爱不是你所需要的一切:了解关系状态和关系功能障碍与退伍军人自我指导暴力之间的关联
概括
关系质量,而不仅仅是地位,影响了退伍军人的自杀风险. 高度的关系功能障碍显著增加了退伍军人的自我暴力 (SDV) 史和自杀念头的几率.
科学领域:
- 精神病学和行为科学
- 公共卫生 公共卫生
- 军事和退伍军人卫生保健
背景情况:
- 与离婚相比,婚姻与较低的自杀和自我指导暴力 (SDV) 风险有关.
- 关系困难与不良健康结果有关.
- 在研究SDV风险时,现有的研究往往忽视了关系功能.
研究的目的:
- 研究关系状态和功能对退伍军人SDV风险的独立和综合影响.
- 为了比较离婚退伍军人和那些有不同程度的功能障碍的关系的人之间的SDV风险.
主要方法:
- 一项对1049名退伍军人的调查评估了关系状况,关系功能和SDV历史.
- 后勤回归模型被用来分析关系变量和SDV之间的关联.
- 模型对自我指导暴力的内在风险因素进行了控制.
主要成果:
- 在离婚/分居的退伍军人和那些在关系中的退伍军人之间,没有发现SDV历史的显著差异.
- 增加的关系功能障碍与更高的SDV史和自杀认知的几率有关.
- 与低功能或离婚退伍军人相比,高功能障碍关系中的退伍军人更有可能有SDV史.
结论:
- 关系功能是评估退伍军人的SDV人际关系风险的关键因素.
- 衡量关系功能障碍的单个项目可以识别患SDV和自杀念头风险较高的退伍军人.
- 将关系功能障碍评估纳入临床实践可能会加强对处于危险状态的退伍军人的识别和干预.
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