臺灣博碩士論文加值系統

我國自殺死亡數自西元1999年來一直維持在十大死因的第九位，當年的自殺率為每十萬人10.36人，到西元2007年已升高至每十萬人口為17.20人，自殺死亡人口有逐年攀升的趨勢。而燒炭自殺這個自殺方式透過大眾媒體的傳播，自西元2002年起，開始成為國人自殺死亡原因的第二位；由2007年的統計資料得見：以氣體自殺死亡者占29.34％，僅略低於吊死、勒死及窒息自殺者（35.19％）；數十年來自殺死亡方式變化很大，其中以氣體自殺增幅最大，1998年以氣體自殺僅占0.7％，2002年即占20.7％，2007年更高達29.3％，可見燒炭自殺在國內是一個被廣泛使用的自殺方式之一。
本研究採立意取樣，以現象學研究法（phenomenology）進行研究，收案時間由2008年11月至2009年3月止，共訪談四個家庭，13位參與者；訪談過程以半結構式訪談指引進行資料收集，最末再以Giorgi現象學研究法進行資料處理。
研究結果歸納出求你、無奈與放下三個中心主題。在求你方面包含只要你活著就好、不再讓你一個人、看見你受苦的身心、盡我所能給你最好的四個意義叢集；在無奈這個主題裡，闡述的是救你到底對不對、多加留意你的異常徵兆、你的進步似乎很緩慢、懷疑你究竟能不能痊癒的意義本質；而在放下的中心主題裡，涵蓋我等事情發生了再收拾、放手讓你自在飛翔、找線索證明你比從前進步、不放棄找尋對你有用的治療四個意義叢集；上述分析結果完整訴說著自殺企圖者同住親人的照護經驗。
研究結果可促進護理臨床實務，提供醫療照護者相關實證研究結果，以協助自殺企圖者家屬面對照護歷程可能產生的種種問題；而透過本研究對照護經驗的揭露與分享，亦能使燒炭自殺企圖者家屬發展適切的照護因應策略，使其能順利發揮照顧者的角色與功能，進而促進家庭成員內部關係的連結。

Suicide deaths in Taiwan since 1999 has been keeping of the ten leading causes of death in the ninth. In this year that the suicide rate has 10.36 to 2007 has been increased to 17.20 per 100,000 population, and suicide population rose year-on-year trend. Charcoal-burning suicide spread through the mass media, since de 2002, started to become suicide the second cause of death in our country. In 2007, gas suicide accounted for 29.34 percent, only slightly lower than hang, strangulation and suffocation suicides (35.19%). The past several decades great changes in suicide methods, with the largest increase gas suicide. Committed suicide in 1998 gas accounted for only 0.7% in 2002 accounting for 20.7%, in 2007 as much as 29.3 percent, The method of burning charcoal can be seen in Taiwan is a widely-used one of the ways to commit suicide.
Purposive sampling method was used in the phenomenological study. Thirteen participants from four families were interviewed between November 2008 and March 2009. All of them had a family member who had attempted suicide by the charcoal- burning method, and lived with the suicide person. A semi-structured interview guide was used for data collection, and Giorgi phenomenological research method was used analyze to carry data.
“Ask you,” “the helpless,” and “lay down” were coated these participants’ lives. In “ask you,” four meaning clusters “as long as you live well on,” “no longer is letting you,” “see you to suffer hardships the body and mind,” and “I can give you should better” were found. In “ the helpless,” participants were suffered “rescues you is right or wrong,” “ pays attention in your unusual indication,” “your progress to be as if very slow,” and “suspected actually you can convalesce”. And in “lays down,” there were “I waited for the matter to occur have tidied up again,” “drop to let you soar comfortablely,” “look for the clue to prove that you progressed compared to the past,” and “do not give up pursuing to your useful treatment”. The above analysis results were related completely the caregiving experience of suicidal attempter’s living relatives.
The findings may promote the nursing clinical practice, provide the medical caregivers related empirical study results. To assist the suicidal attempter’s family members facing all sorts of questions which the caregiving course possibly produces. Exposition and the share the experience by this research, can also cause the suicidal attempter’s living relatives to develop appropriate coping strategy in caregiving process. And enables to display caregiver's role and the function smoothly, and promote family member internal relations linking.

