使用死亡/自杀隐性关联测试预测精神病医院住院退伍军人的自杀念头:一项前性队列研究
Eric G Smith1,2, Alexandra Howard1, Mark Schultz1
1Department of Veterans Affairs, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Suicide & life-threatening behavior
|September 27, 2023
概括
死亡/自杀隐性关联测试 (D/S-IAT) 显示了预测精神病医院住院患者自杀念头强度的潜力. 全尺度得分有效预测当前和迫在眉的自杀想法,特别是希望死亡.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 自杀念头 (SI) 是精神病学环境中的一个关键问题.
- 对SI的预测工具对于及时干预至关重要.
研究的目的:
- 评估死亡/自杀隐性关联测试 (D/S-IAT) 对精神病医院住院患者自杀意念的预测有效性.
- 评估D/S-IAT预测当前和即将发生的SI的能力.
主要方法:
- 180名退伍军人被招募,其中90人因SI或自杀行为 (SB) 而入院,90人因酒精排毒而入院.
- 参与者完成了SI的D/S-IAT和自我报告尺度.
- 相关性和回归分析检查了D/S-IAT得分 (全尺度和二分化) 和SI措施之间的关系.
主要成果:
- 全尺度D/S-IAT与当前SI (r=0.22,p=0.04) 的强度显著相关,并且希望在初级样本中死亡 (r=0.35,p<0.001).
- 迫在眉的SI是由全尺度 (p=0.02) 和二分化D/S-IAT得分 (p=0.05) 预测的.
- 在酒精排毒样本中,D/S-IAT预测希望死亡 (r=0.33,p<0.001).
结论:
- 全尺度D/S-IAT得分是两个住院患者样本中死亡愿望强度的重要预测指标.
- 在接受SI/SB治疗的患者中,D/S-IAT有效地预测当前和即将发生的SI.
- 二分化D/S-IAT得分没有预测SI的简单发生.
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