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題名 想死的理由、不能死的理由與自殺風險程度的關聯──以台灣安心專線為例
The relationship between reasons for dying, reasons for not to die and suicide risk: An analysis of Taiwan An Hsin Hotline作者 林俞涵
Lin, Yu-Han貢獻者 許文耀
Hsu, Wen-Yau
林俞涵
Lin, Yu-Han關鍵詞 想死的理由
不能死的理由
自殺的內在辯論
自殺風險
Reasons for dying
Reasons for not to die
The internal debate of suicide
Suicide risk日期 2023 上傳時間 5-八月-2024 14:50:03 (UTC+8) 摘要 在自殺率偏高的台灣，對自殺者的了解及自殺防治至關重要，而內在辯論是自殺者常見且重要的心理狀態。本研究使用台灣安心專線來電文字謄本作為研究資料，以「不能死的理由」取代過去研究中「想活的理由」，探討安心專線來電者的特性、想死／不能死的理由與自殺風險程度的關聯以及自殺的內在辯論。本研究之資料來源為2013-2018期間第一次來電者的電話錄音檔及台灣eSOS自殺危機個案處理系統資料庫，這些錄音檔中，依據無自殺意念、偶有自殺意念、常有自殺意念、自殺行為準備中、自殺行為進行中，從中隨機抽取150份，去除個資後將語音轉錄為文字謄本，以及轉錄與之對應的背景變項。自殺危險程度則透過兩名臨床心理學學者專家經討論獲取共識後，針對文本謄本進行分類，最後再歸類成無自殺意念組、有自殺意念組及自殺準備／行動組。想死／不能死的理由則重新編寫評分手冊，評分者間信度為.92。本研究以相關、共變異數分析及邏輯斯迴歸進行資料分析。研究發現，不能死的理由可以削減想死的理由而降低自殺風險，且想死／不能死的理由相減之內在辯論可以區分三組不同的自殺風險程度，於這些樣本中，較常出現的想死的理由為逃避、與他人的關係有困擾或不想造成他人負擔、無望感與經濟困擾，而具有對他人的責任、尋求協助、家庭、擔心造成他人困擾及死亡焦慮則是較常出現的不能死的理由。本研究亦討論研究結果與過去自殺理論的關聯以及實務意涵。
Since suicide mortality rate is relatively higher in Taiwan, understanding of suicide and suicide prevention is even more important, and internal debate is a common and essential psychological state of suicidal people. This study adopts Taiwan An Hsin hotline’s phone call transcriptions as research data, replacing “reasons for living” with “reasons for not to die” to explore characteristics of An Hsin hotline callers, relationship between reasons for dying/not to die and suicide risk, and the internal debate of suicide. This study randomly selected 150 first-time caller’s recordings from An Hsin Hotline’s suicidal follow-up case record database (eSOS) between 2013 and 2018, including no suicide ideation, seldom having suicide ideation, usually having suicide ideation, preparing for suicide attempt and attempting suicide. These recordings were transcribed into text after removing personal information and combined with corresponding background variables. Suicide risk level is evaluated by two clinical psychology experts, then categorized into no suicide ideation group, suicide ideation group and preparing/attempting suicide group. Interrater reliability of the coding manual of reasons for dying/not to die is .92, other data analyses were conducted by using correlation, analysis of covariance (ANCOVA) and logistic regression. Study shows that reasons for not to die can reduce reasons for dying, therefore suicide risk is decreased. The internal debate represented by subtracting reasons for not to die from reasons for dying can differentiate three suicide groups. Among these samples, escape, relationship with others, hopelessness and financial hardships are the common reasons for dying. Responsibility to others, seeking help, family, burdening others and death anxiety are the common reasons for not to die. Relationship between study result and previous suicide theories and implications were also discussed.參考文獻 社團法人台北市生命線協會（2024）。111年度「安心專線」成果報告。取自http://www.lifeline.org.tw/data/analytic/tel/419 衛生福利部（2023）。111年國人死因統計結果。取自https://www.mohw.gov.tw/cp-16-74869-1.html 衛生福利部心理健康司（2022）。自殺死亡及自殺通報統計。取自https://dep.mohw.gov.tw/DOMHAOH/cp-4904-8883-107.html Abramson, L. M., Alloy, L. B., Hogan, M. E., Whitehouse, W. G., Gibb, B. E., Hankin, B. L., & Cornette, M. M. (2000). The hopelessness theory of suicidality. In T. Joiner & M. D. Rudd (Eds.), Suicide science: Expanding the boundaries (pp. 17–32). Norwell, MA: Kluwer Academic Publishers Bakhiyi, C. L., Calati, R., Guillaume, S., & Courtet, P. (2016). Do reasons for living protect against suicidal thoughts and behaviors? A systematic review of the literature. Journal of psychiatric research, 77, 92-108. Baumeister, R. F. (1990). Suicide as escape from self. Psychological review, 97(1), 90. Beck, A. T., Davis, J. H., Frederick, C. 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Psychological factors associated with the incidence and persistence of suicidal ideation. Journal of affective disorders, 133(3), 584-590. 描述 碩士
國立政治大學
心理學系