正文目錄
　　　 頁
第一章 　緒論.......................................1
　第一節　研究背景....................................1
第二節 研究動機....................................5
第三節 研究目的....................................15
第四節 研究問題....................................15
第五節 名詞解釋....................................15
第二章　文獻查證......................................17
　第一節　自殺定義與相關概念............................17
　壹、燒炭自殺......................................22
　第二節　自殺與家庭...................................26
　壹、家庭在自殺歷程的角色............................26
　 貳、以家庭生態理論來看自殺企圖.......................28
第三節　照顧者在照護過程的身心變化.....................39
第三章　研究方法.......................................43
　第一節　現象學研究法..................................43
　第二節　研究對象.....................................50
　第三節　研究工具.....................................54
壹、研究者本身.....................................54
貳、訪談..........................................55
　　參、研究日誌.......................................58
　第四節　研究步驟與流程................................61
　第五節 資料處理與分析................................63
壹、資料處理方法.......................................63
貳、資料分析方法.......................................64
　第六節　研究嚴謹度....................................73
　第七節　研究倫理......................................77
第四章　研究結果與分析..................................79
　第一節　研究參與者背景資料說明..........................80
　第二節　那條道路我們一起走過～受訪家庭的生命故事..........81
　第三節　照護經驗分析...................................115
第五章　討論............................................153
第一節　自殺事件對自殺企圖者家庭的影響...................153
第二節　燒炭自殺與其他事件在照護經驗上之比較..............157
　第三節　照顧者負荷對照護經驗的影響........................161
第六章　結論.............................................165
　第一節　護理實務之應用..................................165
　第二節　研究限制.......................................166
　第二節　未來研究之建議..................................167
第七章　參考文獻.........................................169
　英文部分..............................................169
中文部分..............................................180

表目錄
表1 燒炭自殺企圖者自殺史、精神科病史、本次燒炭自殺後之身心狀況及其再自殺企圖情形說明..................................................80
表2　研究參與者基本資料說明................................81

圖目錄
圖1　研究收案流程圖.......................................53
圖2　Ｆ１家族圖譜.........................................84
圖3　Ｆ２家族圖譜.........................................91
圖4　Ｆ３家族圖譜.........................................99
圖5　Ｆ４家族圖譜.........................................107

附錄目錄
附錄一　自殺企圖者之同住親人訪談指引

英文部分
Allardt, E. (1976). Dimensions of welfare in a comparative Scandinavian study. Acta Sociogica, 19, 227-239.
Andrews, M. P., Bubolz M. M., & Paolucci B. (1980). An ecological approach to study of the family. Marriage and Family Review, 3, 29-49.
Appleby, L., Cooper, J., Amos, T., & Faragher, B. (1999). Psychological autopsy study of suicides by people aged under 35. The British Journal of Psychiatry, 175, 168-174.
Arcus, M. E. (1985). Quality of life: toward conceptual clarification. Paper presented at the First Beatrice Paolucci Symposium, Michigan State University, East Lansing, MI.
Auerswald, E. H. (1968). Interdisciplinary versus ecological approach. Family Process, 7, 202-215.
Au, J., Yip, S. K., Chan, P. S. F., Cecilia, L.W., & Law, Y. W. (2004). Newspaper reporting of suicide cases in Hong Kong. Crisis, 25(4), 161-168.
Barlow, C. A., & Coleman, H. (2003a). The healing alliance: How families use support after a suicide. Omega, 47(3),187-201.
Barlow, C. A., & Coleman, H. (2003b).Suicide and family. Considerations for therapy. Guidance & Counselling, 18(2),67-74.
Beautrais, A. L. (2000). Risk factors for suicide and attempted suicide among young people. Australian and New Zealand Journal of Psychiatry, 34 (3), 420-436.
Beautrais, A. L. (2006). Suicide in Asia. Crisis, 27(2), 55-57.
Beautrais, A. L., Joyce, P. R., & Mulder, R. T. (1997). Precipitating factors and life events in serious suicide attempts among youths 13 through 24 years. Journal of the American Academy of Child and Adolescent, 36, 1543-1551.
Beck, A. T., Steer, R. A., Kovacs, M., & Garrison, B. (1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142, 559-563.
Bennett, R, L., Steinhaus, K. A., Uhrich, S. B., O’ Sullivan, C. K., Resta, R. G., Lochner- Doyle, D., et al. (1995). Recommendations for standardized human pedigree nomenclature. American Journal of Huamn Genetics, 56(3), 745-752.
