Year: 1986 Source: Nursing Research, v.35, no.4, (July-August 1986), p.196-201 SIEC No: 19870117

Interviews and participant observation were used to generate a substantive grounded theory that explains the process of nurses becoming chemically dependent. Findings revealed that, as a result of physical and psychological pain, nurses who became chemically dependent embarked on a trajectory of self-annihilation. The stages and phases of the self-annihilation process are discussed. In the final stage of compulsion, suicide attempts and suicidal thoughts were extremely common.