The risk of suicidal intention in severe mental illness: An ecological perspective

IF 2.6 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-09-05 DOI:10.1111/papt.12495

Yawen Lin, Qinfei Wei, Suping Luo, Xiaoying Ye, Fuhao Zheng, Liuyan Zheng, Xinyue Lu, Huangyuan Li, Siying Wu

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引用次数: 0

Abstract

Objective

Guided by the ecosystem theory model framework, we aimed to explore the influence of three ecological dimensions (social, family and psychological factors) on suicidal intention in people with severe mental illness (SMI). We hypothesized that three factors influence suicidal intention, and that psychological factors may play a mediating role in the influence of social and family factors on suicidal intention.

Methods

We collected 994 patients with SMI aged 18 and above from May 2021 to March 2022 in the Fourth Hospital of Fuzhou City. We used logistic regression to analyse the association between social, family, psychological factors and suicidal intention. Furthermore, we explored the mediating effects among the influencing factors.

Results

Younger male patients with schizophrenia were more likely to have suicidal intention due to psychosocial family factors (p < .05). Social factors (poor interpersonal relations, social retreat, social activities outside the home), family factors (parental functions, activities within the family, family functions), psychological factors (anxiety, depression, interest in the outside world, overt aggression, lack of accountability and planning) were all independent risk factors for suicidal intention in patients. Mediation analysis showed anxiety and depression mediated the role of social and family factors on suicidal intention (p < .05).

Conclusion

Social, family and psychological factors were important risk factors for suicidal intention, with anxiety and depression being partial mediators for suicidal intention. Therefore, interventions that enhance family and social functioning and reduce anxiety and depression may be effective in reducing suicidal intention in SMI.

查看原文本刊更多论文

严重精神疾病的自杀倾向风险:生态学视角。

目的：在生态系统理论模型框架的指导下，探讨社会、家庭和心理三个生态维度对严重精神疾病患者自杀意愿的影响。我们假设有三个因素影响自杀意图，心理因素可能在社会和家庭因素对自杀意图的影响中发挥中介作用。方法：收集福州市第四医院2021年5月至2022年3月收治的994例18岁及以上SMI患者。我们采用逻辑回归分析了社会、家庭、心理因素与自杀意图之间的关系。此外，我们还探讨了影响因素之间的中介作用。结果：年轻男性精神分裂症患者由于心理社会家庭因素更有可能产生自杀意图（p 结论：社会、家庭和心理因素是自杀意向的重要危险因素，焦虑和抑郁是自杀意向产生的部分中介因素。因此，加强家庭和社会功能、减少焦虑和抑郁的干预措施可能会有效减少SMI的自杀意图。

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

Psychology and Psychotherapy-Theory Research and Practice 医学-精神病学

CiteScore

6.10

自引率

5.90%

发文量

审稿时长

6 months

期刊介绍： Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.