Understanding adolescent suicide risk through alexithymia and hikikomori behaviours: A three-wave study.

IF 3.8 3区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Clinical Psychology Pub Date : 2025-04-24 DOI:10.1111/bjc.12549

Danilo Calaresi, Valeria Saladino, Fiorenza Giordano, Valeria Verrastro

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引用次数: 0

Abstract

Objective: Suicide risk (SR) has emerged as a critical issue among adolescents, with various factors potentially contributing to this complex problem. Among these, alexithymia and hikikomori behaviours (HB) are two key elements that warrant further investigation. This study examines their longitudinal relationships through the lens of a unified model of SR.

Method: A total of 1814 adolescents from Italy (M = 15.43, SD = 1.09) participated in a three-wave longitudinal study, with surveys administered at baseline (T1), 6 months later (T2), and 12 months later (T3). Structural equation modelling (SEM) was utilized to analyse the bidirectional relationships and mediation effects between the variables.

Results: The results revealed that alexithymia consistently predicted HB and SR, while HB also predicted SR. However, HB did not predict alexithymia, nor did SR predict either alexithymia or HB. Significant mediation effects were observed from alexithymia at T1 to SR at T3 through alexithymia at T2, HB at T2, and SR at T2, as well as from HB at T1 to SR at T3 through HB at T2 and SR at T2. No significant indirect effect was found from HB at T2 to SR at T3 through alexithymia at T2.

Conclusions: These findings suggest that adolescents with higher levels of alexithymia are at greater risk for suicidal behaviours, with HB intensifying this risk. Effective interventions may include programmes aimed at enhancing emotional awareness and promoting social reintegration, which could ultimately improve mental health outcomes and reduce SR among adolescents.

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通过述情障碍和隐蔽青年行为了解青少年自杀风险：一项三波研究。

目的：自杀风险（SR）已成为青少年中的一个关键问题，各种因素可能导致这一复杂问题。其中，述情障碍和隐蔽青年行为（HB）是值得进一步调查的两个关键因素。方法：共有1814名意大利青少年（M = 15.43, SD = 1.09）参与了一项三波纵向研究，分别在基线（T1）、6个月后（T2）和12个月后（T3）进行调查。利用结构方程模型（SEM）分析了变量之间的双向关系和中介效应。结果：结果显示，述情障碍一致预测HB和SR，而HB也预测SR。然而，HB不能预测述情障碍，SR也不能预测述情障碍或HB。从T1述情到T3述情，再到T2述情，再到T2 HB，再到T2 SR，以及从T1 HB到T3 SR，再到T2 HB和T2 SR，观察到显著的中介作用。T2时HB与T3时SR通过T2时述情障碍没有明显的间接影响。结论：这些发现表明，述情障碍水平较高的青少年有更大的自杀行为风险，HB加剧了这种风险。有效的干预措施可包括旨在提高情感意识和促进重返社会的方案，这些方案最终可改善青少年的心理健康结果并减少社会暴力现象。

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

British Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.80

自引率

3.20%

发文量

期刊介绍： The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups