自杀危机综合征:系统综述。

IF 2.7 3区 医学 Q2 PSYCHIATRY
Suicide and Life-Threatening Behavior Pub Date : 2024-06-01 Epub Date: 2024-02-27 DOI:10.1111/sltb.13065
Laura Melzer, Thomas Forkmann, Tobias Teismann
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引用次数: 0

摘要

背景:自杀危机综合征(SCS)是一种自杀前的认知和情感状态,由五个症状维度组成:禁锢、情感障碍、认知失控、过度焦虑和社会退缩。本文旨在总结有关 SCS 的新兴文献,并评估在多大程度上可以假设存在统一的综合征:方法:使用 "自杀危机量表"、"自杀危机综合征"、"自杀危机叙事模型 "和 "自杀触发状态 "等检索词,在三个不同的数据库(PubMed、PsycInfo 和 Google Scholar)中进行了系统的文献检索:根据搜索标准,共找到 2010 年至 2022 年间的 37 篇文章。2017年至2022年间发表的21篇文章被纳入系统综述。除三项研究外,其他研究均在美国进行,研究对象为成人高危精神病住院和门诊患者的临床样本。样本量从 N = 170 到 4846 不等。研究结果证实了所提出的障碍的单维结构,并支持对自杀意念之外的短期自杀行为的预测有效性:尽管SCS的预测有效性很有希望,但要精确预测未来的自杀行为仍然很困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Suicide Crisis Syndrome: A systematic review.

Background: The objective of this systematic review is to describe the scientific evidence for the Suicide Crisis Syndrome (SCS), a presuicidal cognitive and affective state consisting of five symptomatic dimensions: entrapment, affective disturbance, loss of cognitive control, hyperarousal, and social withdrawal. The aim of this article is to summarize the emerging literature on the SCS and to assess the extent to which a uniform syndrome can be assumed.

Methods: A systematic literature search was conducted in three different databases (PubMed, PsycInfo, and Google Scholar) using the search terms "Suicide Crisis Inventory," "Suicide Crisis Syndrome," "Narrative Crisis Model of Suicide," and "Suicide Trigger State."

Results: In total, 37 articles from 2010 to 2022 were identified by search criteria. Twenty-one articles published between 2017 and 2022 were included in the systematic review. All but three studies were conducted in the United States and examined clinical samples of adult high-risk psychiatric in- and outpatients. Sample sizes ranged from N = 170 to 4846. The findings confirm the unidimensional structure of the proposed disorder and support the predictive validity for short-term suicidal behavior above and beyond suicidal ideation.

Conclusion: Despite the promising predictive validity of the SCS, a precise prediction of future suicidal behavior remains difficult.

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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
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.
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