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因子女暴力死亡而痛失亲人的父母中的自杀意念。

Suicide ideation among parents bereaved by the violent deaths of their children.

作者信息

Murphy Shirley A, Tapper Viva J, Johnson L Clark, Lohan Janet

机构信息

Department of Psychosocial and Community Health, Box 357263, School of Nursing, University of Washington, Seattle, WA 98195-7263, USA.

出版信息

Issues Ment Health Nurs. 2003 Jan-Feb;24(1):5-25. doi: 10.1080/01612840305307.

Abstract

Suicidal behaviors of parents bereaved by a child's suicide have received considerable attention by researchers, but deaths by other violent causes have not. We observed 175 bereaved parents for five years following three types of violent death: accidents, homicides, and suicides. The results showed that the incidence of suicidal ideation (SI) among the study parents was 13% (n = 34) over the 5 years and 9% (n = 24) at the initial data collection four months after the death of an adolescent or young adult child. Comparisons of study parents grouped by the presence or absence of SI showed that after corrections were made for the number of t-tests conducted, statistically significant differences on three of four outcome variables remained (mental distress, depression, and posttraumatic stress disorder [PTSD], but not on acceptance of the child's death). The groups also differed significantly on four of seven mediating variables examined. The hypothesis that parents whose children died by suicide would report the highest incidence of suicidal ideation was not supported. Regression analyses showed that SI was a significant predictor of depression one year, but not five years, after the violent death of a child. The hypothesis that SI would predict both depression and PTSD one year postdeath was not supported. Clinical and policy recommendations are offered.

摘要

孩子自杀后痛失子女的父母的自杀行为已受到研究人员的相当关注,但因其他暴力原因导致的死亡情况却未得到关注。我们对175名痛失子女的父母进行了为期五年的观察,这些子女的死亡原因包括三种暴力死亡类型:意外事故、他杀和自杀。结果显示,在这五年间,研究对象中自杀意念(SI)的发生率为13%(n = 34),在青少年或年轻成年子女死亡四个月后的初始数据收集时,这一比例为9%(n = 24)。根据是否存在自杀意念对研究对象进行分组比较,结果显示,在对所进行的t检验数量进行校正后,四个结果变量中的三个仍存在统计学显著差异(心理困扰、抑郁和创伤后应激障碍[PTSD],但在对孩子死亡的接受程度上不存在差异)。在七个被考察的中介变量中,两组在其中四个变量上也存在显著差异。孩子死于自杀的父母自杀意念发生率最高这一假设未得到支持。回归分析表明,在孩子暴力死亡一年后而非五年后,自杀意念是抑郁的一个显著预测因素。自杀意念会在死亡一年后同时预测抑郁和PTSD这一假设未得到支持。本文还给出了临床和政策建议。

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