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
1404
1
1
gregorian
2025
4
1
24
1
online
1
fulltext
fa
کشف ناشناختهها: تبیین نیازهای بازماندگان اقدام به خودکشی از دیدگاههای شخصی و حرفهای
Exploring the Unknowns: Explaining the Needs of Suicide Attempt Survivors from Personal and Professional Perspective
روانپزشكي
روانپزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> خودکشی همچنان یکی از چالشهای بزرگ سلامت عمومی به شمار میآید که بهواسطه پیچیدگی ترکیب عوامل روانشناختی، احساسی، خانوادگی، اجتماعی، اقتصادی و فرهنگی رخ میدهد. درک نیازهای پیچیده و چند بعدی افراد با تمایلات خودکشی، برای طراحی و اجرای مداخلات مؤثر، ضرورتی انکارناپذیر است. این مطالعه با هدف شناسایی نیازهای افراد با تجربه اقدام به خودکشی، از دیدگاه خود آنها و کارشناسان سلامت روان انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مواد و روش</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">ها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">در<b> </b></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">این مطالعه کیفی، جامعه پژوهش شامل بازماندگان از اقدام به خودکشی و کارشناسان سلامت روان بود. برای جمعآوری دادهها از مصاحبههای نیمهساختاریافته استفاده شد. در این تحقیق، حجم نمونه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">۱۳</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نفر بوده که از این تعداد، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">۱۱</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نفر زن و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">۲</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نفر مرد بودند. مصاحبهها با </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">۷</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> متخصص سلامت روان و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">۵</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نفر از افرادی که تجربه اقدام به خودکشی داشتهاند، انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">یافتهها</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">: نتایج این مطالعه نشان داد که افراد با تجربه اقدام به خودکشی به </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">۸</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نیاز اصلی اشاره کردهاند که عبارت از نیازهای روانی و احساسی، نیازهای خانوادگی و بینفردی، نیاز به مدیریت و بهبود مشکلات روانی، نیازهای اقتصادی و شغلی، نیاز به دسترسی به خدمات درمانی و حمایتی، نیاز به انطباق با فرهنگ و اجتماع، نیاز به رهایی و بازسازی فردی، و نیاز به آموزش و تقویت مهارتهای فردی، میباشند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتیجهگیری</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">:</span></span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتایج این تحقیق بر اهمیت توجه ویژه به نیازهای روانشناختی از طریق حمایتهای اجتماعی و خانوادگی تأکید دارد. همچنین، ارائه مداخلات اقتصادی و افزایش دسترسی به خدمات سلامت روان، بهویژه در زمینههای پیشگیری و درمان، برای کاهش خطر خودکشی امری حیاتی به نظر میرسد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> خودکشی، اقدام به خودکشی، نیاز، کارشناس سلامت روان، مطالعه کیفی، تحلیل محتوای قراردادی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:145%">Suicide remains a significant public health issue, resulting from a combination of psychological, emotional, familial, social, economic, and cultural factors. Understanding the complex needs of individuals with suicidal tendencies is crucial for the development of effective interventions. This study aimed to identify the needs of individuals with a history of suicide attempts from the perspectives of both the individuals themselves and mental health professionals.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> This qualitative study utilized conventional content analysis, with a research population consisting of suicide attempt survivors and mental health professionals. Data were collected through semi-structured interviews. The sample size included 13 participants, 11 women and 2 men.The interviews were conducted with 7 mental health experts and 5 individuals with a history of suicide attempts.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> The findings revealed that individuals with a history of suicide attempt have 8 main needs: psychological and emotional needs, familial and interpersonal needs, the need to manage and improve mental health issues, economic and occupational needs, the need for access to therapeutic and supportive services, the need for cultural and social adaptation, the need for personal freedom and reconstruction, and the need for personal skill development and training.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> These findings emphasize the importance of addressing psychological needs through social and family support. Furthermore, economic interventions and improving access to mental health services are vital for reducing the risk of suicide.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Suicide, Suicide attempt, Needs, Mental health professional, Qualitative study, Conventional content analysis</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span dir="RTL" lang="AR-SA" style="font-size:4.0pt"><span style="line-height:145%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> This study was funded by the Student Research Committee of Iran University of Medical Sciences.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> This study was approved by the Ethics Committee of Iran University of Medical Sciences (IR.IUMS.REC.1402.177).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Marziyeh Ghahramani, Shahrbanoo Ghahari, Fatemeh Heidari, Kazem Malakouti</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Marziyeh Ghahramani, Shahrbanoo Ghahari, Fatemeh Heidari, Kazem Malakouti</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Marziyeh Ghahramani, Fatemeh Heidari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Marziyeh Ghahramani, Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Shahrbanoo Ghahari, Kazem Malakouti</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Shahrbanoo Ghahari, Fatemeh Heidari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><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:145%">Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Marziyeh Ghahramani, Fatemeh Heidari</span></span></span></span></span></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:150%">Citation:</span></span></b> <span style="font-size:8.0pt"><span style="line-height:150%">Ghahramani M, Heidari F, Malakouti K, Ghahari Sh</span></span><span style="font-size:8.0pt"><span style="line-height:150%">. Exploring the Unknowns: Explaining the Needs of Suicide Attempt Survivors from Personal and Professional Perspective. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2025; 24 (1): 47-64. [Farsi]</span></span><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
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</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span style="font-size:9.0pt"><span style="line-height:145%">Writing – review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:145%"> Marziyeh Ghahramani, Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
خودکشی, اقدام به خودکشی, نیاز, کارشناس سلامت روان, مطالعه کیفی, تحلیل محتوای قراردادی
Suicide, Suicide attempt, Needs, Mental health professional, Qualitative study, Conventional content analysis
47
64
http://journal.rums.ac.ir/browse.php?a_code=A-10-6909-1&slc_lang=fa&sid=1
Marziyeh
Ghahramani
مرضیه
قهرمانی
marziyhghahramani@gmail.com
6900319475328460060217
6900319475328460060217
No
Iran University of Medical Sciences
دانشگاه علوم پزشکی ایران
Fateme
Heiydari
فاطمه
حیدری
heiydaryfateme@gmail.com
6900319475328460060218
0009-0005-8176-0080
No
Iran University of Medical Sciences
دانشگاه علوم پزشکی ایران
Kazem
Malakouti
کاظم
ملکوتی
malakoutik@gmail.com
6900319475328460060219
6900319475328460060219
No
Iran University of Medical Sciences
دانشگاه علوم پزشکی ایران
Shahrbanoo
Ghahari
شهربانو
قهاری
Ghahhari.Sh@iums.ac.ir
6900319475328460060220
6900319475328460060220
Yes
Iran University of Medical Sciences
دانشگاه علوم پزشکی ایران