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危机后自杀症状的发展过程:自杀对谁以及如何具有“宣泄作用”?

The course of post-crisis suicidal symptoms: how and for whom is suicide "cathartic"?

作者信息

Walker R L, Joiner T E, Rudd M D

机构信息

Department of Psychology, Florida State University, Tallahassee 32306-1270, USA.

出版信息

Suicide Life Threat Behav. 2001 Summer;31(2):144-52. doi: 10.1521/suli.31.2.144.21514.

Abstract

We investigated suicide "catharsis" as evidenced by decreased suicidality following a suicide attempt. Past research has examined this issue with mixed results (Bronisch, 1992; Davis, 1990; van Praag & Plutchik, 1985). In the present study, we examined Modified Scale for Suicide Ideation (MSSI) scores for 198 suicidal men during suicidal crisis, prior to entry into a treatment study, and again at 1-month and 12-month follow-ups. Patients were divided into ideators, single attempters, and multiple attempters. We found evidence for decreased suicidality, but interpreted it as the gradual action of interpersonal support, rather than as emotional catharsis. Also, multiple attempt status affected the long-term course of post-crisis suicidality.

摘要

我们对自杀“宣泄”进行了调查,证据是自杀未遂后自杀倾向降低。过去的研究对这个问题进行了探讨,但结果不一(布罗尼施,1992;戴维斯,1990;范·普拉格和普卢契克,1985)。在本研究中,我们检查了198名有自杀倾向男性在自杀危机期间、进入治疗研究之前、以及在1个月和12个月随访时的改良自杀意念量表(MSSI)得分。患者被分为有自杀意念者、单次自杀未遂者和多次自杀未遂者。我们发现了自杀倾向降低的证据,但将其解释为人际支持的渐进作用,而非情感宣泄。此外,多次自杀未遂状态影响危机后自杀倾向的长期发展过程。

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