无计划自杀企图的概念模型和干预开发
Ursula Whiteside1,2, Julie Angerhofer Richards1,3,4, Martina Fruhbauerova1,2,5
1NowMattersNow.org, Seattle, WA, USA.
The Permanente journal
|August 6, 2024
概括
许多自杀死亡发生在没有事先警告的情况下. 这项研究确定了"无计划"自杀企图的两个阶段,为那些经历了压倒性的情绪状态和冲动的人提供了新的干预措施.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 超过一半的自杀死亡缺乏事先的沟通.
- 了解"无计划"的自杀企图对于预防至关重要.
- 现有的研究往往忽略了以前没有自杀想法的人.
研究的目的:
- 描述"无计划"自杀企图幸存者的情绪状态和决策.
- 为了为"无计划"自杀企图的概念模型的开发提供信息.
- 引导制定有针对性的预防自杀干预措施.
主要方法:
- 使用半结构面试对26名非致命自杀企图幸存者的定性研究.
- 参与者报告说,在尝试自杀之前的60天内,他们没有自杀想法.
- 基于情绪调节的生物心理社会理论的理论分析.
主要成果:
- 幸存者描述了两个阶段:增加压力因素与轻微的自杀想法,随后是压倒性的情绪状态导致突然尝试.
- 不披露与试图发生之前的"热"时期的快速和强烈性有关.
- 调查结果为"计划外"尝试提供了一个概念模型和干预策略.
结论:
- 一种针对高强度"热"时期的干预措施,在尝试之前开发.
- 这种干预侧重于管理强烈的情绪状态和压倒性的冲动.
- 需要进一步的研究来评估这项干预措施对那些面临"无计划"自杀企图风险的人的有效性.
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