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Religious beliefs, coping skills and responsibility to family as factors protecting against deliberate self-harm

机译:宗教信仰,应对技巧和对家庭的责任是防止故意伤害自己的因素

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Background . Deliberate self-harm (DSH) ranges from behaviours aiming to communicate distress or relieve tension, but where suicide is not intended, to suicide. Not all individuals are prone to DSH, which suggests that there are factors that protect against it. Identifying these could play an important role in the management and prevention of DSH. Objectives . This study examined whether religious beliefs, coping skills and responsibility to family serve as factors protecting against DSH in Kota Kinabalu, Sabah, Malaysia. Method . A cross-sectional comparative study assessed DSH patients consecutively admitted or directly referred to Queen Elizabeth General Hospital and Hospital Mesra Bukit Padang during the period December 2006 - April 2007. DSH patients (N=42) were matched with controls (N=42) for gender, age, religion, race, occupation and marital status. The DSH and control groups were compared using psychosocial tests that assess coping skills, religious beliefs and responsibility to family. Results . There were significant differences in religious beliefs (p=0.01) and responsibility to family (p=0.03) between the DSH patients and the control group. There were also significant differences in coping skills, DSH patients tending to use emotion-orientated coping (p=0.01) as opposed to taskand avoidance-orientated coping. Conclusion . Consistent with international studies, coping skills (i.e. task-orientated skills), religious beliefs and responsibility to family were more evident in patients who did not attempt DSH than in those who did. These findings imply that treating DSH should not start only at the point of contact. Protective factors such as religious beliefs, responsibility to family and coping strategies can be inculcated from a very young age. However, caution is required in generalising the results owing to limitations of the study. Further extensive research on religious and psychotherapeutic interventions and prospective studies on protective factors will be helpful.
机译:背景 。故意的自我伤害(DSH)范围从旨在传达困扰或减轻紧张感的行为,到旨在避免自杀的行为,再到自杀。并非所有的人都容易患DSH,这表明有些因素可以预防它。识别这些可能在DSH的管理和预防中起重要作用。目标。这项研究调查了马来西亚沙巴州哥打京那巴鲁的宗教信仰,应对技巧和对家庭的责任是否可作为预防DSH的因素。方法 。一项横断面比较研究评估了2006年12月至2007年4月期间连续入院或直接转诊至伊丽莎白女王综合医院和梅斯拉武吉巴东医院的DSH患者。DSH患者(N = 42)与对照组(N = 42)相匹配性别,年龄,宗教,种族,职业和婚姻状况。通过评估评估应对技巧,宗教信仰和对家庭的责任的社会心理测验对DSH和对照组进行比较。结果。 DSH患者和对照组之间的宗教信仰(p = 0.01)和家庭责任(p = 0.03)存在显着差异。应对技巧上也存在显着差异,DSH患者倾向于采用情绪导向的应对方式(p = 0.01),而不是任务和回避导向的应对方式。结论。与国际研究相一致,未尝试DSH的患者比那些尝试DSH的患者更明显地表现出应对技巧(即任务导向的技巧),宗教信仰和对家庭的责任。这些发现表明,治疗DSH不应仅从接触点开始。保护性因素,例如宗教信仰,对家庭的责任感和应对策略,可以从很小的时候就被灌输。但是,由于研究的局限性,在总结结果时需要谨慎。进一步的宗教和心理治疗干预研究以及保护因素的前瞻性研究将是有帮助的。

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