概括
与没有创伤后应激障碍 (PTSD) 的人相比,患有创伤后应激障碍 (PTSD) 的人的每日自杀念头 (SI) 频率和强度明显更高. 了解这些日常变化对于预防自杀的努力至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 创伤研究 创伤研究
背景情况:
- 在创伤后应激障碍 (PTSD) 患者中,对自杀念头 (SI) 的日常波动的理解有限.
- 需要描述SI的频率和强度与PTSD相关,以改善临床护理.
研究的目的:
- 检查每日SI频率和强度在患有PTSD和没有PTSD的个体中的变化.
- 为了比较可能患有PTSD和没有PTSD的个体之间的SI特征.
主要方法:
- 使用了15天的生态瞬间评估 (EMA) 方法.
- 156名参与者 (78人患有PTSD,78人没有PTSD) 完成了每天四次自我报告SI评估.
- 线性混合模型分析了每日和整体SI频率 (FSI),平均强度 (MSI) 和最高强度 (HSI).
主要成果:
- 与对照人群相比,患有PTSD的个体报告了明显更高的整体FSI (23.2%vs. 2.0%),MSI强度 (1.01vs. 0.04),和HSI强度 (3.26vs. 0.87).
- 在那些患有PTSD和SI的人中,大量比例报告高MSI (10.9%以5-10分) 和HSI (32.6%以8-10分).
- 根据周日或周日/周末变化,没有发现SI频率或强度的显著差异.
结论:
- 患有PTSD的个体表现出每日自杀念头频率和强度显著增加.
- 描述高SI强度的偶发性和持续性对于理解自杀风险很重要.
- 这些发现强调了需要针对创伤后应激障碍患者体验的SI日常变化的干预和临床护理.
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