تبیین پدیدارشناسانه تجربه زیسته دختران نوجوان از علل اقدام به خودکشی

نویسندگان
1 دانشگاه سید جمال الدین اسدآبادی
2 مرکز خدمات روانشناختی و مشاوره آموزش و پرورش استان همدان
چکیده
براساس گزارش سازمان جهانی بهداشت، خودکشی یکی از علل عمده مرگ‌ومیر در بین جوانان و نوجوانان است. در ایران نیز، آمارهای موجود نشان‌دهنده افزایش میزان خودکشی، به‌ویژه در میان نوجوانان، می‌باشد که این امر نیازمند تحلیل و بررسی دقیق‌تری است. بنابراین، شناسایی علل اقدام به خودکشی در نوجوانان از اهمیت ویژه‌ای برخوردار است. در این راستا این پژوهش، با هدف تبیین پدیدارشناسانه تجربه زیسته دختران نوجوان از علل اقدام به خودکشی انجام شد. پژوهش حاضر از نوع کیفی و بر مبنای رویکرد پدیدارشناسی توصیفی با استفاده از تکنیک تحلیل مضمون انجام شد. نمونه پژوهش شامل 16 نفر از دانش‌آموزان دختر مقطع متوسطه دوم در شهر همدان است که در سال 1402 اقدام به خودکشی کرده‌اند. این نمونه با استفاده از روش نمونه‌گیری هدفمند و تا رسیدن به اشباع نظری انتخاب شد. داده‌ها از طریق مصاحبه‌های عمیق و نیمه‌ساختاریافته جمع‌آوری شده و برای تحلیل آن‌ها از روش 7 مرحله‌ای کلایزی استفاده گردید. نتایج تحلیل داده‌ها منجر به استخراج 9 مضمون اصلی و 21 مضمون فرعی شد که مضامین اصلی به‌صورت زیر طبقه‌بندی گردید: 1) فشارهای خانوادگی، 2) فشارهای اجتماعی و فرهنگی، 3) عوامل روانی و احساسی، 4) تجارب عاطفی و زندگی، 5) سبک فرزندپروری، 6) روابط اجتماعی و دوستان، 7) فقدان مهارت‌های مقابله‌ای و حل مسئله، 8) فشارهای محیط مدرسه و نظام آموزشی، 9) عوامل محیطی و اجتماعی. این پژوهش نشان می‌دهد که اقدام به خودکشی در دختران نوجوان، پدیده‌ای پیچیده و چندبعدی است که تحت تأثیر ترکیبی از عوامل مختلف قرار دارد. از این‌رو، به منظور پیشگیری و مداخلات مؤثر، لازم است که توجه به ابعاد مختلف فردی، خانوادگی، اجتماعی و فرهنگی در سیاست‌گذاری‌ها و برنامه‌های حمایتی لحاظ شود. همچنین، این تحقیق ضرورت توجه ویژه به مهارت‌های مقابله‌ای، حمایت‌های روانی و تغییرات در محیط‌های اجتماعی مانند خانواده و مدرسه را به‌عنوان راهکارهایی جهت کاهش رفتارهای خودکشی در دختران نوجوان برجسته می‌سازد.
کلیدواژه‌ها

عنوان مقاله English

The Phenomenological Explanation of Adolescent Girls' Lived Experience of the Causes of Suicide Attempts

نویسندگان English

Mahmoud Zivari Rahman 1
Somayeh Pour Mojahad 2
Ali Qardashi 2
1 Sayyed Jamaleddin Asadabadi University
2 Counseling and Psychological Services Center
چکیده English

According to the report of the World Health Organization, suicide is one of the main causes of death among young people and adolescents, in Iran, the available statistics indicate an increase in suicide, especially among adolescents, which requires deep analysis and investigation, so identifying the causes of action Adolescent suicide is considered a necessity. Therefore, the aim of this study is to provide a phenomenological explanation of adolescent girls' lived experiences regarding the causes of suicide attempts. The research method was a qualitative descriptive phenomenological type using thematic analysis technique. The field of research includes second secondary female students studying in Hamadan schools who committed suicide in 1402. 16 people were selected as a sample by purposive sampling method until theoretical saturation was reached. The data were collected using in-depth and semi-structured interviews, and the 7-step Claysey method was used for their analysis. The findings from the interviews were extracted and classified into 9 main themes and 21 sub-themes. which includes 1- family pressures. 2- Social and cultural pressures. 3- Psychological and emotional factors. 4- Emotional and life experiences. 5-Parenting style. 6- Social relations and friends. 7- Lack of coping skills and problem solving. 8- The pressures of the school environment and educational system. 9- Environmental and social factors. This research indicates that suicide attempts among adolescent girls are a complex and multifaceted phenomenon influenced by a combination of various factors. Therefore, in order to implement effective prevention and intervention strategies, it is essential that policies and support programs take into account the different individual, familial, social, and cultural dimensions. Furthermore, this study highlights the importance of focusing on coping skills, psychological support, and changes in social environments such as family and school as key approaches to reducing suicidal behaviors in adolescent girls.

