Abstract：
UNASSIGNED: Suicide and self-harm are global disease burden that contributes significantly to years of lost life and mortality. Despite the increasing rates of suicide and self-harm in Nigeria, this topic is understudied.
UNASSIGNED: A mixed-methods design was adopted. Study 1 interviewed n = 18 participants (n = 11 clinicians; n = 5 patients with a history of self-harm and suicide ideation; and n = 2 caregivers). All interviews were audio-recorded, transcribed verbatim, and analyzed using IPA. Study 2 surveyed n = 562 non-clinical sample about their tolerance toward self-harm and the data was analyzed using One-way ANOVA in SPSS.
UNASSIGNED: Study 1 qualitative findings showed substance use, perceived rejection and social isolation were considered predisposing factors for suicide and self-harm. Cultural and religious beliefs shaped help-seeking behaviours. Although Study 2 found no significant differences in demographic characteristics concerning public tolerance toward persons with a history of self-harm, 64% believed that individuals who died by suicide would face punishment after death; 51% believed that victims of attempted suicide are a source of shame to their families; and 33.8% agreed that dying by suicide is the correct behaviour.
UNASSIGNED: Patients with a history of self-harm and suicidal ideation consider family members and close friends as valuable sources of support. Due to the potential clinical implication of cultural and religious beliefs, as shown in the present study\'s findings, the authors recommend a co-development of culturally appropriate psychological intervention for persons with a history of self-harm and suicidal ideation to be tested in randomized control trials.
UNASSIGNED: A mixed-methods design was adopted. Study 1 interviewed n = 18 participants (n = 11 clinicians; n = 5 patients with a history of self-harm and suicide ideation; and n = 2 caregivers). All interviews were audio-recorded, transcribed verbatim, and analyzed using IPA. Study 2 surveyed n = 562 non-clinical sample about their tolerance toward self-harm and the data was analyzed using One-way ANOVA in SPSS.
UNASSIGNED: Study 1 qualitative findings showed substance use, perceived rejection and social isolation were considered predisposing factors for suicide and self-harm. Cultural and religious beliefs shaped help-seeking behaviours. Although Study 2 found no significant differences in demographic characteristics concerning public tolerance toward persons with a history of self-harm, 64% believed that individuals who died by suicide would face punishment after death; 51% believed that victims of attempted suicide are a source of shame to their families; and 33.8% agreed that dying by suicide is the correct behaviour.
UNASSIGNED: Patients with a history of self-harm and suicidal ideation consider family members and close friends as valuable sources of support. Due to the potential clinical implication of cultural and religious beliefs, as shown in the present study\'s findings, the authors recommend a co-development of culturally appropriate psychological intervention for persons with a history of self-harm and suicidal ideation to be tested in randomized control trials.
摘要：
自杀和自我伤害是全球疾病负担，对多年的生命损失和死亡有重要贡献。尽管尼日利亚的自杀和自残率不断上升，这个课题研究不足。
■采用了混合方法设计。研究1采访了n=18名参与者（n=11名临床医生；n=5例有自我伤害和自杀观念史的患者；n=2名护理人员）。所有采访都是录音，逐字转录，并使用IPA进行分析。研究2调查了n=562个非临床样本对自我伤害的耐受性，并使用SPSS中的单向ANOVA分析了数据。
■研究1的定性发现显示物质使用，感知排斥和社会隔离被认为是自杀和自我伤害的诱发因素。文化和宗教信仰形成了寻求帮助的行为。尽管研究2发现，关于公众对有自残史的人的容忍度的人口统计学特征没有显着差异，64％的人认为自杀死亡的人会在死后受到惩罚；51％的人认为自杀未遂的受害者是他们家人的耻辱；33.8％的人同意自杀死亡是正确的行为。
■有自残和自杀意念史的患者认为家庭成员和亲密朋友是宝贵的支持来源。由于文化和宗教信仰的潜在临床意义，如本研究结果所示，作者建议,对于有自残和自杀意念病史的人,共同制定符合文化的心理干预措施,并在随机对照试验中进行测试.
■采用了混合方法设计。研究1采访了n=18名参与者（n=11名临床医生；n=5例有自我伤害和自杀观念史的患者；n=2名护理人员）。所有采访都是录音，逐字转录，并使用IPA进行分析。研究2调查了n=562个非临床样本对自我伤害的耐受性，并使用SPSS中的单向ANOVA分析了数据。
■研究1的定性发现显示物质使用，感知排斥和社会隔离被认为是自杀和自我伤害的诱发因素。文化和宗教信仰形成了寻求帮助的行为。尽管研究2发现，关于公众对有自残史的人的容忍度的人口统计学特征没有显着差异，64％的人认为自杀死亡的人会在死后受到惩罚；51％的人认为自杀未遂的受害者是他们家人的耻辱；33.8％的人同意自杀死亡是正确的行为。
■有自残和自杀意念史的患者认为家庭成员和亲密朋友是宝贵的支持来源。由于文化和宗教信仰的潜在临床意义，如本研究结果所示，作者建议,对于有自残和自杀意念病史的人,共同制定符合文化的心理干预措施,并在随机对照试验中进行测试.
