Wilson Coralie J, Deane Frank P, Ciarrochi Joseph
Illawarra Institute for Mental Health, University of Wollongong, Wollongong, NSW 2522, Australia.
J Clin Psychol. 2005 Dec;61(12):1525-39. doi: 10.1002/jclp.20206.
Avoidance of appropriate help is common in acutely suicidal samples and has been confirmed in nonclinical samples but factors that contribute to this help negation effect remain unclear. In a sample of 269 nonclinical Australian high school students, the current study examines the impact of hopelessness, previous mental health care, beliefs, and attitudes toward professional psychological help on the help negation relationship. Results revealed that suicidal ideation significantly predicted lower help seeking intentions and that although hopelessness could not explain the help negation effect, it moderated the effect for seeking help from family. They also revealed that although previous mental health care was unable to explain the effect fully for professional mental health sources, beliefs and attitudes about professional psychological help could. Implications of the findings for prevention, primary health care, and professional psychological practice are discussed.
在急性自杀样本中，回避适当帮助的情况很常见，并且在非临床样本中也得到了证实，但导致这种帮助否定效应的因素仍不清楚。在一个由269名澳大利亚非临床高中生组成的样本中，本研究考察了绝望感、既往心理健康护理、对专业心理帮助的信念和态度对帮助否定关系的影响。结果显示，自杀意念显著预测了较低的求助意愿，并且尽管绝望感无法解释帮助否定效应，但它调节了向家人求助的效应。研究还表明，虽然既往心理健康护理无法完全解释对专业心理健康资源的影响，但对专业心理帮助的信念和态度可以解释。本文讨论了这些研究结果对预防、初级卫生保健和专业心理实践的意义。
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