Illawarra Institute for Mental Health, Wollongong, NSW, Australia.
J Youth Adolesc. 2010 Mar;39(3):291-305. doi: 10.1007/s10964-009-9487-8. Epub 2009 Dec 2.
Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study examined the association between suicidal ideation and intentions to seek help from friends, family and professional mental health sources in a sample of 302 Australian university students. Participants were 77.5% female and aged from 18-25 years old, with 85.4% aged 21 years or younger. Higher levels of suicidal ideation were related to lower help-seeking intentions for family, friends, and professional mental health care, and higher intentions to seek help from no one. Moderation effects indicated that higher levels of depressive symptoms strengthen the help-negating effect of suicidal ideation for seeking help from friends, family and no one. The results indicate that, even at subclinical levels, suicidal ideation impedes the cognitive help-seeking process at the decision making stage. The results also highlight the importance of improving our understanding of why young people become reluctant to seek help as their levels of suicidal ideation and depressive symptoms increase. Raising awareness that the experience of suicidal ideation and depressive symptoms can promote intentions to avoid help might reduce the help-negation effect when symptoms are first recognized.
帮助否定是通过拒绝或避免获得帮助的行为表现出来的，也是通过自我报告的心理困扰症状与寻求帮助的意愿之间的反比关系来认知的。本研究在 302 名澳大利亚大学生样本中考察了自杀意念与寻求朋友、家人和专业心理健康资源帮助的意愿之间的关联。参与者中 77.5%为女性，年龄在 18 岁至 25 岁之间，其中 85.4%年龄在 21 岁或以下。更高水平的自杀意念与寻求家人、朋友和专业心理健康护理的意愿降低有关，而寻求任何人帮助的意愿更高。调节效应表明，更高水平的抑郁症状会加强自杀意念对寻求朋友、家人和无人帮助的帮助否定效应。研究结果表明，即使在亚临床水平，自杀意念也会阻碍决策阶段的认知性寻求帮助过程。研究结果还强调了提高我们对为什么年轻人随着自杀意念和抑郁症状水平的增加而变得不愿意寻求帮助的理解的重要性。提高对自杀意念和抑郁症状体验会促进回避帮助的意愿的认识，可能会在首次识别到症状时减少帮助否定效应。