Blakeney P., Herndon D. N., Desai M. H., Beard S., & Wales-Seale P. (1988). Long-term psychosocial adjustment following burn injury. Journal of Burn Care and Rehabilitation, 9, 661–665.
Blumenthal, S. J. (1988). Suicide: a guide to risk factors, assessment, and treatment of suicidal patient. Medical Clinics of North America, 72, 937-971.
Borowsky, I. W., Resnick, M. D., Ireland, M., & Blum, R. W. (1999). Suicide attempts among American Indian and Alaska native young: Risk and protective factors. Archives of Pediatrics and Adolescent Medicine, 153, 573-580.
Bronfenbrenner, U. (1979).The ecological of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.
Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22(6), 723-742.
Brown, L., Flavin, C., & Postel, S. (1989). A word at risk: In L. R. Brown, C. Flavin, S. Postel, & L. Starke (Eds.), State of the world: A Worldwatch Institute report on progress toward a sustainable society (pp3-20). New York: Norton.
Bruno, A., Wagner, W., & Orrison, W. W. (1993). Clinical outcome and brain MRI four years after carbon monoxide intoxication. Acta Neurologica Scandinavica, 87, 205-209.
Bubolz, M. M., & Sontag, M. S. (1993). Human ecology theory. In Boss, P., Doherty, W. J., Rossa, R. L., Schumm, W. R., & Steinmetz, S. K. (Eds.), Sourcebook of Family Theories and Methods: A Contextual Approach (pp419-450). US : Springer.
Burd, A., Ahmed, K., Noronha, F. V., Chan, J. Y. W., & Pang, P. C. W. (2006). Surgical reconstruction of attempted suicide charcoal burns. Journal of Burn Care & Research, 27 (3),330-332.
Caldwell, C. B., & Gottesman, I. I. (1990). Schizophrenics kill themselves too: A review of risk factors for suicide. Schizophrenia Bulletin, 16, 571-589.
Campbell, A. (1981). The Sense of Well- Being in American: Recent Patterns and Trends. Columbus, OH: McGraw- Hill.
Cantor, C. H., & Slater, P. J. (1995). Marital breakdown, parenthood and suicide. Journal of Family Studies, 1, 91-102.
Centers for Disease Control and Prevention (2005). Web-based Injury Statistics Query and Reporting System (WISQARS). Retrieved August 20, 2008 from http://www.cdc.gov/ncipc/wisqars/default.htm
Centers for Disease Control and Prevention (2006a). Understanding suicide fact sheet .Understanding suicide. Retrieved May 17, 2008 from http://www.cdc.gov/ncipc/pub-res/ Suicide%20Fact%20Sheet.pdf
Centers for Disease Control and Prevention (2006b). World reporting on violence. Self-directed violence. Retrieved May 17, 2008 from http://www.who.int/violence_injury_prevention/violence/global_campaign/en/chap7.pdf
Chakrabarti, S., & Gill, S. (2002). Coping and its correlates among caregivers of patients with bipolar disorder: A preliminary study. Bipolar Disorder, 4(1), 50-60.
Chan, K. P. M., Lee, D. T. S., & Yip, P. S. F. (2003). Media’s role is double edged. BMJ, 326, 499.
Chan, K. P. M., Yip, P. S. F., Au, J., & Lee, D. T. S. (2005). Charcoal-burning suicide in post-transition Hong Kong. British Journal of Psychiatry, 186, 67-73.
Chang, K. H., Han, M. H., Kim, H. S., Wie, B. A., & Han, M. C. (1992).Delayed encephalopathy after acute carbon monoxide intoxication: MR imaging features and distribution of cerebral white matter lesions. Radiology, 184, 117-122.
Chen, Y. Y., Liao, S. C., & Lee, M. B. (2009). Health care use by victims of charcoal- burning suicide in Taiwan. Psychiatric Services, 60(1), 126.
Chi, I., Yip, P. S. F., & Yu, K. K. (1998). Elderly suicide in Hong Kong. Hong Kong SAR, China, Befrienders International.
Choi, I. S. (1983).Delayed neurologic sequelae in carbon monoxide intoxication. Archives of Neurology, 40, 433-435.
