Dunham Katherine
Psychology Department, State University of New York, Plattsburgh 12901, USA.
Suicide Life Threat Behav. 2004 Spring;34(1):56-65. doi: 10.1521/suli.34.1.56.27773.
In response to the growing suicide rate among adolescents and young adults, researchers have noted the importance of peer responses to suicidal disclosures in this population. The most adaptive response is to inform a responsible adult about the suicidal peer, but existing data indicate that most adolescents and young adults choose to talk to the peer on their own. The present study examined whether young adults' own history of suicidal ideation, gender, social history with suicide, and ambiguity of the disclosure would predict their response to a hypothetical suicidal peer. The data revealed significant effects of ambiguity and participants' suicidal ideation on the confidants' response strategy. The confidants' experience with others' attempted or completed suicides increased their likelihood of saving they would tell an authority, whereas their own history of ideation or attempts reduced the likelihood of that response. These effects were most pronounced when the hypothetical peer's suicidal intent was not completely clear, which may often be the case in disclosures by suicidal adolescents. Youth and young adults should be encouraged to inform adults about suicidal peers, particularly those who have been suicidal themselves previously, and who may resist that strategy. It is postulated that these particular peers may be more easily convinced to respond in this manner if they could be involved in the intervention with their suicidal peer.
针对青少年和青年自杀率不断上升的情况,研究人员指出了同龄人对该人群自杀性表露做出回应的重要性。最具适应性的回应是将有自杀倾向的同龄人告知给一位有责任心的成年人,但现有数据表明,大多数青少年和青年选择自行与同龄人交谈。本研究调查了青年自身的自杀意念史、性别、与自杀相关的社会经历以及表露的模糊性是否会预测他们对一个假设的有自杀倾向同龄人的反应。数据显示,表露的模糊性和参与者的自杀意念对知己的应对策略有显著影响。知己他人自杀未遂或自杀成功的经历增加了他们表示会告知权威人士的可能性,而他们自身的意念或未遂经历则降低了这种回应的可能性。当假设的同龄人的自杀意图不完全明确时,这些影响最为明显,而自杀青少年的表露情况往往如此。应该鼓励青少年和青年将有自杀倾向的同龄人告知成年人,尤其是那些自己曾有过自杀行为且可能抗拒这种做法的人。据推测,如果这些特定的同龄人能够参与对其有自杀倾向同龄人的干预,他们可能会更容易被说服以这种方式做出回应。