کلیدواژه‌ها English

Phenomenology
lived experience
suicide attempts
adolescents
Girls
Ahmadi, S. S. A. & Salmani, A.(2023). The relationship between harmful use of mobile phones and emotional-behavioral problems in self-harming adolescents: with the mediation of self-control. Journal of Research in Psychological Health, 19(3), 1-15.
Alizadeh Brjandi, Z., Bagheri, S., & Rasoulzadeh Tabatabai, S. K. (2024). The psychometric properties and construct validity of the acquired capability for suicide-fearless about death scale (ACSS-FAD) based on the interpersonal theory of suicide (IPTS) in a sample of Iranian students. Research in Psychological Health, 18(1), 119–134. http://rph.khu.ac.ir/article-1-4434-fa.html [Persian].
Arab, A., Zeraatkar Makki, M., Eftekhari Kanzaraki, F., & Afsharpour, P. (2024). Predicting suicidal thoughts based on emotion regulation difficulties and perceived social support in high school students. Quarterly Journal of New Ideas in Psychology, 20(24), 1-13. [Persian]
Armstrong, G., Haregu, T., Cho, E., Jorm, A. F., Batterham, P., & Spittal, M. J. (2023). Transition to a first suicide attempt among young and middle-aged males with a history of suicidal thoughts: A two-year cohort study. Psychiatry Research, 328, 115445. https://doi.org/10.1016/j.psychres.2023.115445.
Auger, N., Low, N., Chadi, N., Israël, M., Steiger, H., Lewin, A., Ayoub, A., Healy-Profitós, J., & Luu, T. M. (2023). Suicide Attempts in Children Aged 10–14 Years During the First Year of the COVID-19 Pandemic. Journal of Adolescent Health, 72(6), 899–905. https://doi.org/10.1016/j.jadohealth.2023.01.019.
Barkhordari Ahmadi, M. (2023). Analysis of factors affecting suicidal thoughts in students. Second National Conference on New Findings in Evolutionary and Educational Psychology, Bandar Abbas. https://civilica.com/doc/1946445 [Persian]
Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529. https://doi.org/10.1037/0033-2909.117.3.497
Beck, A. T. (1967). Depression: Clinical, experimental and theoretical aspects. New York: Harper and Row..
Boroumand, N., Naziri, G., Davoudi, A., & Fath, N. (2022). The effectiveness of suicide prevention training on cognitive reactivity, suicidal thoughts, and social health in repeated suicide attempters. Nursing Research, 17(6), 43-55. https://sid.ir/paper/1092191/fa [Persian]
Chegeni, M., Sheykhan, R., & Sepahvand, T. (2025). The efficacy of emotion-focused therapy on impulsivity, social adjustment, and social media addiction in adolescents attempting suicide. Research in Psychological Health, 18(4), 5. http://rph.khu.ac.ir/article-1-4563-fa.html [Persian].
Chen, M., Wang, X., Wang, Y., Ren, L., Jiang, H., Xia, L., Zhang, L., & Dong, C. (2024). The characteristics of suicide attempters in Chinese patients: Comparison of adolescents, youths, middle-aged and elderly. Journal of Forensic and Legal Medicine, 102, 102658. https://doi.org/10.1016/j.jflm.2024.102658.
Cheng, Y.-F., Xirasagar, S., Kuo, N.-W., & Lin, H.-C. (2023). Tinnitus and risk of attempted suicide: A one year follow-up study. Journal of Affective Disorders, 322, 141–145. https://doi.org/10.1016/j.jad.2022.11.009.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological bulletin, 98(2), 310–357.
Creswell, J. (2012). Qualitative inquiry and research design: Choosing among five approaches. (H. Danaeifard & H. Kazemi, Trans.). Tehran: Eshraghi. (Original work published 2007). [Persian]
Darling, N., & Steinberg, L. (1993). Parenting style as context: An integrative model. Psychological Bulletin, 113(3), 487-496.
Darling, N., & Steinberg, L. (1993). Parenting style as context: An integrative model. Psychological Bulletin, 113(3), 487–496. https://doi.org/10.1037/0033-2909.113.3.487
Deci, E. L., & Ryan, R. M. (1985). Intrinsic Motivation and Self-Determination in Human Behavior. Berlin: Springer Science & Business Media.
https://doi.org/10.1007/978-1-4899-2271-7
