Lena Marie Hensel , Thomas Forkmann , Tobias Teismann
{"title":"针对自杀的遐想是自杀计划和自杀意图的预测因素","authors":"Lena Marie Hensel , Thomas Forkmann , Tobias Teismann","doi":"10.1016/j.brat.2024.104597","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Suicide-specific rumination (SSR), that is repetitive negative thinking about suicide, has been proposed as a risk factor for suicidal behavior. Yet, few studies have investigated associations between SSR and suicide intent and planning in a longitudinal study design. The purpose of the present study was to investigate the association between SSR, suicide intent, suicide planning and suicide attempts in a sample of adult outpatients undergoing psychotherapy.</p></div><div><h3>Method</h3><p>Data from <em>N</em> = 637 patients (58.4% female, 41.6% male; <em>M</em><sub>age</sub> = 35.81, <em>SD</em><sub>age</sub> = 13.50, range: 18–79 years) who started therapy at an outpatient clinic were collected. A subsample of <em>n</em> = 335 patients (<em>n</em> = 335; 56,4% female, 43,6% male; <em>M</em><sub>age</sub> = 35.4, <em>SD</em><sub>age</sub> = 13.1, range: 18–73 years) also took part in a post-treatment assessment after twelve therapy sessions.</p></div><div><h3>Results</h3><p>SSR differentiated lifetime suicide attempters from suicide ideators. Furthermore, SSR was associated with lifetime suicide attempt status above age, sex, suicide ideation, depression, anxiety, and stress. Finally, SSR served as a prospective predictor of both suicide planning and suicide intent.</p></div><div><h3>Conclusion</h3><p>The results emphasize the key role of SSR in understanding the suicidal process.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104597"},"PeriodicalIF":4.2000,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005796724001244/pdfft?md5=76c7744f9b92d15054a3dca5c97f8233&pid=1-s2.0-S0005796724001244-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Suicide-specific rumination as a predictor of suicide planning and intent\",\"authors\":\"Lena Marie Hensel , Thomas Forkmann , Tobias Teismann\",\"doi\":\"10.1016/j.brat.2024.104597\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Suicide-specific rumination (SSR), that is repetitive negative thinking about suicide, has been proposed as a risk factor for suicidal behavior. Yet, few studies have investigated associations between SSR and suicide intent and planning in a longitudinal study design. The purpose of the present study was to investigate the association between SSR, suicide intent, suicide planning and suicide attempts in a sample of adult outpatients undergoing psychotherapy.</p></div><div><h3>Method</h3><p>Data from <em>N</em> = 637 patients (58.4% female, 41.6% male; <em>M</em><sub>age</sub> = 35.81, <em>SD</em><sub>age</sub> = 13.50, range: 18–79 years) who started therapy at an outpatient clinic were collected. A subsample of <em>n</em> = 335 patients (<em>n</em> = 335; 56,4% female, 43,6% male; <em>M</em><sub>age</sub> = 35.4, <em>SD</em><sub>age</sub> = 13.1, range: 18–73 years) also took part in a post-treatment assessment after twelve therapy sessions.</p></div><div><h3>Results</h3><p>SSR differentiated lifetime suicide attempters from suicide ideators. Furthermore, SSR was associated with lifetime suicide attempt status above age, sex, suicide ideation, depression, anxiety, and stress. Finally, SSR served as a prospective predictor of both suicide planning and suicide intent.</p></div><div><h3>Conclusion</h3><p>The results emphasize the key role of SSR in understanding the suicidal process.</p></div>\",\"PeriodicalId\":48457,\"journal\":{\"name\":\"Behaviour Research and Therapy\",\"volume\":\"180 \",\"pages\":\"Article 104597\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2024-06-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S0005796724001244/pdfft?md5=76c7744f9b92d15054a3dca5c97f8233&pid=1-s2.0-S0005796724001244-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Behaviour Research and Therapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0005796724001244\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behaviour Research and Therapy","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0005796724001244","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Suicide-specific rumination as a predictor of suicide planning and intent
Background
Suicide-specific rumination (SSR), that is repetitive negative thinking about suicide, has been proposed as a risk factor for suicidal behavior. Yet, few studies have investigated associations between SSR and suicide intent and planning in a longitudinal study design. The purpose of the present study was to investigate the association between SSR, suicide intent, suicide planning and suicide attempts in a sample of adult outpatients undergoing psychotherapy.
Method
Data from N = 637 patients (58.4% female, 41.6% male; Mage = 35.81, SDage = 13.50, range: 18–79 years) who started therapy at an outpatient clinic were collected. A subsample of n = 335 patients (n = 335; 56,4% female, 43,6% male; Mage = 35.4, SDage = 13.1, range: 18–73 years) also took part in a post-treatment assessment after twelve therapy sessions.
Results
SSR differentiated lifetime suicide attempters from suicide ideators. Furthermore, SSR was associated with lifetime suicide attempt status above age, sex, suicide ideation, depression, anxiety, and stress. Finally, SSR served as a prospective predictor of both suicide planning and suicide intent.
Conclusion
The results emphasize the key role of SSR in understanding the suicidal process.
期刊介绍：
The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.
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