies of families overcoming the impact of attempted suicide. The results of the study recommend that the family as the front social unit of suicide prevention can be more sensitive to changes in the behavior of clients and nurses as counselors can provide interventions to improve the mental health status of clients and families such as health education, family psycoeducation therapy, stress management and self help group. The conclusion that can be drawn from the five themes above is the burden of the family who provide caring for the client with the risk of suicide is heavier when the family is unable to recognize the client's suicide signs so there is a need for a support system and constructive coping.
Downloads
References
Kim S.Y, Kim M, Kawachi I, Cho Y. Comparative Epidemiology of Suicide in South Korea and Japan : Effects of Age, Gender and Suicide Methods. Crisis. 2011;32(1):5–14
Meerwijk, L E, Meijel V, Berno, B., Kerkhof A, de Vogel W, Grypdonck, et al. Development and Evaluation of a Guideline for Nursing Care of Suicidal Patients with Schizophrenia. Perspectives in Psychiatric Care. 2010;46(1):65–73
Stuart G.W. Prinsip dan Praktik Keperawatan Kesehatan Jiwa Stuart. Edisi Indonesia. Jakarta: Elsevier; 2016
WHO. Preventing Suicide: A Global Imperative. In: Mental Health. [Internet]. 2014. Available from: www.who.int/entity/mental_health/suicide- prevention/world_report_2014/en/. Accessed 10 Sep 2015
Douglas G Jacobs. Practice Guideline For The Assessment and Treatment of Patients with Suicidal Behaviors. Association AP, editor. Jakarta: EGC; 2010
Stuart G.W. Principles and Practice of Psychiatric Nursing. 10th ed. St. Louis Missouri: Elsevier Mosby; 2013
Kawashima Y, Ito T, Narishige R, Saito T, Okubo Y. The Characteristics of Serious Suicide Attempters in Japanese Adolescents- Comparison Study between Adolescents and Adults. Bio Med Cent Psychiatry. 2012;12:191
Mclaughlin C, Mcgowan I, Neill S.O, Kernohan G. The Burden of Living With and Caring for a Suicidal Family Member. J Ment Heal. 2014;8237(5):236–40
Keyvanara M, Haghshenas A. Sociocultural Contexts of Attempting Suicide among Iranian Youth : A Qualitative Study. East Mediterr Heal J. 2011;17(No.6):529–36
Polit, D. F, Beck, C.T. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Wolter Kluwer Health; 2012
Afiyanti, Y dan Rachmawati, N.I. Metodologi Penelitian Kualitatif dalam Riset Keperawatan. 1st edition. Rajawali Pers, editor. Jakarta; 2014
Creswell, J.W. Research Design : Pendekatan Kualitatif, Kuantitatif dan Mixed: Prosedur-Prosedur Metode Campuran. Yogyakarta: Pustaka Pelajar; 2013
Friedman, Marilyn M. Buku Ajar Keperawatan Keluarga : Riset, Teori dan Praktek. Jakarta: EGC; 2010
Huang L-B, Tsai Y-F, Liu C-Y, Ying-Jen Chen. Influencing and Protective Factors of Suicidal Ideation among Older Adults. Int J Ment Health Nurs. 2016
Cardell, R et al. Revisiting “Suicide Proofing” an Inpatient Unit through Environmental Safeguards: A Review. Perspect Psychiatr Care. 2009;45(36)
Dwi A, Hamid A.Y.S, Susanti Y. Studi Fenomenologi Pengalaman Spiritual Klien Gagal Ginjal Kronis yang Menjalani Hemodialisa di RSU PKU Muhammadiyah Gombong Jawa Tengah. Universitas Indonesia; 2013
Zaini M, Hamid A.Y.S, Rahmah H. Faktor-Faktor yang Berhubungan dengan Resiliensi dan Kesejahteraan Spiritual Para Survivor Erupsi Gunung Kelud di Kabupaten Malang. Universitas Indonesia; 2015
Lee K-F, Tsai Y-F, Ying-Jen Chen, Huang L-B. Triggers of Suicide Ideation and Protective Factors of Actually Executing Suicide among First Onset Cases in Older Psychiatric Outpatients: A Qualitative Study. BMC Psychiatry. 2014;14:269
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.