美国陆军新兵的依恋方式和自杀企图的风险。

IF 2.7 4区医学 Q2 PSYCHIATRY

Psychiatry-Interpersonal and Biological Processes Pub Date : 2022-01-01 DOI:10.1080/00332747.2022.2062661

Jing Wang, James A Naifeh, Holly B Herberman Mash, Joshua C Morganstein, Carol S Fullerton, Stephen J Cozza, Murray B Stein, Robert J Ursano

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引用次数: 1

摘要

目的:在美国陆军士兵中，自杀企图(SAs)是一个重要的公共卫生问题，特别是在服役初期。研究了美国陆军士兵依恋类型与自杀倾向和自杀意念的关系。方法:我们分析了参加“陆军评估服务人员风险和弹性研究”(Army STARRS)的新兵的调查数据。样本包括2011年4月至2012年11月参加基本战斗训练(BCT)的38,507名士兵。依恋类型(安全型、心事型、恐惧型和回避型)使用关系问卷中的项目进行评估。终身(入伍前)SA和SI采用改良的哥伦比亚自杀严重程度评定量表进行评估。在调整了社会人口统计学特征后，Logistic回归分析检验了依恋类型与终身SA、SI和尝试之间的关系。结果:安全型依恋类型与SA发生率较低相关(OR = 0.76, 95% CI = 0.63-0.92)，而心事型依恋类型(OR = 4.63, 95% CI = 3.83-5.61)、恐惧型依恋类型(OR = 4.08, 95% CI = 3.38-4.94)、忽视型依恋类型(OR = 1.56, 95% CI = 1.24-1.96)与SA发生率较高相关。SI也有类似的结果。重要的是，心事依恋(OR = 1.67, 95% CI = 1.37-2.04)和恐惧依恋(OR = 1.70, 95% CI = 1.38-2.08)都与意念者的企图有关。结论:这些发现强调了依恋类型在预测自杀行为方面的临床重要性，并可能成为干预的目标。关键的下一步是进行前瞻性研究，以检验依恋类型是否能预测未来的自杀行为。

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Attachment Style and Risk of Suicide Attempt Among New Soldiers in the U.S. Army.

Objective: Among U.S. Army soldiers suicide attempts (SAs) are a significant public health concern, particularly early in service. We examined the association of attachment style with SA and suicide ideation (SI) among U.S. Army soldiers.

Methods: We analyzed survey data from new soldiers who participated in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). The sample consists of 38,507 soldiers entering Basic Combat Training (BCT) between April 2011 and November 2012. Attachment style (secure, preoccupied, fearful, and dismissing) was assessed using items from the Relationship Questionnaire. Lifetime (pre-enlistment) SA and SI were assessed with a modified Columbia Suicide Severity Rating Scale. Logistic regression analyses examined associations of attachment style with lifetime SA, SI, and attempts among ideators, after adjusting for socio-demographic characteristics.

Results: The secure attachment style was associated with lower odds of SA (OR = 0.76, 95% CI = 0.63-0.92), whereas preoccupied (OR = 4.63, 95% CI = 3.83-5.61), fearful (OR = 4.08, 95% CI = 3.38-4.94), or dismissing (OR = 1.56, 95% CI = 1.24-1.96) attachment styles were associated with higher odds of SA. Similar results were found for SI. Importantly, both preoccupied (OR = 1.67, 95% CI = 1.37-2.04) and fearful (OR = 1.70, 95% CI = 1.38-2.08) attachment were associated with attempts among ideators.

Conclusion: These findings highlight the clinical importance of attachment style in predicting suicidal behavior and as possible targets for intervention. A critical next step is for prospective research to examine whether attachment style predicts future suicidal behavior.

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来源期刊

Psychiatry-Interpersonal and Biological Processes 医学-精神病学

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Internationally recognized, Psychiatry has responded to rapid research advances in psychiatry, psychology, neuroscience, trauma, and psychopathology. Increasingly, studies in these areas are being placed in the context of human development across the lifespan, and the multiple systems that influence individual functioning. This journal provides broadly applicable and effective strategies for dealing with the major unsolved problems in the field.