Bhar Sunil, Ghahramanlou-Holloway Marjan, Brown Gregory, Beck Aaron T
Department of Psychiatry, University of Pennsylvania, Philadephia, PA 19104, USA.
Suicide Life Threat Behav. 2008 Oct;38(5):511-6. doi: 10.1521/suli.2008.38.5.511.
Depression, hopelessness, and low self-esteem are implicated as vulnerability factors for suicide ideation. The association of self-esteem with suicide ideation after controlling for depressed mood and hopelessness was examined. Adult psychiatric outpatients (N = 338) completed measures of self-esteem, suicide ideation, hopelessness, and depression. Self-esteem was operationalized as beliefs about oneself (self-based self-esteem) and beliefs about how other people regard oneself (other-based self-esteem). Each dimension of self-esteem was negatively associated with suicide ideation after controlling for depression and hopelessness. Of the two dimensions of self-esteem, other-based self-esteem was the more robust predictor of suicide ideation. These findings suggest that even in the context of depression and hopelessness, low self-esteem may add to the risk for suicide ideation.
抑郁、绝望和自卑被认为是自杀意念的易感性因素。研究了在控制抑郁情绪和绝望情绪后自尊与自杀意念之间的关联。成年精神科门诊患者（N = 338）完成了自尊、自杀意念、绝望和抑郁的测量。自尊被定义为对自己的信念（基于自我的自尊）和对他人如何看待自己的信念（基于他人的自尊）。在控制抑郁和绝望后，自尊的每个维度都与自杀意念呈负相关。在自尊的两个维度中，基于他人的自尊是自杀意念更强有力的预测指标。这些发现表明，即使在抑郁和绝望的背景下，低自尊也可能增加自杀意念的风险。
