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The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support

Thesis (MA)--Stellenbosch University, 2019.

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Main Author: De Clerk, Carla Christina
Other Authors: Somhlaba, Nceba Z.
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2019
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access_status_str Open Access
author De Clerk, Carla Christina
author2 Somhlaba, Nceba Z.
author_browse De Clerk, Carla Christina
Somhlaba, Nceba Z.
author_facet Somhlaba, Nceba Z.
De Clerk, Carla Christina
author_sort De Clerk, Carla Christina
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MA)--Stellenbosch University, 2019.
format Thesis
id oai:scholar.sun.ac.za:10019.1/105849
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:42.460Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2019
publishDateRange 2019
publishDateSort 2019
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/105849 The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support De Clerk, Carla Christina Somhlaba, Nceba Z. Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology. Panic attacks Non-fatal self-harm Suicidal behavior Depression, Mental UCTD Thesis (MA)--Stellenbosch University, 2019. ENGLISH ABSTRACT: Suicide is one of the leading causes of death worldwide and is associated with feelings of depression, anxiety and hopelessness, as well as ineffective coping strategies and perceived lack of social support. The data from interviews conducted with 34 patients admitted to a rural Western Cape hospital following an episode of non-fatal suicidal behaviour, was used for this study. The study set out to examine the relationship between stress; determined by depressive symptoms, symptoms of anxiety, and symptoms of hopelessness; and various coping strategies; as well as the relationship between stress, coping and perceived social support. Furthermore, the study aimed to determine whether these relationships offered insight into the roles of coping strategies and social appraisal, and whether these should be addressed in intervention and prevention programmes. Quantitative research was conducted by means of interviewer-administered questionnaires. The results indicate a significant positive relationship between symptoms of depression and anxiety; followed by a significant positive relationship between symptoms of depression and hopelessness; symptoms of anxiety and hopelessness; and symptoms of depression and avoidant coping. The results showed a significant negative correlation between symptoms of depression and social support-seeking coping, and between social support appraisal and anxiety. Hopelessness emerged as a positive predictor of depression. In addition, social support-seeking coping was positively correlated with social support appraisal, which in turn has emerged as a significant negative predictor of stress (symptoms of depression and anxiety). Possible support for Lazarus and Folkman’s stress-coping model and Farberow and Shneidman’s communication theory was established and inferences were made for possible intervention and prevention programmes. It is recommended that further research includes longitudinal studies in order to gain a better understanding of the potentially changing nature of the underlying psychological functioning of patients following an episode of non-fatal suicidal behaviour. AFRIKAANSE OPSOMMING: Selfmoord is een van die hoof oorsake van sterftes wêreldwyd en word geassosieer met gevoelens van depressie, angstigheid en hopeloosheid, asook oneffektiewe hanteringsstrategieë en ‘n tekort aan sosiale ondersteuning. Die data wat voortgespruit het uit die vraelyste van 34 pasiënte, opgeneem in ‘n landelike Wes-Kaapse hospitaal weens nie-noodlottige selfmoordgedrag was gebruik vir hierdie studie. Die studie het gepoog om die verhouding te ondersoek tussen stres; insluitend simptome van depressie, simptome van angstigheid en simptome hopeloosheid; en verskeie hanteringsstrategieë; sowel as die verhouding tussen stres, hanteringsstrategieë en die ervaring van sosiale ondersteuning. Verder het die studie gepoog om vas te stel of hierdie verhoudings insig bied in die rolle van hanteringsstrategieë en sosiale ondersteuning, en of dit moet aangespreek word in intervensie- en voorkomingsprogramme. Kwantitatiewe navorsing was uitgevoer deur middel van onderhoudvoerder-geadministreerde vraelyste. Die resultate dui op ‘n beduidend positiewe korrelasie tussen depressie en angstigheid, gevolg deur ‘n beduidend positiewe verhouding tussen simptome van depressie en hopeloosheid; simptome van angstigheid en hopeloosheid; asook simptome van depressie en vermydingsomgaan. Die resultate dui ook op ‘n beduidend negatiewe korrelasie tussen simptome van depressie en sosiale ondersteuningsoekende omgaan, asook tussen vermeende sosiale ondersteuning en simptome van angstigheid. Hopeloosheid het as ‘n beduidend positiewe voorspeller van depressie na vore gekom. Verder was daar ‘n beduidende positiewe korrelasie tussen sosiale ondersteuning-soekende omgaan en sosiale ondersteuning, wat weer om die beurt as ‘n beduidende negatiewe voorspeller van stres (simptome van depressie en angstigheid) na vore gekom het. Moontlike ondersteuning vir Lazarus en Folkman se stres-hanteringsmodel en Farberow en Shneidman se kommunikasie teorie was gevind en afleidings was gemaak vir moontlike intervensie- en voorkomingsprogramme. ‘n Aanbeveling vir verdere navorsing, insluitende langtermyn studies, ten einde ‘n beter verstaan te ontwikkel van die moontlike veranderende natuur van die onderliggende sielkundige funksionering van pasiënte na ‘n episode van nie-noodlottige selfmoordgedrag. Masters 2019-02-28T08:03:19Z 2019-04-17T08:15:35Z 2019-02-28T08:03:19Z 2019-04-17T08:15:35Z 2019-04 Thesis http://hdl.handle.net/10019.1/105849 en_ZA Stellenbosch University 147 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Panic attacks
Non-fatal self-harm
Suicidal behavior
Depression, Mental
UCTD
De Clerk, Carla Christina
The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support
title The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support
title_full The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support
title_fullStr The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support
title_full_unstemmed The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support
title_short The psychological functioning of patients admitted to a rural western cape hospital following an episode of non-fatal suicidal behaviour: stress, coping and perceived social support
title_sort psychological functioning of patients admitted to a rural western cape hospital following an episode of non fatal suicidal behaviour stress coping and perceived social support
topic Panic attacks
Non-fatal self-harm
Suicidal behavior
Depression, Mental
UCTD
url http://hdl.handle.net/10019.1/105849
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