Chou, T. D., Lee, W. T., Chen, S. L., Chen, T. M., Lee, C. H., & Wang, H. J. (2004). The management of complicated charcoal contact burns involving deep tissues. Burn, 30, 746-750.
Chung, W. S. D., & Leung, C. M. (2001). Carbon monoxide poisoning as a new method of suicide in Hong Kong. Psychiatric services, 52 (6), 836-837.
Clark D. C., & Fawcett, J. (1992). Review of empirical risk factors for evaluation of the suicidal patient. In Bongar B ( Ed. ), Suicide: guidelines for assessment, management and treatment (pp16-48).New York: Oxford University Press.
Cocito, L., Biagioli, M., Fontana, P., Inglese, M., Pizzorno, M., Spigno, F., & Volpe, S. (2005). Cognitive recovery after delayed carbon monoxide encephalopathy. Clinical Neurology and Neurosurgery, 107(4), 347- 350.
Coric, V., Oren, D. A., Wolkenberg, F. A., & Kravitz, R. E. (1998). Carbon monoxide poisoning and treatment with hyperbaric oxygen in the subacute phase. Journal of Neurology, Neurosurgery and Psychiatry, 65, 245-247.
Deacon, R. E., & Firebaugh, F. M. (1988). Family resource management: Principles and application. Needham Heights, MA: Allyn and Bacon.
De Leo, D., Bertolote, J., & Lester, D. (2002). Self-directed violence. World report on violence and health. Geneva, Switzerland, World Health Organization (WHO),183-212.
De Leo, D., Burgis, S., Bertolote, J., Kerkhof, A. D. M., & Bille-Brahe, U. (2004). Definitions of suicidal behavior. Suicidal behavior: Theories and research findings (pp. 17-39). Washington: Hogrefe & Huber.
De Leo, D., Burgis, S., Bertolote, J., Bertolote, J. M., Kerkhof, A. J. F. M., & Bille-Brahe, U. (2006). Definitions of suicidal behavior: Lessons learned from the WHO/ EURO Multicentre Study. Crisis, 27, 4-15.
Devine, S. A., Kirkley, S. M., Palumbo, C. L., & White, R. F. (2002). MRI and neuropsychological correlates of carbon monoxide exposure: A case report. Environmental Health Perspectives, 110, 1051-1055.
Diekstra, R. F., & Granefski, N. (1995). On the nature, magnitude, and causality of suicidal behaviors: An international perspective. Suicide and Life- Threatening Behavior, 25, 36-57.
Erdogan, M. S., Islam, S. S., Chaudhari, A., & Ducatman, A. M. (2004). Occupational carbon monoxide poisoning among west Virginia worker’s compensation claims: Diagnosis, treatment duration and utilization. Journal of Occupational and environmental Medicine,46, 577-583.
Foster, T., Gillespie, K., McClelland, R., & Patterson, C. (1999). Risk factors for suicide independent of DSM-III-R Axis I disorder. Case- control psychological autopsy study in Northern Ireland. The British Journal of Psychiatry, 175, 175-179.
Gilboa, D. (2001). Long-term psychosocial adjustment after burn injury. Burns, 27 (4), 335-341.
Giorgi, A. (1985). Phenomenology and psychological research. Pittsburgh, PA: Duquesne University Press.
Giorgi, A. (2006). Difficulties encountered in the application of the phenomenological method in the social sciences. Análise Psicològica, XXIV, 353-361.
Giorgi, A. (2007). Concering the phenomenological methods of Husserl and Heidegger and their application in Psychology. Collection du Cirp, 1, 63-78.
Given, B., Stommel, M., Collin, C., King, S., & Given, C. W. (1990). Responses of elderly spouse caregivers. Research in Nursing and Health, 13, 77-85.
Gould, M. S., Fisher, P., Parides, M., Flory, M., & Shaffe, D. (1996). Psychosocial risk factors of child and adolescent completed suicide. Archives of general Psychiatry, 53 (12), 1155-1162.
Guba, E. G., & Lincoln, Y. S. (2005). Paradigmatic controversies, contradictions, and emerging confluences: Handbook of Qualitative Research. California: Thousand Oaks.
Gunnell, D., & Frankel, S. (1994). Prevention of suicide: Aspiration and evidence. British Medical Journal, 308, 1227-1233.
Guo, A. C., MacFall, J. R., & Provenzale, J. M. (2002). Multiple sclerosis: Diffusion tensor MR imaging for evaluation of normal-appearing white matter. Radiology, 222, 719-736.
