主动和被动自杀意念的实时预测及自杀企图的调节作用。

IF 2.6 3区 医学 Q2 PSYCHIATRY
Fengzhou Yu, Shang Zhang, Bin Yu, Lili Wang, Li Yang
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引用次数: 0

摘要

主动自杀意念和被动自杀意念是不同但相关的概念,每一个都有重要的临床意义。然而,在深入的纵向研究中,他们的实时预测仍未得到充分的探索。这个生态瞬间评估(EMA)研究调查了受挫的归属感(TB)、感知负担(PB)和绝望与每2-4小时两种类型观念变化的关系,以及自杀企图史是否会调节这些关系。方法:31名有自杀倾向的大学生(女性23人,平均年龄19.83±1.86岁),其中17人(54.84%)有自杀未遂史。参与者在一周内每天完成五次EMA评估。数据分析采用混合线性模型。结果:TB (β = 0.05, p = 0.007)和绝望(β = 0.09, p = 0.006)预测下一时刻的积极思维,但考虑所有协变量后,这些关联变得不显著。即使在考虑了结核病、绝望和先前的观念后,PB仍是后续被动观念的可靠预测因子(β = 0.04, p = 0.032)。值得注意的是,只有在有自杀企图史的参与者中,绝望才能预测随后的积极意念(β = 0.12, p = 0.034)。结论:这些发现强调了PB、TB和绝望的独特预测作用,强调了在自杀意念风险评估中考虑自杀企图史的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Real-Time Prediction of Active and Passive Suicidal Ideation and the Moderating Role of Suicide Attempts.

Introduction: Active suicidal ideation and passive suicidal ideation are distinct but related constructs, each carrying significant clinical implications. However, their real-time predictors remain underexplored in intensive longitudinal studies. This ecological momentary assessment (EMA) study investigated the associations of thwarted belongingness (TB), perceived burdensomeness (PB), and hopelessness with changes in both types of ideation at 2-4 h intervals, and whether a history of suicide attempts moderates these relationships.

Methods: Thirty-one college students (23 females; mean age = 19.83 ± 1.86 years) with current suicidal ideation participated, 17 of whom (54.84%) had a history of suicide attempts. Participants completed EMA assessments five times daily for one week. Data were analyzed using mixed linear models.

Results: TB (β = 0.05, p = 0.007) and hopelessness (β = 0.09, p = 0.006) predicted next-moment active ideation, but these associations became insignificant after all covariates were considered. PB was a robust predictor (β = 0.04, p = 0.032) of subsequent passive ideation, even after accounting for TB, hopelessness, and prior ideation. Notably, hopelessness predicted subsequent active ideation (β = 0.12, p = 0.034) only in participants with a history of suicide attempts.

Conclusion: These findings underscore the distinct predictive roles of PB, TB, and hopelessness, highlighting the importance of considering suicide attempt history in risk assessment for suicidal ideation.

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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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