每日预测住院病人自杀企图使用例行收集的理论驱动数据
Michael J Kyron1, Geoff R Hooke1, Craig J Bryan2
1Suicide Prevention and Resilience Research Centre, School of Psychological Science, University of Western Australia.
Journal of psychopathology and clinical science
|December 14, 2023
概括
精神病医院住院患者的短期自杀企图风险与日常人际关系困难和绝望有关. 监测这些因素可能有助于预测和预防自杀企图 (SAs).
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 在寻求治疗的个体中,对短期自杀企图 (SA) 预测因素的理解有限.
- 心理状态的每日波动可能会影响SA风险.
- 人际关系因素和绝望是潜在的日常风险指标.
研究的目的:
- 在精神病医院住院患者中确定同一天和第二天SAS的预测因素.
- 检查那些试图自杀的患者与那些没有自杀的患者日常心理状态的时间联系.
主要方法:
- 110名试图自杀的精神病医院住院患者每天提供自我报告 (共3018人).
- 采用了多层结构方程建模和多层时间网络分析.
- 与110名没有尝试自杀的住院患者的匹配样本进行比较.
主要成果:
- 感知到的负担预测了当天的SAS; 无望预测了第二天的SAS.
- 在尝试中,绝望和自杀念头是核心因素,预测心理健康下降.
- 保护性因素,如平静感,在企图网络中更为重要.
结论:
- 对人际关系因素和绝望的常规监测可以识别住院患者的短期SA风险.
- 在试图自杀的患者中,风险和保护因素之间存在明显的时间动态.
- 了解日常状态的相互联系可以为有针对性的干预提供信息.
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