TY - JOUR PY - 2016// TI - Conceptual model of acid attacks based on survivor's experiences: lessons from a qualitative exploration JO - Burns: journal of the International Society for Burn Injuries A1 - Sabzi Khoshnami, Mohammad A1 - Mohammadi, Elham A1 - Addelyan Rasi, Hamideh A1 - Khankeh, Hamid Reza A1 - Arshi, Maliheh SP - 608 EP - 618 VL - 43 IS - 3 N2 - INTRODUCTION: Acid attack, a worldwide phenomenon, has been increasing in recent years. In addition to severe injuries to the face and body, such violence leads to psychological and social problems that affect the survivors' quality of life. The present study provides a more in-depth understanding of this phenomenon and explores the nature and dimensions of acid attacks based on survivors' experiences.

METHOD: A grounded theory study using semi-structured, recorded interviews and applying purposeful theoretical sampling was conducted with 12 acid attack survivors in Iran. Data were analysed using constant comparison in open, axial and selective coding stages.

RESULTS: A conceptual model was developed to explain the relationships among the main categories extracted through the grounded theory study. Physical and psychological wounds emerged as a core category. Traditional context and extreme beauty value in society acted as the context of the physical and psychological wounds experienced. Living with a drug abuser with behavioural disorders and lack of problem-solving skills in interpersonal conflict were found to be causal conditions. Action strategies to deal with this experience were found to be composed of individual, interpersonal and structural levels. Education, percentage and place of burning acted as intervening conditions that influenced survivors' strategies. Finally, adverse consequences of social deprivation and feeling helpless and hindered were found to have an important impact.

CONCLUSIONS: Acid attack lead to physical and psychological wounds in survivors. This is a multi-dimensional phenomenon involving illness, disability, and victimization, and requires a wide range of strategies at different levels. The conceptual model derived through this study can serve as a good basis for intervention programs.

Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Language: en

LA - en SN - 0305-4179 UR - http://dx.doi.org/10.1016/j.burns.2016.10.003 ID - ref1 ER -