感知到的背叛可以缓解战场经历对自杀念头和寻求帮助的影响
James F M Cornwell1, Stephen W Krauss2, Michael D Wood3
1School of Psychology, Counseling, and Family Therapy, Wheaton College, Wheaton, Illinois, USA.
Journal of traumatic stress
|June 3, 2025
概括
在战斗期间的背叛显著增加了自杀的想法,并减少了寻求帮助的军事人员,即使考虑到其他心理痛苦. 这凸显了道德损害事件对服务人员福祉的重大影响.
科学领域:
- 心理创伤 心理创伤
- 军人心理健康 军人心理健康
- 自杀学是一种自杀学.
背景情况:
- 自杀是军人死亡的主要原因.
- 寻求帮助对于服务人员预防自杀至关重要.
- 潜在的道德伤害事件 (PMIE),特别是背叛,对战斗经历和心理健康结果的缓和作用仍然未得到充分研究.
研究的目的:
- 检查背叛类型PME对战场危及生命的经历 (LTEs) 和自杀念头之间的关系的缓解效应.
- 调查背叛类型的PMEE对接触战斗的军事人员寻求帮助行为的影响.
- 为了确定这些影响在控制其他心理痛苦症状时是否持续存在.
主要方法:
- 分析了694名具有战斗部署经验的美国陆军人员的数据.
- 统计检查战场危及生命的经历 (LTEs),自杀念头,寻求帮助的行为,PMIEs,抑郁症状,焦虑症状,PTSD症状和侵略.
- 回归分析以确定显著的相互作用和缓解效应.
主要成果:
- 在LTEs和背叛类型PMIEs之间发现了显著的相互作用,预测了自杀思想和计划的增加 (RR = 1.729,p = .034).
- 这种相互作用还预测了从更少的来源寻求帮助的减少 (IRR = 0.927,p = .024).
- 在控制抑郁症状,焦虑症状,PTSD症状和攻击性后,这些发现仍然很重要.
结论:
- 背叛类型的PME显著减轻LTEs对战斗部署的军事人员自杀念头和寻求帮助行为的影响.
- 背叛类型的PMEE所观察到的效应与其他测量到的心理痛苦症状是独立的.
- 这些结果强调了在军事心理健康和自杀预防战略的背景下解决背叛的重要性.
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