自殺防治關懷訪視員實務經驗之探討

本研究探討自殺防治關懷訪視員之實務經驗，目的：（一）訪視員的工作動機（二）訪視員在實務工作歷程中不足之處（三）訪視員所需的工作能力。方法：本研究以質性研究之深度訪談進行，三位研究對象都曾從事自殺防治關懷訪視員達一年以上。結果：（一）自殺防治關懷訪視員的工作動機主要是對於心理專業工作的期待（二）訪視工作中不足之處包含對自殺防治的理解、對生死哲學的探討、對訪視技巧的課程以及自我照顧的重視等知能的缺乏。（三）訪視員認為在實務工作中所需具備的能力，包括生死學與自殺學的涵養、精神病理的知能、會談溝通技巧、自殺風險評估、危機處理的應變、悲傷輔導與資源連結的協調能力等七大面向。結論：訪視員從新進工作人員至逐漸上手的實務經驗中，一開始的工作動機與實際狀況有所落差，雖於現行制度中面臨到工作困境，同時也在助人工作與專業成長上有正向的體會。針對訪視員工作經驗中所體驗到的不足，提供自殺關懷訪視員在基礎認知與實務工作上所需的能力，對於制度面提出可協助訪視員有效工作的意見，並針對研究結果提出研究建議。

關鍵字

自殺防治；關懷訪視員；實務經驗

並列摘要

This study provides an in-depth examination of suicide prevention case managers based on actual experiences. The purpose of this study was three-fold: (1) first, we explored the underlying motivation of people who chose a career as a suicide prevention case manager (2) we then set out to identify whether suicide prevention case managers have any major shortcomings as evidenced by actual case histories; (3) finally, we aimed to pinpoint the specific abilities and skills necessary to be a suicide prevention case managers. We adopted a qualitative research method to carry out this study and conducted in-depth interviews with three suicide prevention case managers who each had over one year of actual experience in the field. The principal results of our study are as follows: (1) among the participants we interviewed, the primary motivating factor for working as a suicide prevention case manager was an expectation of developing a career in the field of psychology; (2) potential shortcomings of suicide prevention case managers included insufficient understanding of the concept of suicide prevention, lack of awareness to philosophical outlooks on life and death, inadequate training, and not placing enough emphasis on the importance of self care; (3) the suicide prevention case managers we interviewed cited seven major required skills and abilities for being able to effectively carry out their job duties: (a) an understanding of issues of life, death, and suicidology, (b) knowledge of psychopathology, (c) counseling and communication skills, (d) ability to recognize and assess suicide risk and warning signs, (e) crisis management, (f) knowledge of grief counseling, and (g) resource coordination. In conclusion, we found that in spite of a disparity between initial job expectations, motivation, and actual job duties, as well as challenges associated with working as a suicide prevention case manager under the current system, the participants we interviewed reported an overall positive experience with regard to their professional training and self-growth. As for the potential shortcomings of case managers that were identified during this study, we compiled basic knowledge and empirically required skills and abilities which may be used as a reference for formulating clearer job requirements in the field of suicide prevention. Furthermore, we provide suggestions aimed at helping case managers become more effective at their job under the current system and also put forward recommendations for future research based on our findings.

並列關鍵字

Suicide prevention ； case managers ； practical experience

參考文獻

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