The Rana Plaza building collapse occurred on 24 April 2013 in Savar, near the capital city of Bangladesh, killing more than 1130 garment workers and injured about 2500, mostly females. Those who survived face ongoing challenges, including socio-cultural constraints, economic hardship, post-traumatic stress disorders (PTSD), depression, and critical health issues, which may lead to suicidal ideation and death. The aim of this article is to explore why and how female garment workers who survived the Rana Plaza collapse are now at risk of suicide thoughts and behaviours, and suicide death. Unstructured face-to-face interviews were held from April to July 2018 with 11 female garment workers who survived the Rana Plaza building collapse. Interviews continued until data saturation was reached. The interviews were tape-recorded and transcribed verbatim while simultaneously being translated into English from Bengali/Bangla. Transcripts were coded and thematically analysed. The study found that all participants were living with multiple risk factors of suicidal ideation (including low socio-economic status, poverty, social stigma, psychological distress, and trauma) which the participants directly linked to the collapse of the Rana Plaza building. Our analysis uses the three-step theory of suicide (3ST, Klonsky & May, 2015) to understand female Rana Plaza survivors’ suicide risk. Female survivors’ overall vulnerability requires urgent attention while taking the socio-cultural setting of Bangladesh into account. In addition, a lifelong caring system (combining financial security and free healthcare) needs to be initiated to accommodate the female survivors with mainstream society to avoid possible future suicides. They require long-term social and economic security and psychological support.

中文翻译：

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拉纳广场倒塌事件中幸存的女性服装工人自杀念头和行为的流行程度：深入调查


2013 年 4 月 24 日，孟加拉国首都附近的萨瓦尔发生拉纳广场大楼倒塌事故，造成 1130 多名制衣工人死亡，约 2500 人受伤，其中大部分是女性。幸存者面临着持续的挑战，包括社会文化限制、经济困难、创伤后应激障碍 (PTSD)、抑郁症和严重的健康问题，这些可能导致自杀意念和死亡。本文的目的是探讨拉纳广场倒塌事件中幸存下来的女性服装工人为何以及如何面临自杀念头和行为以及自杀死亡的风险。 2018 年 4 月至 7 月，我们对拉纳广场大楼倒塌事故中幸存的 11 名女制衣工人进行了非结构化的面对面采访。访谈一直持续到数据达到饱和为止。采访被录音并逐字转录，同时从孟加拉语/孟加拉语翻译成英语。对文字记录进行编码并进行主题分析。研究发现，所有参与者都存在多种自杀意念的危险因素（包括社会经济地位低、贫困、社会耻辱、心理困扰和创伤），这些因素与拉纳广场大楼的倒塌直接相关。我们的分析使用自杀三步理论（3ST，Klonsky & May，2015）来了解拉纳广场女性幸存者的自杀风险。考虑到孟加拉国的社会文化环境，需要紧急关注女性幸存者的整体脆弱性。此外，需要启动终身关怀制度（结合经济保障和免费医疗），让女性幸存者融入主流社会，避免未来可能发生的自杀事件。 他们需要长期的社会和经济保障以及心理支持。