Proximal and Distal Factors Distinguishing Between Individuals With Suicidal Ideation Only and Suicide Attempters.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-23 DOI:10.1097/NMD.0000000000001718

Jana Serebriakova, Georg Kemmler, Eberhard A Deisenhammer

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Abstract

Abstract: Prior studies identifying variables that may differentiate suicide attempters from suicidal ideators mostly focused on distal risk factors and have not included the severity of suicidal ideation. The aim of this study was to consider the extent to which proximal (consumption of alcohol and psychotropic substances, intake of medication, interpersonal contact during the suicidal phase) and distal (resilience, sense of coherence, reasons for living) factors differ among nonideators, suicidal ideators (graded with regard to each individual's self-assessed mental distance to a suicidal act), and suicide attempters. A sample of 464 individuals recruited via an online link were compared by using RS-13, SOC-13, RFLI, and questions concerning the suicidal phase. There was a gradual decrease respectively increase in proximal and distal factors, as well as significant differences among the groups. Sense of coherence and reasons for living were independent protective factors, whereas consumption of alcohol and intake of medication were independent risk factors.

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区分仅有自杀念头的个人和自杀未遂者的近端和远端因素。

摘要：先前的研究确定了可能区分自杀未遂者和自杀意念者的变量，主要集中在远端风险因素上，没有包括自杀意念的严重程度。本研究的目的是考虑近端（饮酒和精神药物、药物摄入、自杀阶段的人际接触）和远端（恢复力、连贯感、生活原因）因素在非吸烟者、自杀意念者（根据每个人自我评估的与自杀行为的心理距离进行评分）之间的差异程度，以及自杀未遂者。通过使用RS-13、SOC-13、RFLI和有关自杀阶段的问题，对通过在线链接招募的464名个体进行了比较。近端和远端因素分别逐渐减少和增加，各组之间也存在显著差异。连贯感和生活原因是独立的保护因素，而饮酒和药物摄入是独立的风险因素。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.