Self-Burdensomeness, Self-Esteem and Suicidal Ideation

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Cognitive Therapy and Research Pub Date : 2024-02-28 DOI:10.1007/s10608-024-10477-x

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引用次数: 0

Abstract

Background

Low self-esteem and self-burdensomeness have been proposed as risk factors for suicidal ideation. Yet, self-burdensomeness may be more relevant to suicidal ideation than low self-esteem. The purpose of the present study was to investigate the association between self-esteem, self-burdensomeness, and suicidal ideation in a sample of adult outpatients.

Methods

Data from N = 202 patients (66.3% female; age: M[SD] = 39.87 [13.31], range: 19–73) who started therapy at an outpatient clinic were collected. A subsample of n = 111 patients (68.5% female; age: M[SD] = 38.50 [13.48], range: 20–73) also took part in a second assessment three-months later.

Results

Self-burdensomeness was shown to predict suicidal ideation concurrently and prospectively – after controlling for age, gender, depression, and self-esteem. Furthermore, self-burdensomeness completely mediated the association between self-esteem and suicidal ideation. However, the reverse relationship, where the association between self-burdensomeness and suicidal ideation is mediated by self-esteem, was not supported.

Conclusions

Self-burdensomeness might be understood as a driver of suicidal ideation. Findings point to the possibility that a focus on self-burdensomeness and/or low self-esteem might be relevant in the treatment of suicidal patients.

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自卑、自尊和自杀念头

摘要背景低自尊和自我伤害被认为是自杀倾向的风险因素。然而，与自卑相比，自我挫败感可能与自杀意念的关系更为密切。本研究旨在调查成年门诊患者样本中自尊、自我挫败感和自杀意念之间的关联。方法收集了 N = 202 名患者（66.3% 为女性；年龄：M[SD] = 39.87 [13.31]，范围：19-73）的数据，这些患者开始在门诊接受治疗。三个月后，n = 111 名患者（68.5% 为女性；年龄：M[SD] = 38.50 [13.48]，范围：20-73）还参加了第二次评估。结果表明，在控制了年龄、性别、抑郁和自尊之后，自我挫折感可同时预测自杀意念。此外，自我挫败感完全调节了自尊与自杀倾向之间的关系。然而，自尊并不支持自我挫折感与自杀倾向之间的反向关系。结论自我挫败感可被理解为自杀意念的驱动因素。研究结果表明，关注自我挫败感和/或自卑感可能与自杀患者的治疗相关。

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

Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.