Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1403
10
1
gregorian
2025
1
1
23
9
online
1
fulltext
fa
در سایه ناگفتهها: واکاوی کیفی موانع و چالشهای پیشگیری از خودکشی
In the Shadow of the Untolds: A Qualitative Analysis of the Barriers and Challenges in Suicide Prevention
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> خودکشی قابل پیشگیری است، اما با این حال صدها هزار نفر هنوز هم هر ساله به دلیل خودکشی می</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">میرند. این مسأله بیانگر وجود موانعی بر سر راه برنامه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های پیشگیری از خودکشی است. بر این اساس هدف از پژوهش حاضر تعیین موانع و چالش</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های پیشگیری از خودکشی ازدیدگاه کارشناسان سلامت روان بوده است</span></span></span>.<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> در این مطالعه کیفی که به روش تحلیل محتوا انجام شد. جامعه پژوهش کارشناسان سلامت روان در مراکز بهداشتی استان چهارمحال و بختیاری در سال 1402 بودند. حجم نمونه 10 نفر بود که به صورت هدفمند انتخاب شد و جمع آوری داده</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">ها تا رسیدن به مرحله اشباع ادامه یافت. ابزار پژوهش نیز مصاحبه نیمه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">ساختاریافته بود و اطلاعات به دست آمده با روش تحلیل مضمون کدگذاری شدند</span></span></span>.<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">یافته</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> بر اساس نتایج پنج مضمون فراگیر در زمینه موانع پیشگیری از خودکشی به دست آمد: 1. موانع حرفه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">ای در حوزه سلامت روان. 2. سیاست</span></span></span><span dir="LTR" style="font-family:"Cambria",serif"></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">گذاری</span></span></span><span dir="LTR" style="font-family:"Cambria",serif"></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های ناکارآمد در نظام بهداشت و درمان 3. نقص در عملکرد شبکه</span></span></span><span dir="LTR" style="font-family:"Cambria",serif"></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های بهداشت 4. نقص در ارائه خدمات بیمارستانی 5. موانع اقتصادی، فرهنگی و اجتماعی. هر کدام از این مضامین شامل مضامین فرعی دیگر است که در یک شبکه مضامین ترسیم شده است.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">نتیجه</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> شناسایی و کشف موانع، مسألهای مهم برای برنامههای پیشگیری از خودکشی به شمار میآید و یادآور میشود که برای کاهش میزان خودکشی، لازم است برنامههای جامعی برای آموزش کارشناسان سلامت روان تدارک دیده شود. همچنین استخدام نیروی کارآمد، تجهیز منابع انسانی شبکه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های بهداشت و بیمارستان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">ها و انگ</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">زدائی بیماری و خودکشی از عموم مردم در دستور کار مسئولان قرار گیرد</span></span></span>.<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> موانع، چالش</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">ها، پیشگیری، خودکشی، رویکرد کیفی، تحلیل محتوا</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:140%"> Suicide is preventable; however, hundreds of thousands of people still die by suicide each year. This issue highlights the existence of barriers to effective suicide prevention programs. Accordingly, the aim of the present study was to investigate the barriers and challenges associated with suicide prevention from the perspective of mental health experts.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> This qualitative study employed content analysis. The research population consisted of mental health experts in healthcare centers of Chaharmahal and Bakhtiari Province in 2023. A purposive sample of 10 participants was selected, and data collection continued until saturation was reached. Data were gathered through semi-structured interviews and analyzed using thematic analysis.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Based on the results, five overarching themes regarding the barriers to suicide prevention were obtained: 1. Professional barriers in mental health; 2. Ineffective policies within the healthcare system; 3. Deficiencies in the performance of health networks; 4. Inadequacies in hospital service provision; and 5. Cultural and social barriers. Each of these themes encompasses additional sub-themes, which have been illustrated in a thematic network.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Identifying and understanding these barriers is crucial for suicide prevention programs. This underscores the need for comprehensive training programs for mental health professionals to reduce suicide rates. Furthermore, officials should prioritize recruiting competent personnel, equipping healthcare networks and hospitals with adequate human resources, and destigmatizing mental illness and suicide among the general public.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Obstacles, Challenges, Prevention, Suicide, Qualitative approach, Content analysis</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%"> - Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> The Ethics Committee of Shahrekord University approved the study (IR.SKU.REC.1402.024).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Rezvan Salehi </span></span><span style="font-size:9.0pt"><span style="line-height:140%">NajafAbadi</span></span><span style="font-size:9.0pt"><span style="line-height:140%">, Mohsen Rezaeian </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Rezvan Salehi </span></span><span style="font-size:9.0pt"><span style="line-height:140%">NajafAbadi</span></span><span style="font-size:9.0pt"><span style="line-height:140%">, Mohsen Rezaeian</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Rezvan Salehi </span></span><span style="font-size:9.0pt"><span style="line-height:140%">NajafAbadi</span></span><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Rezvan Salehi </span></span><span style="font-size:9.0pt"><span style="line-height:140%">NajafAbadi</span></span><span style="font-size:9.0pt"><span style="line-height:140%">, Mohsen Rezaeian</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Mohsen Rezaeian</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Rezvan Salehi </span></span><span style="font-size:9.0pt"><span style="line-height:140%">NajafAbadi</span></span><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Rezvan Salehi </span></span><span style="font-size:9.0pt"><span style="line-height:140%">NajafAbadi</span></span><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Writing – review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Rezvan Salehi </span></span><span style="font-size:9.0pt"><span style="line-height:140%">NajafAbadi</span></span><span style="font-size:9.0pt"><span style="line-height:140%">, Mohsen Rezaeian</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:140%"></span></span></b></span></span></span></span></span><br>
موانع, چالشها, پیشگیری, خودکشی, رویکرد کیفی, تحلیل محتوا
Obstacles, Challenges, Prevention, Suicide, Qualitative approach, Content analysis
828
845
http://journal.rums.ac.ir/browse.php?a_code=A-10-6728-2&slc_lang=fa&sid=1
Rezvan
Salehi NajafAbadi
رضوان
صالحی نجف آبادی
r.salehi@sku.ac.ir
6900319475328460059398
6900319475328460059398
Yes
shahrekord university
دانشگاه شهرکرد
Mohsen
Rezaeian
محسن
رضائیان
moeygmr2@yahoo.co.uk
6900319475328460059399
6900319475328460059399
No
Rafsanjan University of Medical Sciences and Health Services
دانشگاه علوم پزشکی رفسنجان