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经济压力与自杀风险:一项定性分析

Economic strain and suicide risk: a qualitative analysis.

作者信息

Stack Steven, Wasserman Ira

机构信息

Center for Suicide Research, Wayne State University, Detroit, Michigan 48202, USA.

出版信息

Suicide Life Threat Behav. 2007 Feb;37(1):103-12. doi: 10.1521/suli.2007.37.1.103.

Abstract

Research at the individual level on economic strain and suicide has focused on unemployment; yet it remains unclear how unemployment and other economic strains actually affect suicide risk for the individual. In the present study Agnew's (1992, 2002), General Strain Theory was applied to a qualitative analysis of case files. Strain issues assessed include the role of goal blockage, economic loss, noxious work environments, anticipated strain, strain clusters, and vicarious strain in the generation of suicide risk. Data are from 62 cases of suicide involving economic strain from the files of an urban county medical examiner's office. The cases were classified into strain categories. Suicide risk was related to all categories of strain; however, economic strains were typically comorbid with additional strains in the genesis of suicide. Key auxiliary strains included anticipated loss of a home place, loss of a car, noxious social relationships, medical problems, death of loved ones, and involvement with the criminal justice system. Some evidence was found linking economic strain to the suicides of nonimpoverished persons. Economic strain and suicide would especially benefit by testing additional hypotheses on strain comorbidity. Unemployment combined with an anticipated eviction from one's home is recommended as a particular point of departure for future work.

摘要

个体层面上关于经济压力与自杀的研究主要聚焦于失业;然而,失业及其他经济压力究竟如何切实影响个体的自杀风险,目前仍不明晰。在本研究中,阿格纽(1992年、2002年)的一般压力理论被应用于对案例档案的定性分析。所评估的压力问题包括目标受阻、经济损失、有害的工作环境、预期压力、压力集群以及替代性压力在自杀风险产生过程中的作用。数据来源于一个城市县法医办公室档案中的62例涉及经济压力的自杀案例。这些案例被归入不同的压力类别。自杀风险与所有压力类别都有关联;然而,在自杀的成因中,经济压力通常与其他压力并存。关键的辅助压力包括预期失去住所、失去汽车、有害的社会关系、医疗问题、亲人死亡以及卷入刑事司法系统。有证据表明经济压力与非贫困人口的自杀存在关联。通过对压力共病的其他假设进行检验,经济压力与自杀这一研究领域将尤其受益。建议将失业与预期被逐出家门相结合,作为未来研究的一个特别切入点。

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