A preliminary interview on counselor's decision making of breaking confidentiality about self-inflicted injury and suicide in college situation
10.3969/j.issn.1000-6729.2018.03.008
- VernacularTitle:高校心理咨询中自伤自杀相关保密突破议题的初步访谈
- Author:
Yidan WANG
1
;
Yaqi WANG
;
Xiaohan YU
;
Jingqi JIANG
;
Yanjie JIA
;
Yajing MA
;
Mingyi QIAN
Author Information
1. 北京大学心理与认知科学学院
- Keywords:
breaking confidentiality;
college counseling;
ethics;
semi-structured interview
- From:
Chinese Mental Health Journal
2018;32(3):227-232
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the ethical decision-making process of breaking confidentiality when counselors dealing with self-inflicted injury and suicide issues in college situation. Methods: A semi-structural interview was addressed to 10 counselors from 7 college counseling centers in Beijing, among whom with (10 ± 8) years of experience on average in this field. Content analysis method was used to transcription of the interviewing data. Results: Totally 8 counselors had received ethical training more or less, and attached great importance to ethical codes. There were still some conflicts between school regulations and confidentiality rules in 7 university counseling centers. Different counselors varied greatly in decision-making on breaking confidentiality when facing college students' self-inflicted injury and suicide. Faced with conflicts between college demands and confidentiality principles, counselors could take the professional standpoint and consider more of the interests of students. Conclusion: The decision-making process on self-inflicted injury and suicide confidentiality breakthrough needs to be standardized. College's attention and support to the counseling work should be strengthen and enhance ethical awareness.
