Implicit Identification with Death, Clinician Evaluation and Suicide Ideation among Adolescent Psychiatric Outpatients-The Mediating Role of Depression.

IF 2.5 3区 医学 Q2 PSYCHIATRY
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2023-11-17 DOI:10.1080/13811118.2023.2282661
Nermin Toukhy, Yari Gvion, Shira Barzilay, Alan Apter, Liat Haruvi-Catalan, Cendrine Bursztein-Lipsicas, Maya Shilian, Ori Mijiritsky, Noa Benaroya-Milshtein, Silvana Fennig, Sami Hamdan
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引用次数: 0

Abstract

Implicit identification with death (i.e., subconsciously self-associating oneself with death), measured by the Death-Suicide Implicit Association Test (D/S-IAT), is associated with Suicide Ideation (SI). Our understanding of the mechanisms underlying this association is limited. The current study examined (1) the mediating role of depression between D/S-IAT and recent SI and (2) the association between SI, D/S-IAT, and clinician evaluation of SI among a clinical sample of adolescents. 148 adolescents aged 10-18 years (69.4% female) from two outpatient clinics were assessed at intake. Participants completed D/S-IAT and self-report measures for recent SI and depression during intake. Findings indicate that depression is a mediator between D/S-IAT and recent SI, controlling for gender, site differences, and past suicidal thoughts and behaviors. D/S-IAT and clinician evaluation were correlated with recent SI but not beyond depression. Our findings highlight the importance of examining the underlying psychological mechanisms regarding the association between D/S-IAT and suicide.

青少年精神科门诊患者死亡内隐认同、临床医师评价与自杀意念:抑郁的中介作用。
死亡-自杀内隐关联测验(D/S-IAT)测量的死亡内隐认同(即潜意识地将自己与死亡联系起来)与自杀意念(SI)相关。我们对这种关联背后的机制的理解是有限的。本研究以青少年为研究对象,考察了抑郁在D/S-IAT与近期自伤之间的中介作用,以及D/S-IAT与临床医生对自伤的评价之间的关系。148名10-18岁的青少年(69.4%为女性)来自两个门诊诊所,在入院时接受评估。参与者在摄入期间完成了D/S-IAT和近期SI和抑郁的自我报告测量。研究结果表明,抑郁是D/S-IAT与近期自杀之间的中介,控制了性别、地点差异和过去的自杀念头和行为。D/S-IAT和临床医生评价与最近的SI相关,但不超过抑郁症。我们的研究结果强调了研究D/S-IAT与自杀之间关联的潜在心理机制的重要性。
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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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