Suicidal behavior among psychoactive substance users reported by professionals

Samomorilna ogroženost oseb, odvisnih od prepovedanih drog, je visoka. Stopnja tveganja se, zaradi velike izpostavljenosti dejavnikom tveganja, ocenjuje kot 14-krat višja v primerjavi s stopnjo tveganja v splošni populaciji. Za zdravstveno osebje, ki je odgovorno za oskrbo oseb, odvisnih od prepovedanih drog, je zelo verjetno, da se bodo v svojem profesionalnem delovanju srečali z izgubo pacienta zaradi samomora. Osrednja tema naše naloge je doživljanje samomorilnega vedenja oseb, odvisnih od prepovedanih drog, pri terapevtih, zaposlenih v centrih za preprečevanje in zdravljenje odvisnosti od prepovedanih drog (CPZOPD). V raziskavo smo vključili vodje CPZOPD, ki imajo v povprečju več kot 20 let izkušenj na področju dela z odvisnostjo. Raziskava temelji na kvalitativni metodi raziskovanja. Po principih utemeljene teorije smo analizirali 10 polstrukturiranih intervjujev, ki so v povprečju trajali 50 minut. Po analizi podatkov smo 93 kod povezali v 11 vsebinskih sklopov, ki tvorijo model doživljanja samomorilnega vedenja: Prepričanja ter stališča o samomorilnem vedenju med odvisniki, Manipulativno samomorilno vedenje, Obravnava samomorilno ogroženega pacienta, Doživljanje samomorilnega vedenja, Postvencija, Preventiva, Skrb zase, Odnos do odvisnega pacienta, Umeščenost in priznanje dela znotraj sistema, Stališča do odvisnosti in odvisnega posameznika in Doživljanje sistema. Ti predstavljajo identificirane afektivne, kognitivne ter vedenjske odzive terapevtov v povezavi s samomorilnim vedenjem pacientov in mediatorske dejavnike, ki posredno ali neposredno vplivajo na doživljanje, in so specifično značilni za terapevte na področju dela z odvisnostjo. Model okna v svet dela z odvisnostjo odstira tri nivoje doživljanja samomorilnega vedenja: nivo zdravljenja odvisnosti, nivo lastnih prepričanj in stališč v zvezi s samomorilnim vedenjem ter nivo dela s samomorilnim vedenjem. Nivoji se med seboj razlikujejo glede na moč neposredne povezave z doživljanjem samomorilnega vedenja, pri čemer je nivo dela s samomorilnim vedenjem najbolj neposredno povezan z doživljanjem samomorilnega vedenja, nivo zdravljenja odvisnosti pa najmanj. Vsi trije nivoji skupaj določajo vsebine doživljanja samomorilnega vedenja oseb, odvisnih od prepovedanih drog. Model okna v svet dela z odvisnostjo pojasnjuje vsebine, ki so prisotne ob samomorilnem vedenju oseb, odvisnih od prepovedanih drog, in omogoča razumevanje kompleksnosti te teme.The suicide risk rate of illegal drug dependent persons is high. Due to a high exposure to risk factors, it is estimated to be 14 times higher compared to the risk rate in general population. In the course of their professional activity, healthcare workers, responsible for the care of illegal drug dependent persons, are very likely to face the loss of a patient due to suicide. The main topic of this thesis is experiencing suicidal behaviour of drug dependent persons with therapists employed in centers for prevention and treatment of illegal drug dependence (CPZOPD). CPZOPD Heads, with more than 20 years\u27 working experiences, have been included in the research, which is based on the qualitative research method. According to the theory principles, we have analysed 10 half-structured interviews, which lasted for about 50 minutes in average. According to the data, 93 codes have been linked into 11 content sets forming a suicidal behaviour experiencing model: Beliefs and Viewpoints on Suicidal Behaviour among Drug Dependent Persons, Manipulative Suicidal Behaviour, Treatment of a Suicidally Risked Patient, Experiencing Suicide Behaviour, Postvention, Prevention, Self-care, Attitude to a Drug Dependent Patient, Positioning and Aknowledgement of Work in the System, The View on Dependence and a Drug Dependent Person and Experiencing the System. These sets represent identified affective, cognitive and behavioural responses of therapists, dealing with suicide risked patients, as well as mediatory factors which influence experiencing directly or indirectly and are specifically significant for therapists working in the field of drug dependence. The model of the window on the world in the field of dealing with drug dependence opens up three levels of experiencing suicide behaviour: drug dependence treatment, therapist\u27s own beliefs and viewpoints on suicidal behaviour and dealing with suicidal behaviour. These levels are distinguished from one another by the strength of indirect connection with experiencing suicidal behaviour. The level of dealing with suicidal behaviour shows the most direct connection to experiencing suicidal behaviour, whereas the least connection is showed with the level of dependence treatment. All the three levels together define the contents of experiencing suicidal behaviour of illegal drug dependent persons. The model of the window on the world in the field of dealing with drug dependence explains the contents which accompany the suicidal behaviour of drug dependent persons, and enables the comprehension of complexity of the topic