110752006資料來源 http://thesis.lib.nccu.edu.tw/record/#G0110752006 資料類型 thesis dc.contributor.advisor 許文耀 zh_TW dc.contributor.advisor Hsu, Wen-Yau en_US dc.contributor.author (作者) 林俞涵 zh_TW dc.contributor.author (作者) Lin, Yu-Han en_US dc.creator (作者) 林俞涵 zh_TW dc.creator (作者) Lin, Yu-Han en_US dc.date (日期) 2023 en_US dc.date.accessioned 5-八月-2024 14:50:03 (UTC+8) - dc.date.available 5-八月-2024 14:50:03 (UTC+8) - dc.date.issued (上傳時間) 5-八月-2024 14:50:03 (UTC+8) - dc.identifier (其他 識別碼) G0110752006 en_US dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/152922 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 心理學系 zh_TW dc.description (描述) 110752006 zh_TW dc.description.abstract (摘要) 在自殺率偏高的台灣，對自殺者的了解及自殺防治至關重要，而內在辯論是自殺者常見且重要的心理狀態。本研究使用台灣安心專線來電文字謄本作為研究資料，以「不能死的理由」取代過去研究中「想活的理由」，探討安心專線來電者的特性、想死／不能死的理由與自殺風險程度的關聯以及自殺的內在辯論。本研究之資料來源為2013-2018期間第一次來電者的電話錄音檔及台灣eSOS自殺危機個案處理系統資料庫，這些錄音檔中，依據無自殺意念、偶有自殺意念、常有自殺意念、自殺行為準備中、自殺行為進行中，從中隨機抽取150份，去除個資後將語音轉錄為文字謄本，以及轉錄與之對應的背景變項。自殺危險程度則透過兩名臨床心理學學者專家經討論獲取共識後，針對文本謄本進行分類，最後再歸類成無自殺意念組、有自殺意念組及自殺準備／行動組。想死／不能死的理由則重新編寫評分手冊，評分者間信度為.92。本研究以相關、共變異數分析及邏輯斯迴歸進行資料分析。研究發現，不能死的理由可以削減想死的理由而降低自殺風險，且想死／不能死的理由相減之內在辯論可以區分三組不同的自殺風險程度，於這些樣本中，較常出現的想死的理由為逃避、與他人的關係有困擾或不想造成他人負擔、無望感與經濟困擾，而具有對他人的責任、尋求協助、家庭、擔心造成他人困擾及死亡焦慮則是較常出現的不能死的理由。本研究亦討論研究結果與過去自殺理論的關聯以及實務意涵。 zh_TW dc.description.abstract (摘要) Since suicide mortality rate is relatively higher in Taiwan, understanding of suicide and suicide prevention is even more important, and internal debate is a common and essential psychological state of suicidal people. This study adopts Taiwan An Hsin hotline’s phone call transcriptions as research data, replacing “reasons for living” with “reasons for not to die” to explore characteristics of An Hsin hotline callers, relationship between reasons for dying/not to die and suicide risk, and the internal debate of suicide. This study randomly selected 150 first-time caller’s recordings from An Hsin Hotline’s suicidal follow-up case record database (eSOS) between 2013 and 2018, including no suicide ideation, seldom having suicide ideation, usually having suicide ideation, preparing for suicide attempt and attempting suicide. These recordings were transcribed into text after removing personal information and combined with corresponding background variables. Suicide risk level is evaluated by two clinical psychology experts, then categorized into no suicide ideation group, suicide ideation group and preparing/attempting suicide group. Interrater reliability of the coding manual of reasons for dying/not to die is .92, other data analyses were conducted by using correlation, analysis of covariance (ANCOVA) and logistic regression. Study shows that reasons for not to die can reduce reasons for dying, therefore suicide risk is decreased. The internal debate represented by subtracting reasons for not to die from reasons for dying can differentiate three suicide groups. Among these samples, escape, relationship with others, hopelessness and financial hardships are the common reasons for dying. Responsibility to others, seeking help, family, burdening others and death anxiety are the common reasons for not to die. Relationship between study result and previous suicide theories and implications were also discussed. en_US dc.description.tableofcontents 表目次 iv 圖目次 v 第一章 緒論 1 第二章 文獻回顧 3 第一節 自殺的內在辯論（The Internal Debate of Suicide） 3 第二節 想死與想活的測量 4 第三節 想死、想活與自殺風險程度的關聯 5 第四節 想死的理由與想活的理由 7 第五節 想死的理由、想活的理由與自殺風險程度的關聯 10 第六節 安心專線 14 第七節 研究問題與研究假設 15 第三章 研究方法 20 第一節 研究資料 20 第二節 研究工具 21 第三節 評分方式 24 第四節 研究程序 29 第五節 資料分析 29 第四章 研究結果 32 第五章 討論 45 第一節 不能死的理由 45 第二節 想死的理由 50 第三節 自殺的內在辯論 52 第四節 研究貢獻、限制與未來方向 53 參考文獻 56 附錄一 想死／不能死的理由評分手冊 64 zh_TW dc.format.extent 2582054 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0110752006 en_US dc.subject (關鍵詞) 想死的理由 zh_TW dc.subject (關鍵詞) 不能死的理由 zh_TW dc.subject (關鍵詞) 自殺的內在辯論 zh_TW dc.subject (關鍵詞) 自殺風險 zh_TW dc.subject (關鍵詞) Reasons for dying en_US dc.subject (關鍵詞) Reasons for not to die en_US dc.subject (關鍵詞) The internal debate of suicide en_US dc.subject (關鍵詞) Suicide risk en_US dc.title (題名) 想死的理由、不能死的理由與自殺風險程度的關聯──以台灣安心專線為例 zh_TW dc.title (題名) The relationship between reasons for dying, reasons for not to die and suicide risk: An analysis of Taiwan An Hsin Hotline en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 社團法人台北市生命線協會（2024）。111年度「安心專線」成果報告。取自http://www.lifeline.org.tw/data/analytic/tel/419 衛生福利部（2023）。111年國人死因統計結果。取自https://www.mohw.gov.tw/cp-16-74869-1.html 衛生福利部心理健康司（2022）。自殺死亡及自殺通報統計。取自https://dep.mohw.gov.tw/DOMHAOH/cp-4904-8883-107.html Abramson, L. 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