Hawton, K., & Catalan, J. (1987). Attempted suicide: A practical guide to its nature and management. Oxford: University Press.
Heeringen, K. (2002). Understanding suicide behavior: The suicide process approach to research, treatment and prevention. U.S.：John Wiley & Sons.
Heikkinen, Martti E., Isometsa, Erkki, T., Aro, Hillevi, M., Sarna, Seppo, J. L., & Jouko, K. (1995). Age-Related Variation in Recent Life Events Preceding Suicide. Journal of Nervous and Mental Disease, 183 (5), 325-331.
Howe, A., Owen-Smith, V., Richardson, J., Hardyman, R., Leydon, G., & Chan, K. P. M., Lee, D. T. S., Lee, S., & Yip, P. S. F. (2003). Media influence on suicide. BMJ, 326, 498-499.
Hurley, R. A., Hopkins, R. O., Bigler, E. D., & Taber, K. H. (2001). Application of functional imaging to carbon monoxide poisoning. Journal of Neuropsychiatry and Clinical Neurosciences, 13, 157-161.
Hycner, R. H. (1985). Some guidelines for the phenomenological analysis of interview data. Human Studies, 8, 279-303.
Ihde, D. (1986). Experimental phenomenology. New York: State University of New York Press.
Jacobson, M. (1970). Values I ( Extension Bulletin E-647). East Lansing: Michigan State University Cooperative Extension Service.
Khan, M. M., & Reza, H. (1998). Gender differences in nonfatal suicide behavior in Pakistan: Significance of sociocultural factors. Suicide and Life-threatening Behavior, 28, 62-68.
Khan, M. M., & Reza, H. (2000). The pattern of suicide in Pakistan. Crisis, 21, 31-35.
Kjoller, M., & Helveg-Larsen, M. (2000). Suicidal ideation and suicide attempts among adult Danes. Scandinavian Journal of Public Health, 28, 54-61.
Kluckhohn, C. (1951). Values and value-orientations in the theory of action. In T. Parsons & E. Shils (Eds.), Toward a general theory of action (pp388-433). Cambridge, MA: Harvard University Press.
Knop, D. S., Bergman- Evans, B., & McCabe, B. W. (1998). In sickness and in health: An exploration of the perceived quality of the marital relationship, coping, and depression in caregivers of spouses with Alzheimer’s disease. Journal of Psychosocial Nursing, 36(1), 16-21.
Koenig, H., Edens, T. C., & Cooper, W. (1975). Ecology, engineering and economics. Proceedings of the IFEE, 63, 501-511.
Kposowa, A. J. (2000). Marital status and suicide in the national longitudinal mortality study. Journal of Epidemiology and Community Health, 54, 254-261.
Kuo, C., Conwell, J. Y., Yu, Q., Chiu, C. H., Chen, Y. Y., Tsai, S. Y., & Chen, C. C. (2008). Suicide by charcoal burning in Taiwan：Implications for means substitution by a case-linkage study. Social Psychiatry and Psychiatric Epidemiology,43,286-290.
Lam, S. P., Fong, S. Y. Y., Kwok, A., Wong, T., & Wing, Y. K. (2004). Delayed neuropsychiatric impairment after carbon monoxide poisoning from burning charcoal. Hong Kong Medical Journal, 10, 428-431.
Langner, S. R. (1993). Ways of managing the experience of caregiving to elderly relatives. Western Journal of Nursing Research, 15(5), 582-594.
Lee, A.C.W., Ou Y., Lam, S.Y., So, K.T., & Kam, C.W. (2002). Non-accidental carbon monoxide poisoning from burning charcoal in attempted combined homicide-suicide. Journal of Paediatrics & Child Health, 38, 465-468.
Lee, D. T. S., Chan, K. P. M., Lee, S., Tin, S., & Yip, P. S. F. (2002). Burning charcoal: A novel and contagious method of suicide in Asia. Archives of General Psychiatry, 59 (3), 293-294.
Lee, D. T. S., Chan, K. P. M., & Yip, P. S. F. (2005). Charcoal burning is also popular for suicide pacts made on internet. BMJ, 330, 602.
Lincoln, Y. S. (1995). Emerging criteria for quality in qualitative and interpretive research. Qualitative Inquiry, 1, 275-289.
