Can I count on you? Social support, depression and suicide risk

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-07-14 DOI:10.1002/cpp.2883

Christiana Silva, Christopher McGovern, Stephanie Gomez, Eleanor Beale, James Overholser, Josephine Ridley

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引用次数: 0

Abstract

Objectives

Interpersonal factors play an important role in the etiology and treatment of depression. Social support derives from compassionate words and helpful actions provided by family, friends or a significant other. The present study was designed to examine various sources of social support as they relate to the severity of depressive symptoms, hopelessness and suicide risk in adult psychiatric outpatients.

Method

Participants were recruited through mental health clinics at a veteran's affairs medical centre. A total of 96 depressed patients were assessed using a diagnostic interview and self-report measures of depression severity, hopelessness and social support. Among these depressed adults, 45.8% had attempted suicide at least once. Social support variables were compared between suicide attempters and non-attempters to better understand the relationship between social support and suicidal behaviour.

Results

Depression severity and hopelessness were both significantly associated with lower levels of social support in multiple areas. Individuals with a history of suicide attempt reported lower levels of available support as compared to those who have never attempted suicide.

Conclusion

Deficient social relationships increase the risk of suicide in depressed patients, exceeding the impact of depression alone on suicide risk. The lack of social support may play a vital role in feelings of hopelessness and isolation that contribute to a suicidal crisis. Psychosocial treatment should be considered to reduce the risk of suicide and severity of depression by strengthening social support and bolstering interpersonal relationships.

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我能依靠你吗？社会支持、抑郁和自杀风险

目的：人际关系因素在抑郁症的病因和治疗中发挥着重要作用。社会支持来自于家人、朋友或重要他人的同情话语和帮助行动。本研究旨在探讨各种社会支持来源与成年精神病门诊患者抑郁症状严重程度、绝望感和自杀风险之间的关系：方法：通过退伍军人事务医疗中心的心理健康诊所招募参与者。共对 96 名抑郁症患者进行了诊断访谈和抑郁症严重程度、绝望感和社会支持的自我报告评估。在这些成年抑郁症患者中，45.8% 的人至少尝试过一次自杀。为了更好地了解社会支持与自杀行为之间的关系，我们对自杀未遂者和未遂者的社会支持变量进行了比较：抑郁严重程度和绝望程度都与多个领域的社会支持水平较低有显著关联。与从未尝试过自杀的人相比，有过自杀未遂史的人所获得的支持水平较低：结论：社会关系的缺失会增加抑郁症患者的自杀风险，其影响超过了抑郁症本身对自杀风险的影响。缺乏社会支持可能是导致绝望和孤独感的重要因素，而绝望和孤独感又是自杀危机的诱因。应考虑进行心理治疗，通过加强社会支持和改善人际关系来降低自杀风险和抑郁症的严重程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.