在一个社区样本中,累积的逆境和情绪失调对自杀念头和尝试的影响
Marshall Tate1, Rajita Sinha1, Stephanie Wemm1
1Department of Psychiatry, Yale School of Medicine, 2 Church Street South, Suite 209, New Haven, CT, 06519, USA.
Journal of psychiatric research
|January 6, 2024
概括
累积的逆境和情绪失调增加了自杀思想和企图的风险. 终身创伤特别预测了自杀企图超过想法,这表明有针对性的情绪调节干预可能会减少自杀行为.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 自杀的想法和行为与逆境,创伤和情绪失调有关.
- 了解这些风险因素对于制定有效的预防策略至关重要.
研究的目的:
- 评估情绪失调和累积逆境在预测社区成年人的自杀念头 (SI) 和自杀企图 (SA) 中的作用.
- 调查不同类型的压力和创伤对自杀倾向的具体贡献.
- 检查情绪不接受在创伤和自杀倾向之间的关系中的调解作用.
主要方法:
- 这是一项对757名社区成年人进行的横截面队列研究.
- 评估情绪失调,累积逆境 (主要生活事件,最近的生活事件,慢性压力因素),终身创伤以及抑郁和焦虑史.
- 统计分析以预测SI或SA,SI仅,或SI和SA的生命周期历史.
主要成果:
- 更高的累积压力和创伤得分预测SI.
- 增加情绪失调,特别是不接受情绪,与SA的风险更高有关.
- 终身创伤是SA与SI的唯一预测因素.
- 不接受情绪显著介导了创伤和自杀倾向之间的联系.
结论:
- 累积的逆境和情绪失调是自杀思想和企图的重要危险因素.
- 针对情绪失调,特别是不接受困难情绪,可能是减少受创伤影响的个体自杀行为的关键干预措施.
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