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Att identifiera och möta elever med självmordstankar – ur ett skolsköterskeperspektiv
University of Skövde, School of Health and Education.
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesisAlternative title
To meet and identify students with suicidal behaviour – from a school nurse´ perspective (English)
Abstract [sv]

Bakgrund: I Sverige minskar årligen självmorden totalt men bland 15–24-åringar kan en viss ökning ses. Bakom självmord ligger oftast depression men även utanförskap, känsla av hopplöshet och annat emotionellt lidande som kan utlösa suicidalitet. Statistiskt sett har självmordsförsöken, den enskilt största risken för fullbordat självmord, ökat kraftigt främst hos flickor. Viktigt är att ha kunskap om riskgrupper och symtom för att tidigt kunna identifiera självmordstankar och på så sätt rädda liv. Det förebyggande arbetet med att identifiera riskgrupper och förstå hur elevens situation ser ut, se dennes livsvärld, är något som skolsköterskor gör via de hälsobesök som erbjuds alla elever.

 

Syfte med denna studie var att beskriva hur skolsköterskor upplever att de identifierar och bemöter skolelever med självmordstankar.

 

Metod: Material samlades via elva asynkrona mailintervjuer och analyserats enligt fenomenologisk metod.

 

Resultat: Skolsköterskorna i studien upplevde att de behövde bygga upp förtroende och tillit för att eleven skall öppna sig för samtal. Symtomen ansågs vara nedstämdhet, ilska, störande beteende, sömnstörningar med mera. Informanterna förmedlade ett mod att med direkta frågor våga fråga elever vid misstanke om självmordstankar, mod att stanna kvar i elevens lidande och mod att våga lita på sin intuition i bemötandet av elevens självmordstankar.

Abstract [en]

Background: In Sweden the mount of suicides are decreasing year on year however amongst 15-24 year old's there is an increase. The underlying cause for suicides is commonly depression but also social exclusion, feelings of hopelessness and other emotional suffering. Statistically speaking suicide attempts, the sole biggest risk for completed suicide, has increased mainly in girls. It is important to have knowledge about high risk groups and symptoms to be able to identify suicidal thoughts as early as possible in order to save lives. The preventative work done by identifying high risk groups and understanding the pupil's individual situation, see their lifeworld is something school nurses do through the health check-ups that are offered to all pupils.

 

Purpose was to find out school nurse´ experience in identifying and meet students with suicidal behaviour.

 

Method Materials have been collected through eleven asynchronous mail interviews and analysed according to phenomenological method.

 

Results: Most importantly was to build trust and confidence so that the pupil could open up and confide. Typical symptoms that was considered by the informants was dejection, anger, disorderly behaviour, sleep issues. School nurse has the courage in order to venture upon asking pupil's openly when there are suspicions regarding their suicidal thoughts but also courage to stay in the pupil's suffering and courage to trust their own intuition in the way the pupil's suicidal thoughts are received.

Place, publisher, year, edition, pages
2015. , 24 p.
Keyword [en]
suicide, suicideprevention, interviews, student, school nurses
Keyword [sv]
Självmord, självmordsprevention, intervjuer, elever, skolsköterskor
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:his:diva-11166OAI: oai:DiVA.org:his-11166DiVA: diva2:825646
Subject / course
Nursing/Nursing Science
Educational program
School Nurse - Study Programme
Supervisors
Examiners
Available from: 2015-07-02 Created: 2015-06-17 Last updated: 2015-07-02Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
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  • sv-SE
  • Other locale
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