Durkheim, E. (1897). Le suicide. étude de sociologie. Paris: Felix alcan.
Erikson, E. H. (1968). Identity, Youth & Crisis. New York: WW Norton.
Ghavami Lahiji, H., & Hajloo, N. (2018). Comparison of early parental death, ADHD, and precarious employment among adults with and without history of suicide attempt. Research in Psychological Health, 12(1), 15–38.http://rph.khu.ac.ir/article-1-3095-fa.html [Persian].
González-Ortega, I., Diaz-Marsa, M., López-Peña, P., Fernández-Sevillano, J., Andreo-Jover, J., Bobes, J., Bravo-Ortiz, M. F., Cebria, A. I., Crespo-Facorro, B., de la Torre-Luque, A., Elices, M., Fernández-Rodrigues, V., Garrido-Torres, N., Grande, I., Palao-Tarrero, Á., Pemau, A., Roberto, N.,
Hertel, C., Cavelti, M., Lerch, S., Mürner-Lavanchy, I., Reichl, C., Koenig, J., & Kaess, M. (2024). Does personality dysfunction add incremental utility over general psychopathology when modeling previous suicide attempts in adolescent patients? Journal of Affective Disorders, 361, 465–471. https://doi.org/10.1016/j.jad.2024.06.038.
Jakobsen, S. G., Nielsen, T., Larsen, C. P., Andersen, P. T., Lauritsen, J., Stenager, E., & Christiansen, E. (2023). Definitions and incidence rates of self-harm and suicide attempts in Europe: A scoping review. Journal of Psychiatric Research, 164, 28–36. https://doi.org/10.1016/j.jpsychires.2023.05.066.
Janjani, P., Momeni, K., Amiri, N., & Moradi, A. (2019). The lived experience of marital distress in the perceptual world of women; Case study: Tohid Clinic in Kermanshah. Family Counseling and Psychotherapy, 9(1), 173-196. doi.org/10.34785/J015.2019.022 [Persian]
Kanani, J., & Sheikh, M. I. (2024). Temporal patterns of suicide attempts in India: A Comprehensive analysis by time of day, week, and hour, stratified by age, sex, and marital status, and examining suicidal methods distribution. Brain Behavior and Immunity Integrative, 7, 100072. https://doi.org/10.1016/j.bbii.2024.100072.
Kılıç, N., Taşcı, G., Kaya, Ş., & Özsoy, F. (2024). Evaluation of peripheral inflammatory parameters of cases with suicide attempts. Journal of Psychiatric Research, 175, 368–373. https://doi.org/10.1016/j.jpsychires.2024.05.021
Kusuma, K., Larsen, M., Quiroz, J. C., & Torok, M. (2024). Age-stratified predictions of suicide attempts using machine learning in middle and late adolescence. Journal of Affective Disorders, 365, 126–133. https://doi.org/10.1016/j.jad.2024.08.043
Lazarus, R., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer.
Liu, L., & Wang, W. (2024). Suicide attempts of friends and family during adolescence and long-term suicidal ideation and attempts: Findings from the 25-year Add Health study. Journal of Affective Disorders, 358, 377–382. https://doi.org/10.1016/j.jad.2024.05.053.
Liu, Q., Teng, C. C., Sun, I., Muñoz, R. F., Garza, M., Liu, N. H., Barakat, S., & Leykin, Y. (2024). Suicide attempts in the absence of depression: Differences between broad cultural groups. Journal of Affective Disorders, 356, 722–727. https://doi.org/10.1016/j.jad.2024.04.087.
Lotfi, S., Paivastegar, M., Khosravi, Z., Khodabakhsh, R., & Mehrinejad, A. (2021). Relationship between perfectionism and traumatic experiences with non-suicidal self-injurious behaviors: A mediating role of psychological hardiness. Research in Psychological Health, 14(4), 36–50. http://rph.khu.ac.ir/article-1-3951-fa.html [Persian].
Memari, A., Ramim, T., Amirmoradi, F., Khosravi, K., & Godarzi, Z. (2006). Causes of suicide attempts in married women. Hayat, 12(1), 47-53. https://sid.ir/paper/105925/fa [Persian]
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford Press.
Mohammadkhani, P. (2004). Epidemiology of suicidal thoughts and suicide attempts in high-risk girls in Iran. Social Welfare, 4(14), 146-162. https://sid.ir/paper/56697/fa [Persian]
Moradi, R., & Modabernejad, A. (2020). Social factors affecting the tendency to suicide among female high school students in Boyerahmad county. Hakim Health Systems Research Journal, 23(3), 332-343. https://sid.ir/paper/412036/fa [Persian]
