社交网络大小和依附方式与美国陆军士兵未来自杀企图的关联
Rachel Shor1,2, Holly B Herberman Mash1,2, Emily R Edwards3,4
1Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Clinical psychology & psychotherapy
|January 7, 2026
概括
小规模的社会支持网络 (SSN) 和不安全的依恋方式增加了美国陆军新兵的自杀企图 (SA) 风险. 针对这些因素的干预措施对于早期服役期间的预防至关重要.
科学领域:
- 军事心理学 军事心理学
- 公共卫生 公共卫生
- 自杀学是一种自杀学.
背景情况:
- 社会支持网络 (SSN) 的规模和依恋方式与自杀企图 (SA) 有关.
- 早期的兵役代表了SA风险升高的时期.
- 了解这些关系可以为士兵的自杀预防策略提供信息.
研究的目的:
- 为了检查SSN大小,附件风格和SA风险在美国陆军服役的前2年之间的关联.
- 确定新兵自杀企图的特定风险因素.
主要方法:
- 在入境时调查了21772名美国陆军士兵的队伍,并在24个月内进行了跟踪.
- 在基准时评估了不安全的依恋风格 (忙碌,放弃) 和SSN大小.
- 使用离散时间生存分析来评估SSN,附着和SA之间的关联,控制共变量.
主要成果:
- 在研究期间,共有154名士兵试图自杀.
- 小小的SSN (OR=1.8) 和不安全的依恋方式 (忙碌的OR=1.7;放弃的OR=1.6) 与SA风险增加有显著的关联.
- 拥有小SSN的士兵的SA风险始终较高,而拥有大SSN的士兵的SA风险随着时间的推移而降低.
结论:
- SSN的大小和附着方式是影响初级士兵SA风险的关键因素.
- 这些发现凸显了需要采取干预措施来支持士兵的社会联系和依恋安全.
- 识别具有小SSN或不安全附件的士兵可以帮助早期风险检测和预防工作.
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