创伤性脑损伤患者的自杀倾向和自我伤害:风险和保护因素以及应对机制
Amelia J Hicks1, Kiara Corso1, Jai Carmichael1
1Monash-Epworth Rehabilitation Research Centre, School of Psychological Sciences, Monash University, Melbourne.
概括
中度至重度创伤性脑损伤 (TBI) 的幸存者经常经历自杀想法和非自杀自伤 (NSSI). 家庭支持和乐观是关键的保护因素,而痛苦和TBI后续是显著的风险.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 创伤性脑损伤 (TBI) 可以显著影响心理健康.
- 自杀性和非自杀性自我伤害 (NSSI) 对TBI幸存者来说是一个严重的问题.
研究的目的:
- 探索中度至重度TBI的个体中自杀倾向和NSSI的生活经验.
- 确定与这些结果相关的风险和保护因素.
- 了解TBI幸存者使用的常见应对策略.
主要方法:
- 进行了对自杀风险评估的审查.
- 使用半结构面试,利用现有的临床工具.
- 用内容分析对68名TBI参与者的反应进行了分类.
主要成果:
- 86%的参与者报告了当前的自杀想法;50%的人有NSSI想法.
- 保护因素包括家庭支持 (59%) 和乐观 (49%).
- 风险因素包括情绪困扰/精神病诊断 (62%),TBI后续 (49%) 和缺乏家庭支持 (34%).
- 健康的应对包括吸引卫生专业人员 (62%) 和家庭支持 (57%);不健康的应对包括物质使用 (38%) 和社会退出 (32%).
结论:
- 这项研究提供了关于自杀倾向和NSSI经历TBI后的深入见解.
- 研究结果强调了幸存者如何感知风险和保护因素.
- 了解这些经验对于制定有针对性的干预措施至关重要.
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