This article analyses findings from a large-scale study conducted in England and Wales into the prevalence of, and mediators and moderators of risk in relation to, suicidality amongst victims of domestic abuse. The authors tracked (disclosed) experiences of suicidal ideation or suicide within a sample of more than 3,500 domestically abused adults and explored factors that appeared to be correlated with a presence of suicidality amongst this constituency. This analysis was triangulated with a series of 20 semi-structured interviews which explored on-the-ground challenges in relation to the identification of, and support provision for, this vulnerable group, and which also included reflection on the difficulties experienced by staff as a consequence of the emotionally demanding nature of their interactions with such clients. Based on their findings, in this article, the authors underscore the need for more effective multi-agency cooperation, for greater priority to be given to self-harm and suicidality in risk-assessment processes, and for sustainable resourcing of domestic abuse service providers. In a context in which suicidality was correlated with experiences of isolation and hopelessness, they also emphasise the importance of appropriate and effective engagement by state agencies and those professionals tasked with intervening to help victims of domestic abuse.

中文翻译：

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从希望到帮助：识别和应对家庭虐待受害者的自杀行为

本文分析了在英格兰和威尔士进行的一项大规模研究的结果，该研究涉及家庭虐待受害者的自杀倾向，以及与自杀相关的风险的中介和调节因素。作者在超过 3,500 名受家庭虐待的成年人的样本中追踪（披露）了自杀意念或自杀的经历，并探索了似乎与该选区存在自杀倾向相关的因素。该分析通过一系列 20 次半结构化访谈进行三角化，探讨了与识别这一弱势群体并为其提供支持相关的实地挑战，其中还包括对工作人员所经历的困难的反思，作为他们与此类客户的互动对情感的要求很高。根据他们的发现，在这篇文章中，作者强调需要更有效的多机构合作，在风险评估过程中更加优先考虑自残和自杀，以及为家庭虐待服务提供者提供可持续的资源。在自杀与孤立和绝望的经历相关的背景下，他们还强调了国家机构和那些负责干预以帮助家庭虐待受害者的专业人员适当和有效参与的重要性。