分离和自杀相关结果的多维视角:一个元分析和系统审查
Serena Bruno1, Gaia Cichetti1, Patrizia Velotti1
1Department of Dynamic and Clinical Psychology, and Health Studies, Rome, Italy.
Clinical psychology review
|September 20, 2025
概括
分离与与自杀相关的结果有关,包括自杀想法和尝试. 多维方法揭示了特定的分离领域,如脱离和不适应的白昼梦想,与自杀念头有显著的关联.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
背景情况:
- 分离越来越多地被认为是自杀企图的一个因素.
- 研究表明,分离和自杀念头之间存在着显著的关系.
- 多维视角对于理解分离在自杀行为中的复杂作用至关重要.
研究的目的:
- 调查各种分离领域与与自杀相关的结果之间的关系.
- 采用一种多维解离的概念化,包括感知,认知,情感和身体体验.
- 通过系统审查和元分析来综合现有文献.
主要方法:
- 在过去的30年里,在主要数据库 (PubMed,Medline,PsycInfo,Scopus,Web of Science,PsycArticles) 进行系统的文献搜索.
- 将84项研究 (N=129,582) 纳入系统综述和68项研究纳入元分析.
- 使用随机效应模型,分析皮尔森相关系数,分析分离领域与自杀念头,自杀企图和自杀风险之间的关系.
主要成果:
- 一般分离与自杀风险 (r=0.29),自杀念头 (r=0.25) 和自杀企图 (r=0.27) 有显著的相关性.
- 自杀念头与脱离 (r=0.31) 和不适应的白日梦想 (r=0.27) 有着积极的关系.
- 索马托形式解离与自杀企图有很小的关联 (r=0.02),而自杀念头显示出更强的联系 (r=0.31).
结论:
- 多维方法对于理解分离与自杀相关结果之间的微妙关系至关重要.
- 分离的特定领域表明与自杀思想和企图的差异关联.
- 这些发现突出了对评估和干预分离和自杀行为个体的临床影响.
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