Abstract

We modified an accident analysis model for the study of acute suicidal episodes (ASEs). Our aim was to use this model (SCREAM, Suicidal Cognitions’ Reliability and Error Analysis Method) as a lens to understand the worst-ever ASEs of nine patients who took part in repeated in-depth interviews. Guided by the theory of SCREAM including four predetermined categories, nine themes were identified. ASEs were triggered by interactions with the interpersonal and physical environment and spiraled into a state of lost control. Timing and the availability of promoters and barriers in the environment were salient features. Findings may aid person-centered safety planning.

 抽象的

我们修改了用于研究急性自杀事件（ASE）的事故分析模型。我们的目的是使用这个模型（SCREAM，自杀认知的可靠性和错误分析方法）作为镜头来了解参与重复深度访谈的 9 名患者有史以来最严重的 ASE。在 SCREAM 理论（包括四个预定类别）的指导下，确定了九个主题。 ASE 是由人际和物理环境的相互作用引发的，并逐渐陷入失控状态。环境中启动子和障碍的时机和可用性是显着特征。研究结果可能有助于以人为本的安全规划。