自杀行为和社会认知:对死亡的低精神化和无畏的作用
Jorge Andreo-Jover1,2, Eduardo Fernández-Jiménez1,3, Julio Bobes4,5
1Hospital La Paz Institute for Health Research (Spain).
Psicothema
|October 28, 2024
概括
对于死亡的无畏 (FAD) 和心理上的缺陷调解了自杀念头和自杀企图 (SA) 死亡率和自我伤害之间的联系. 针对这些因素的干预措施可以降低自杀风险.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 自杀企图 (SA) 死亡率与增加的自杀欲望和受损的社会认知相关.
- 对死亡的无畏 (FAD) 和思维上的缺陷与SA和自我伤害行为有关.
- 对这些关系的现有研究是有限的,需要进一步调查.
研究的目的:
- 调查FAD和精神化在自杀念头和SA死亡率和自我伤害之间的关系中扮演的调解角色.
- 提高对自杀企图背后的心理机制的理解.
主要方法:
- 这项研究涉及1,371名自杀未遂患者 (70.1%为女性,平均年龄为40岁),来自七家西班牙医院.
- 使用了关于死亡的无所畏惧 (ACSS-FAD) 亚尺度,反思功能问卷-8 (RFQ-8) 和哥伦比亚自杀严重性评级尺度 (CSSRS).
- 采用串行多重调解分析来检查间接影响.
主要成果:
- 自杀想法对自我伤害有间接的影响 (B = 0.08,CI = 0.03-0.15).
- 在SA的死亡率中介于FAD (B = 0.02,CI = 0.001-0.04).
- 精神化介导自杀念头对自我伤害的影响 (B = 0.10,CI = 0.04-0.167),结合FAD和精神化影响 (B = 0.18,CI = 0.11-0.27).
结论:
- 研究结果表明,FAD和心态化在从自杀念头到SA致命性和自我伤害的途径中起着重要的调解作用.
- 专注于改善心理和减少对死亡的无畏感的干预措施对减轻自杀企图和自我伤害风险至关重要.
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