University of Manchester, UK.
Behav Res Ther. 2010 Sep;48(9):883-9. doi: 10.1016/j.brat.2010.05.013. Epub 2010 May 24.
Recent years have seen growing interest into concepts of resilience, but minimal research has explored resilience to suicide and none has investigated resilience to suicide amongst clinical groups. The current study aimed to examine whether a proposed resilience factor, positive self-appraisals of the ability to cope with emotions, difficult situations and the ability to gain social support, could buffer against the negative impact of hopelessness amongst individuals with psychosis-spectrum disorders when measured cross-sectionally. Seventy-seven participants with schizophrenia-spectrum disorders completed self-report measures of suicidal ideation, hopelessness and positive self-appraisals. Positive self-appraisals were found to moderate the association between hopelessness and suicidal ideation. For those reporting high levels of positive self-appraisals, increased levels of hopelessness were significantly less likely to lead to suicidality. These results provide cross-sectional evidence suggest that positive self-appraisals may buffer individuals with psychosis against the pernicious impact of a well known clinical risk factor, hopelessness. Accounting for positive self-appraisals may improve identification of individuals at high risk of suicidality, and may be an important area to target for suicide interventions.
近年来，人们对韧性概念的兴趣日益浓厚，但很少有研究探讨对自杀的韧性，也没有研究调查临床群体对自杀的韧性。本研究旨在探讨一个提出的韧性因素，即对自己应对情绪、困难情况和获得社会支持的能力的积极自我评价，是否可以在横断面测量时缓冲精神障碍个体的绝望感的负面影响。77 名精神分裂症谱系障碍患者完成了自杀意念、绝望感和积极自我评价的自我报告测量。积极的自我评价被发现可以调节绝望感和自杀意念之间的关联。对于那些报告高水平积极自我评价的人来说，绝望感的增加不太可能导致自杀倾向。这些结果提供了横断面证据，表明积极的自我评价可以缓冲精神病患者免受一个众所周知的临床风险因素——绝望感的有害影响。考虑到积极的自我评价，可以提高对高自杀风险个体的识别，并且可能是自杀干预的一个重要目标领域。
