服务人员和退伍军人中自杀风险因素的纵向网络分析,用于自杀想法或自杀企图的样本
April R Smith1, Lauren N Forrest2, Shruti S Kinkel-Ram3
1Department of Psychological Sciences, Auburn University, Auburn, AL, USA.
Psychological medicine
|April 23, 2024
概括
服务人员和退伍军人中自杀念头很高. 无效,低归属和激动是导致自杀念头的关键因素,这表明针对这些症状的有针对性的干预措施可能有所帮助.
科学领域:
- 心理学 心理学 心理学
- 军人心理健康 军人心理健康
- 网络分析 网络分析
背景情况:
- 自杀的想法和行为在现役军人 (ADSM) 和退伍军人中比一般人群更为普遍.
- 了解这一人口群体中自杀念头的维持因素对于开发有针对性的干预措施至关重要.
- 人际关系因素,绝望和过度兴奋是已知的自杀念头和意图的相关因子.
研究的目的:
- 确定ADSM和退伍军人的自杀想法最相关的风险因素.
- 通过网络分析,研究自杀念头及其风险因素之间的关系.
- 为发展有效干预军事群体自杀思想的有效干预提供信息.
主要方法:
- 网络分析被用来检查自杀念头和风险因素之间的横截面,当代和时间关系.
- 92名ADSM和退伍军人的样本完成了30天内每天4次的生态瞬间评估 (EMA) 调查 (10,650次观察).
- 欧洲药物管理局的调查评估了自杀念头,人际关系风险因素,绝望和过度兴奋.
主要成果:
- 在实验对象之间和同时进行的网络分析发现了焦虑,低归属感和无效作为核心症状.
- 时间网络分析表明,随着时间的推移,感觉无效最强烈地影响了其他症状.
- 这些发现突出了自杀念头经历中的特定症状动态.
结论:
- 无效性,低归属性和激动性显著推动ADSM和退伍军人的自杀念头的时刻和纵向关联.
- 针对这些已识别的症状可能会破坏自杀念头的循环.
- 这些发现为为经历自杀念头的军人群体开发更有效,以症状为中心的干预措施提供了基础.
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