Research On Family Function And Relative Factors Of Survivor Of Suicide In Rural Of China

Purpose: Suicide is a crisis of the whole family it not only affects every individual, butalso affects the communication between family members and the perception of theroles, and even affects the entire balance of family system and family function.To explore the family function and correlative factors of suicide survivors after theloved one committed suicide. To explore the difference of family function amongsuicide survivors, accident survivors and disease survivors. And to provide a scientificevidence of the intervention strategies and measures for the rural area suicide survivors.Method: Randomly selecting eight villages from the town of Zhuang He, Liao Ningprovince as sample site. Collecting all of suicide accident and disease deceased5years between1st October2006and1st October2011, and choosing1~3relatives(parents,spouses,children, siblings) of the deceased of the deceased as research object.Using Family Adaptability and Cohesion Scale Second Edition(FACESⅡ-CV),FamilyAssessment Device(FAD), Grief Experience Questionnaire(GEQ), Symptom CheckList(SCL-90),Coping Styles Questionnaire (CSQ), NEO-Five-Factor Inventory (NEO-FFI),Perceived Social Support Scale (PSSS), Paykel’s Interview for Recent LifeEvents(IRLE) and Social Demography Questionnaire as research tools for all thebereaved,including254suicide survivors of200completed suicides,100accidentsurvivors and111disease survivors,to do the one-to-one on-scene psychologicalinterview and questionnaire.Result:(1) There were343cases in465rural survivors can assess family function, theratio was73.8%; the highest disease bereavement bereaved, accounting for81.1%. Thesuicide bereaved accounting for68.9%;111cases are only one person in their familywho completely lost family function,In which suicide survivors incident as the highest(31.1%), accident survivors take second place (22%), disease survivors incident thelowest (18.9%),There are significantly differences among the three groups.(2) The problem solving, communication, emotional reactions, overall family function score of the FAD have significant differences among three groups. suicidesurvivors’score is the highest, and the disease bereaved get the lowest score. Theinteraction of the bereavement time and the manner of death on family functioning isnot significant.（F=0.827，p=0.508）Bereavement manner has a significant main effect(F=5.437, p=0.005); Different bereavement group changes regularly over time; Thesuicide bereaved’sfamily function score distribution is bimodal lows.(3)The women and men exist remarkable different in the score of behavior controldimension of FAD,(t=-2.131, p <0.05); and women are significantly higher than men.(4)Among the married bereaved, unmarried bereaved and widowed bereaved, the scorein, communication, role, emotional response, emotional involvement, behavior concroldimensions and overall function exist significant statistically difference exceptproblem-solving dimension; and unmarried or widowed bereaved scored significantlyhigher than the married group’s.(5) The suicide survivors,in different economic conditions, whose overall function ofthe family functioning,(t=-1.984, p=0.049)and the role dimension exist significantdifference (t=-4.305, p=0.000). The suicide survivors with family economic hardshipand poverty ’s score is higher than the family with wealthy families, familydysfunction’s.(6)The suicide survivors with family economic income sources mainly "rely on others,"whose emotional response, emotional involvement and overall function score in theFAD (t=2.170, p=0.031) are significantly higher than those"rely on their own"’s (t=2.536, p=0.012).(7)The suicide survivor of different family relatives category,their FAD overallfunction score exist significantly differences (F=3.607, p=3.607),and the parentsbereaved scored the highest, followed by the spouse bereaved, the children bereaved.(8)The total score of family function of suicide survivor has a significant positivecorrelation with Questionnaire (CSQ)(r=0.318）and Grief reactions in shame (r=0.213),seeking an interpretation (r=0018), the grief reactions total score (r=0.255)andnegative correlated with agreeableness Personality Inventory (r=-0.362),conscientiousness (r=-0.215)in Personality Inventory; family support (r=-0.302), andother support (r=-0.287), support the total score (r=-0.263) in Perceived Social SupportScale; coping styles in problem solving (r=-0.259); family cohesion (r=-0.490),family adaptability (r=-0.577)in the FACES. (9)The total score of family function as the dependent variable, five variables enter intothe multiple step regressions, The main factors affecting rural suicide bereaved familyfuntion are family adaptability (β=-0.017), family cohesion (β=-0.011), agreeableness(β=-0.008) and neuroticism (β=0.007)GEQ sense of rejection factor (β=0.012), themodel statistically significant (F=31.010, p=0.000)..Conclusion:(1) rural suicide bereaved family dysfunctional maximum of31.1%,followed by the the accident bereaved22%, the disease bereaved18.9%.(2) rural suicide bereaved’s general family functioning is more unhealthy than the theunexpected bereaved and the illness bereaved.(3)rural suicide bereaved’s family function presents Bimodal distribution andrespectively grows in1year1to5years and3to5years(4) the rural female suicide bereaved’s family function control factor is significantlylower than that of men bereaved(5) the rural suicide bereaved’s average education years is less than five years,economic poverty family and income sources mainly "rely on others," family,whosefamily function is worse than Family main source of income "on their own" suicidebereaved’s..(6) marriage rural suicide bereaved family functioning was significantly better than thebereaved families of unmarried or widowed.(7)The family function in different categories of relatives of rural suicide bereaved,parents bereaved families is the worst, followed by the spouse bereved. the childrenbereaved family function of the best.(8) The related factors of family function is GEQ refused factors and neuroticpersonality traits, which reduce the family functioning; pleasant personality and FACESfamily cohesion, adaptability make the better family functioning.