本研究探討自殺防治關懷訪視員在面對輔導自殺意圖者、自殺未遂者及自殺者遺族時，所面對之多元化負向工作壓力及情緒時，產生之替代性創傷壓力症候群成因及類型為何？是否也受個人背景及生態支持系統間影響，而產生不同之替代性創傷症狀、程度及因應模式，並進而歸納出自殺防治關懷訪視員因應替代性創傷壓力症候群之因應方式。 本研究採用質化研究，以詮釋學為研究概念，於訪談前針對國內自殺防治議題、自殺防治關懷訪視員的替代性創傷及生態支持系統之內涵進行探究，並利用半開放式問卷，採取立意抽樣，進行深入瞭解自殺防治工作型態之訪談調查，藉此蒐集嘉義縣市自殺防治關懷訪視員文本資料，以形成研究者對自殺防治關懷訪視員所屬生態系統如何影響替代性創傷事件基模，亦即形塑個人面對替代性創傷之潛在因應規則之前理解，進而探索在面對自殺防治工作中之特殊個案案件是否產生自殺防治關懷訪視員對自我替代性創傷經驗之覺察與轉化，產生個人特有因應替代性創傷之因應模式，以作為自殺防治關懷訪視員面對工作所帶來之替代性創傷因應方式之參考。 This study explored the causes and types of vicarious traumatization and secondary traumatic stress disorder experienced by suicide prevention workers when facing suicide attempters, survivors of suicide, and the survivors of suicide victims and undergoing diverse negative work pressures and emotions. The research question asked whether suicide prevention workers are influenced by their personal backgrounds and ecological support systems and thus experience various symptoms of vicarious trauma to varying degrees. Furthermore, in this study, various response patterns developed by suicide prevention workers for handling vicarious trauma were summarized. This study was a qualitative research project based on hermeneutics. Before conducting the interview, we explored topics pertaining to suicide prevention, suicide prevention workers’ vicarious trauma experience, and their ecological support systems. In addition, we used semi-open-ended questionnaires in this study and adopted a purposive sampling method for thoroughly understanding types of suicide prevention worker. We collected textual information about suicide prevention workers in Chiayi to understand the different ecological system which suicide prevention workers belonged influenced his or her vicarious trauma and the underlying rules used to respond to vicarious trauma. Furthermore, we explored whether suicide prevention workers are aware of their vicarious trauma experience and transform that experience when they encounter certain cases in their suicide prevention work. In other words, we investigated whether suicide prevention workers developed their individually specific methods for handling vicarious trauma. The results of this study can serve as a reference for suicide prevention workers in handling vicarious traumatization and secondary traumatic stress disorder induced by suicide prevention work.