Liston, M. I. (1964). Management in the family as social process. In Process of Home Management (pp52-71). East Lansing: Family Economics-Home Management Section of the American Home Economics Association and Department of Home Management and Child Development of Michigan State University.
Liu, K. Y., Beautrais, A., Caine, E., Chan, K., Chao, A., Conwell, Y., Law, C., Lee, D., Li, P., & Yip, P. (2007). Charcoal burning suicides in Hong Kong and urban Taiwan: An illustration of the impact of a novel suicide method on overall regional rates. Journal of Epidemiology and Community Health, 61, 248-253.
Lo, C. P., Chen, S. Y., Chou, M. C., Wang, C. Y., Lee, K. W., Hsueh, C. J., Chen, C. Y., Huang, K. L., & Huang G. S. (2007). Diffusion-tensor MR imaging for the efficacy of hyperbaric oxygen therapy in patients with delayed neuropsychiatric syndrome caused by carbon monoxide inhalation. European Journal of Neurology, 14, 777-782.
Lohne, V., Bjornsborg, E., Westerby, R., & Heiberg, E. (1987). Effects of facial paralysis after acoustic neuroma surgery. Journal of Neuroscience Nursing, 19 (3), 123-131.
McCall, S. (1975). Quality of life. Social Indicators Research, 2, 229-248.
Mckeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behaviors in a longitudinal sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 612-619.
Minois, G. (1999). History of suicide: Voluntary death in western culture. Baltimore, MD, Johns Hopkins University Press.
Morton, M., Silverman, Alan, L., Berman, Nels, D., Sanddal, M. S., Patrick, W., O’ Carroll, Thomas E., & Joiner J. R. (2007). Rebuilding the tower of babel: A revised nomenclature for the study of suicide and suicidal behaviors. Part 2: Suicide-related ideations, communications, and behaviors. Suicide and Life- Threatening Behavior, 37 (3), 264-277.
Moscicki, E. K. (1995). Epidemiology of suicidal behavior. Suicide and Life-threatening behavior, 25 (1), 22-35.
Murphy, G. E., & Wetzel, R. D. (1990). The life-time risk of suicide in alcoholism. Archives of General Psychiatry, 47, 383-392.
Nisbet, P. A. (1996). Protective factors for suicidal black females. Suicide and Life- Threatening Behavior, 26(4), 325-341.
O’Donnell, P., Buxton, P. J., Pitkin, A., & Jarvis, L. J. (2000). The magnetic resonance imaging appearances of the brain in acute monoxide poisoning. Clinical Radiology, 55,273-280.
Paolucci, B. (1962). Concepts, definition and purpose. In Conference on Teaching Home Management: Proceedings. Washington DC: American Home Economics Association.
Paolucci, B., Hall, O. A., & Axinn, N. (1977). Family decision making: An ecosystem approach. New York: Wiley.
Parkinson, R. B., Hopkins, R. O., Cleavinger, H. B., Weaver, L. K., Victoroff, J., Foley, J. F., & Bigler, E. D. (2002). White matter hyperintensities and neuropsychological outcome following carbon monoxide poisoning, Neurology, 58, 1525-1532.
Pelkonen, M., & Marttunen, M. (2003). Child and adolescent suicide: Epidemiology , risk Factors, and approaches to prevention. Pediatric Drugs, 5 (4), 243-265.
Picot, S. J. (1995). Rewards, costs, and coping of African American caregivers. Nursing Research, 44(3), 147-152.
Priest, H. (2002). An approach to the phenomenological analysis of data. Nurse Research, 10(2), 50-63.
Prockop, L. D. (2005). Carbon monoxide brain toxicity: Clinical, magnetic resonance imaging, magnetic resonance spectroscope, and neuropsychological effects in 9 people. Journal of Neuroimaging, 15, 144-149.
Ronald, F. C. (1987). Suicide among homosexual adolescents. Journal of Homosexuality, 13(4), 111-117.
Roy, A. (1986). Suicide in schizophrenia. Suicide (pp.97-112). Baltimore: Williams & Wilkins.
Roy, A. (1992). Genetics, biology and suicide in the family. Assessment and prediction of suicide (pp. 574-588). New York: Guilford.
Sayer, G., Stewart, G., & Chipps, J. (1996). Suicidal attempts in NSW: Associated mortality and morbidity. Public Health Bulletin, 7, 55-63.
