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与自杀相关的耻辱及其与寻求帮助,心理健康,自杀倾向和悲伤的关系:范围审查审查
Jessica M Wyllie1, Kathryn A Robb2, David Sandford3
1Suicidal Behaviour Research Laboratory, School of Health and Wellbeing, Clarice Pears Building, University of Glasgow, Glasgow, UK.
BJPsych open
|March 21, 2025
概括
与自杀相关的耻辱感会对心理健康产生负面影响,增加自杀风险,并阻碍寻求帮助. 减少这种耻辱是改善自杀受影响者的结果至关重要的.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 与自杀相关的耻辱感,包括对有自杀想法/行为以及因自杀而丧生的人的负面态度,是显著的危险因素.
- 现有的研究缺乏对自杀污名和心理健康,寻求帮助,自杀风险和悲伤之间的多方面的关联进行全面的范围审查.
研究的目的:
- 系统地审查和综合现有的关于自杀相关的耻辱和心理健康结果之间的关系的文献.
- 调查自杀耻辱对个人寻求帮助倾向的影响.
- 为了检查自杀耻辱和自杀丧失幸存者所经历的悲伤之间的联系.
主要方法:
- 进行了全面的范围审查,在PROSPERO (CRD42022327093) 登记了该协议.
- 在五个主要数据库 (Web of Science,APA PsycInfo,Embase,ASSIA,PubMed) 进行了搜索,数据更新于2024年5月.
- 在2000年至2024年间发表的100项英语研究,评估与自杀相关的耻辱以及心理健康,寻求帮助,悲伤或自杀风险,在选了14994篇文章后被纳入.
主要成果:
- 研究结果表明,与自杀相关的耻辱和不良结果之间存在着复杂的,往往是混合的关系.
- 总的来说,较高水平的自杀耻辱与增加的自杀风险,较差的心理健康指标和减少寻求帮助的行为有关.
- 审查发现了与自杀耻辱相关的重大悲伤相关困难,并开发了一种阐述这些关联的概念模型.
结论:
- 这些发现强调了减少与自杀有关的耻辱的必要性,以改善心理健康并降低自杀风险.
- 解决污名化问题对于支持那些经历自杀想法,行为和丧亲的个人至关重要.
- 该审查强调了知识差距,并提出了未来的研究方向,以进一步了解和减轻自杀耻辱的影响.
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