Torn between living or dying-analyses of influencing factors on suicide ambivalence and its longitudinally impact on suicidal ideation and behavior in a high-risk sample.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-05-17 DOI:10.1111/sltb.13091

Inken Höller, Thomas Forkmann, Heide Glaesmer, Tobias Teismann, Lena Spangenberg, Dajana Schreiber, Nina Hallensleben, Jannis Kraiss

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Abstract

Introduction: Findings on the role of suicide ambivalence, an individual's wish to live (WL), and wish to die (WD) in the development of suicidality have been heterogenous. The main goal of this study was to examine associations of these constructs within the past week with sociodemographic factors and to longitudinally investigate their predictive power for suicidal ideation (SI) and suicide attempts (SA).

Methods: N = 308 patients (54% female; M = 36.92 years, SD = 14.30), admitted to a psychiatric ward due to suicidality, were assessed for all constructs after admission, after six, nine, and 12 months. Data were analyzed with univariate fixed-effect models and lagged mixed-effect regression models.

Results: Decreased, WL increased post-baseline. Gender showed no significant link to ambivalence, WD, and WL. Ambivalence and WD correlated negatively with age and positively with depressiveness. More participants in a relationship showed a WL compared with single/divorced/widowed participants. More single participants or those in a relationship showed ambivalence than divorced/widowed participants. More single participants showed a WD than participants in a relationship/divorced/widowed. Longitudinally, ambivalence and WD predicted SI and SA.

Conclusion: The findings underscore the importance of taking suicide ambivalence and WD into account in risk assessment and treatment.

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纠结于生还是死--分析自杀矛盾心理的影响因素及其对高危样本自杀意念和行为的纵向影响。

导言：有关自杀矛盾心理、个人求生愿望（WL）和求死愿望（WD）在自杀倾向发展过程中的作用的研究结果各不相同。本研究的主要目的是考察这些因素在过去一周内与社会人口学因素之间的关联，并纵向研究它们对自杀意念（SI）和自杀未遂（SA）的预测能力：入院后、6 个月、9 个月和 12 个月后，对因有自杀倾向而住进精神病院的 308 名患者（54% 为女性；M=36.92 岁，SD=14.30）进行了所有指标的评估。数据采用单变量固定效应模型和滞后混合效应回归模型进行分析：结果：入院6个月后的矛盾心理有所减轻，入院9个月后的矛盾心理有所减轻，入院12个月后的矛盾心理有所加重。性别与矛盾心理、WD 和 WL 没有明显联系。矛盾心理和 WD 与年龄呈负相关，与抑郁程度呈正相关。与单身/离异/鳏居的参与者相比，有更多恋爱关系的参与者表现出 WL。与离婚/鳏居的参与者相比，更多的单身参与者或恋爱中的参与者表现出矛盾心理。与恋爱/离婚/丧偶的参与者相比，更多的单身参与者表现出 WD。从纵向来看，矛盾心理和 WD 预测了 SI 和 SA：研究结果强调了在风险评估和治疗中考虑自杀矛盾心理和WD的重要性。

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

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.