Mousavi, F., Sajjadi, H., Rafiei, H., & Feizi, A. (2007). Some family factors related to suicide attempts. Social Welfare, 7(27), 53-72. https://sid.ir/paper/56712/fa [Persian]
Rasouli, M., Sharei, A., & Salmani, A. (2024). The Mediating Role of Reappraisal and Suppression of Emotional Experiences in the Relationship Between Personality Characteristics and Addiction Tendency. Journal of Research in Psychological Health, 18(3), 1-14.
Sharei, A., Ebrahimi, M., Ahmadi Ochtapeh, P., Mahdavirad, H., & Jamshiddoust Miyanroudi, F. (2023). The Effectiveness of Strength-Based Therapy in Improving Self-Esteem and Reducing Suicidal Thoughts of Women Affected by Domestic Violence in Ardebil. Preventive Counseling, 4(1), 31-44.
Sharei, A., Kamali Dehghan, P., Ahmadi Ochtapeh, P., Dorri, M., & Jamshiddoust Miyanroudi, F. (2024). The Effectiveness of Family Therapy Training on Depression and Mental Health of Adolescents with High-Risk Behaviors. Journal of Family Relations Studies, 4(14), 41-48.
Sharei, A., Kasaeei Esfahani, A., & Salmani, A. (2025). The Effect of Mindfulness Therapy on Emotion Regulation, Cognitive Self-Awareness, and Tendency to High-Risk Behaviors in Orphaned and Poorly Monitored Adolescents: A Quasi-Experimental Study. Journal of Rafsanjan University of Medical Sciences, 23(9), 812-827.
Shokouhi Moghadam, S., Zivari Rahman, M., & Lesani, M.. (2011). Sports And Mental Health And Happiness In High School Students In Kerman. 1(3), 61–80.
Stewart M. J. (1989). Social support: diverse theoretical perspectives. Social science & medicine (1982), 28(12), 1275–1282. https://doi.org/10.1016/0277-9536(89)90346-8
Utyasheva, L., Robertson, G., & Sharma, J. R. (2022). Perception of the criminality of attempted suicide in Nepal and its impact on suicide reporting. International Journal of Law and Psychiatry, 83, 101796. https://doi.org/10.1016/j.ijlp.2022.101796.
Weersing, V. R., & Brent, D. A. (2006). Evidence-based psychosocial treatments for children and adolescents with depression. Journal of Clinical Child & Adolescent Psychology, 35(1), 4-26.
World Health Organization (WHO). (2023). Suicide worldwide in 2022: Global health estimates. Geneva: WHO.World Health Organization (WHO). (2023). Suicide worldwide in 2022: Global health estimates. Geneva: WHO.
Yazdi-Ravandi, S., Khazaei, S., Davari, H., Matinnia, N., Karami, M., Taslimi, Z., Afkhami, M. R., & Ghaleiha, A. (2023). Gender and age differences in suicide attempt: A large population study in the West of Iran. Asian Journal of Psychiatry, 81, 103470. https://doi.org/10.1016/j.ajp.2023.103470.
Zahrakar, K., Sharei, A., & Salmani, A. (2024). The Effectiveness of Strengths-based Psychotherapy in Reducing Anxiety Sensitivity and Panic Attacks in Adolescents with Major Depressive Disorder. Journal of Counseling Research.
Zahrakar, K., Sharei, A., & Salmani, A. (2025). Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Intensive Short-Term Dynamic Psychotherapy on State-Trait Anxiety and Resilience in female Students with Self-Harming Behaviors. Journal of Applied Psychological Research.
Zeidabadinejad, M. M., Noori, N., Fatehi Khoshknab, L., Malek Mohammadi, S., & Poursadeg Gavgani, Z. (2025). The effectiveness of mindfulness-based cognitive therapy on cognitive fusion and interpersonal needs in students with suicidal ideation. Journal of Cognitive Psychology, 13(2), 1–15. [Persian].
Zivari Rahman, M. (2025). Development and standardization of the Suicide with Death Intent Questionnaire among adolescents. Middle East Journal of Disability Studies, 15(0), 37-37. http://jdisabilstud.org/article-1-3557-en.html.
Zivari-Rahman, M., Ghanbari, S., & Shokouhi-Moghadam, S. (2021). Psychometric Properties of the Youth Pornography Addiction Screening Tool. Addiction & Health, 13(4), 207–220. https://doi.org/10.22122/ahj.v13i4.299.