Shakespeare, V. (1998). Effects of small burn injury on physical, social and psychological health at 4-9 months after discharge. Burns, 24 (8), 739-744.
Shyu, Y. L., Archbold, P. G., & Imle, M. (1998). Finding a balance point: A process central to understanding family caregiving in Taiwanese families. Research in Nursing and Health, 21, 261-270.
Smith, J. C., Mercy, J. A., & Conn, J. M. (1998). Marital status and the risk of suicide. American Journal of Public Health, 78, 78-80.
Solomon, P., & Draine, J. (1995). Adaptive coping among family members of persons with serious mental illness. Psychiatric Services, 46, 1156-1160.
Sun, F. K., & Long, A. (2008). A theory to guide families and carers of people who are at risk of suicide. Journal of Clinical Nursing, 17, 1939-1948.
Sun, F. K., Long, A., Huang, X. Y., & Huang, H. M. (2008). Family care of Taiwanese patients who had attempted suicide: A grounded theory study. Journal of Advanced Nursing, 62(1), 53-61.
Tzeng, W. C. (2001). Being trapped in a circle: Life after a suicide attempt in Taiwan. Journal of Transcultural Nursing, 12, 302- 309.
Tzeng, W. C., & Lipson, J. G. (2004). The culture of suicide stigma in Taiwan. Qualitative Health Research, 14, 345- 358.
Westefeld, J. S., Cardin, D., & Deaton, W. L. (1992). Development of the college students reasons for living inventory. Suicide and Life-Threatening, 22 (4), 442-452.
Wichstrom, L. (2000). Predictors of adolescent suicide attempts: A nationally representative longitudinal study of Norwegian adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 39, 603-610.
Wilson, H. S. (1989). Family caregiver for a relative with Alzheimer’s dementia: Coping with negative choices. Nursing Research, 38(2), 94-98.
World Health Organization (2004). Media Centre. Suicide huge but preventable public health problem, says WHO. Retrieved August 21, 2008 from http://www.who.int/mediacentre/news/releases/2004/pr61/en/
World Health Organization a (2008). Country reports and chart available: Introduction. Retrieved May 9, 2008 from http://www.who.int/mental_health/media/en/382.pdf
World Health Organization (n.d.). Suicide Prevention (SUPRE). Retrieved May 11, 2008 from http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/
Ying, S. Y., & Ho, W. S. (2001). Case report contact burn by charcoal in an attempted suicide. Burns, 27, 512-514.
Yip, P. S. F. (1998). Age, sex, marital status and suicide: An empirical study of east and west. Psychological Reports, 82, 311-322.
Yip, P. S. F. & Lee, D. T. S. (2007). Charcoal-burning suicides and strategies for prevention. Crisis, 28 (Suppl. 1), 21-27.
Yip, P. S. F., Liu, K. Y. C., Law, K., & Law, Y. W. (2005). Social and economic burden of suicides in Hong Kong SAR- a year of life lost perspective. Crisis, 26 (4), 156-159.
Young, G. L. (1989). A conceptual framework for an interdisciplinary human ecology. Acta Oecologica Hominis, International Monographs in Human Ecology (No. 1). Lund, Sweden: Human Ecology Division, Department of History, University of Lund.
