Reasons to Live During a Suicidal Crisis: A Case Series With Suicidal Inpatients.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Vincent Besch, Christian Greiner, Catherine Le Hénaff, Cécilia Von Rohr-De Pree, Julia Ambrosetti, Charline Magnin, Emmanuel Poulet, Martin Debbané, Paco Prada
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引用次数: 0

Abstract

Background: Following experts' recommendations for a phenomenological approach to suicidal behavior, this study opted to focus on the life-protecting beliefs and values expressed by people in acute suicidal crisis.

Method: 61 adults hospitalized in psychiatric emergency for suicidal crises were assessed in terms of reasons for living (RFL) and suicidality. Multiple correspondence analysis was used to discern groups of patients based on their RFL profiles. Group differences on suicidality were further examined.

Results: 4 groups of patients were observed, emerging from RFL differences in "Survival and Coping Beliefs", "Fear of Social Disapproval", "Responsibility to Family" and "Child-Related Concerns". Profiles varied by gender but not age. We further observed that "Survival and Coping Beliefs" and "Moral Objections" are weakened during an acute suicidal crisis.

Conclusions: These findings underline the clinical utility of evaluating RFL during a suicidal crisis, and that RFL may be useful to personalize case formulation during an emergency intervention. They could further increase therapeutic communication by connecting the individual to key psychological resources. Longitudinal studies are necessary to evaluate how the different groups identified in this study may yield specific post-emergency trajectories connected to specific clinical needs.

自杀危机中的生存理由:自杀住院病人病例系列。
背景:根据专家关于采用现象学方法研究自杀行为的建议,本研究选择将重点放在处于急性自杀危机中的人所表达的生命保护信念和价值观上:根据专家关于采用现象学方法研究自杀行为的建议,本研究选择关注处于急性自杀危机中的人所表达的保护生命的信念和价值观:61名因自杀危机而在精神科急诊住院的成年人接受了生活理由(RFL)和自杀倾向的评估。采用多重对应分析法,根据患者的 RFL 特征对其进行分组。此外,还进一步研究了各组在自杀倾向方面的差异:结果:根据 "生存和应对信念"、"害怕社会不认可"、"对家庭的责任 "和 "与子女有关的担忧 "的 RFL 差异,观察到 4 组患者。这些特征因性别而异,但与年龄无关。我们进一步观察到,在急性自杀危机期间,"生存和应对信念 "和 "道德异议 "会减弱:这些发现强调了在自杀危机中评估RFL的临床实用性,RFL可能有助于在紧急干预过程中制定个性化的病例。通过将个体与关键心理资源联系起来,可以进一步加强治疗沟通。有必要进行纵向研究,以评估本研究中确定的不同群体如何产生与特定临床需求相关的特定紧急情况后轨迹。
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来源期刊
Psicothema
Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.50
自引率
16.70%
发文量
69
审稿时长
24 weeks
期刊介绍: La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.
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