中文部分
孔有芸（1993）．燒傷病患之出院計畫．榮總護理，10（1），32-38。
行政院衛生署（2008a）．民國96年衛生統計系列（一）死因統計上卷：當年死因統計：主要死亡原因---按性別分．2009年4月取自http://www.doh.gov.tw/CHT2006/DisplayStatisticFile.aspx?d=69050
行政院衛生署（2008b）．民國96年衛生統計系列（一）死因統計上卷：歷年死因統計：歷年死亡原因．2009年4月取自http://www.doh.gov.tw/statistic/data/衛生統計叢書2/95/上冊/index.htm
行政院衛生署（2009）．96年度衛生統計動向：死因統計．2009年4月取自http://www.doh.gov.tw/CHT2006/DisplayStatisticFile.aspx?d=70707&s=1
任巧玲（2000）．腦血管病患者抑鬱特點分析及護理對策．中華護理雜誌，35（10），627-628。
朱育瑩（2004）．老年失智症家庭照顧者於照顧過程中角色衝擊與變化之初探．未發表之論文，台北：私立長庚大學護理學研究所。
汪文聖（1997）．描述與解釋－胡塞爾現象學做為科學哲學之探討．哲學雜誌，20，64-89。
吳汝鈞（2001）．胡塞爾現象學解析．台北：台灣商務。
吳秀琴（2007）．自殺未遂之女性憂鬱症患者及其伴侶於自殺事件後的生活經驗剖析：修復生命烙印．未發表之碩士論文，台南：國立成功大學護理學系研究所。
李雅文、易麗珍、陳雅玲、黃靜宜（2005）．燒傷病患出院後壓力感受、壓力處理自我效能及相關因素探討．實證護理，1（4），273-282。
何瓊芳（1999）．探討失能老人家庭照顧者的照顧正向經驗．未發表的碩士　　論文．台北：私立長庚大學護理學研究所。
邱小華（1993）．燒燙病患之社會工作．榮總護理，10（1），30-31。
邱惠慈（1993）．社區失能老人非正式照護者的特性與負荷．未發表的碩士論文．台北：國立台灣大學公共衛生研究所。
林佳霓、潘慧萍、黃美智（2008）．繪出世界共通圖畫－家族圖譜之構成與評估．護理雜誌，55(1)，87-93。
林珍妃（1995）．顏面傷殘者的社會心理問題．長庚護理，6（1），51-54。
許瓊文（2002）．癌症病童母親照顧過程中所經歷之家庭壓力之經驗．未發　表的碩士論文．嘉義：私立南華大學生死學研究所。
孫美華、劉雪娥（2000）．身體心像紊亂之概念分析．護理雜誌，47（5），77-82。
徐亞瑛、張媚、楊玉玟、黃久美（1992）．都市型及鄉村型社區中居家殘病老人照顧者之負荷及相關因素．護理雜誌，39(3)，99-106。
高淑清（2000）．現象學及其在教育研究上的應用．於中正大 學教育研究所主編，質的研究方法．高雄：麗文文化。
高淑清（2008）．質性研究的十八堂課-揚帆再訪之旅．高雄：麗文文化。
陳圭如（2001）．我的抉擇-三位受暴女性的心路歷程．於教育部主辦，家庭與性侵害學術論文研討會．國立彰化師範大學。
陳金彌（1997）．母親面對惡性腦瘤病童接受癌症療程的經驗．未發表之碩士論文，台北：國防醫學院護理學研究所。
陳珍德（1995）．癌症病人生命意義之研究．未發表之碩士論文，國立彰化師範大學輔導研究所。
陳映燁、呂宗學、李馨如、郭千哲、邱震寰、陳喬琪（2006）．台灣與南韓 方法別自殺率之比較．北市醫學雜誌，3（10），982-991。
張汝倫（1997）．現象學方法的多重含義．哲學雜誌，20，90-115。
湯麗玉、毛家舲、周照芳、陳榮基、劉秀枝（1992）．癡呆症老人照顧者的負荷及其相關因素之探討．護理雜誌，39(3)，89-98。
趙方榮、翟茉慧、孫雪梅（2004）．25例一氧化碳中毒遲發性腦病的臨床觀察及護理．現代中西醫結合雜誌，13（23），3201-3202。
楊雪梨（2004）．甦醒植物人昏迷經驗與復健、照護歷程之探討－以台澎地區六個案為例．未發表之碩士論文，嘉義：南華大學生死學系研究所。
衛生署自殺防治中心（2008）．研究調查：資料分析．2008年5月取自http://www.tspc.doh.gov.tw/tspc/portal/know/index.jsp?type=2
劉修全（2004）．自殺歷程與生存理由．諮商與輔導，221，19-21。
劉淑娟、蘇秀娟、謝美娥（1998）．北市失能老人其主要照顧者資源需求之初探．長期照護，2(2)，31-47。
穆佩芬（1996）．現象學研究法．護理研究，4（2），195-202。
賴豐美、盧孳艷（1998）．居家失能病患之女性照顧者經驗．護理研究，6(5)，372-382。
Flick, U. (2002／2007)．質性研究導論（李政賢、廖志恒、林靜如譯）．台北：五南。
Husserl, E. (1913／1994)．純粹現象學通論（李幼蒸譯）．台北：桂冠。
Padgett, D. M. (1998／2000)．質化研究與社會工作（張英陣譯）．台北：洪葉。