Stokes Cleveland Department of Veterans Affairs, OH, USA.
Suicide Life Threat Behav. 2011 Apr;41(2):160-70. doi: 10.1111/j.1943-278X.2011.00019.x. Epub 2011 Feb 22.
Risk factors, theoretical explanations, and treatment suggestions for suicidal behaviors have historically focused largely on cognitions, but a more comprehensive picture may be provided by examining the role of affect in suicidal thoughts and behaviors. In the current study the link between affect and suicide within the theoretical framework of the circumplex model was examined empirically. Data from 104 participants demonstrated that both positive and negative affect are related to suicidal thoughts and behaviors, and that affect provided additional information about suicidality over and above the cognitive variable of hopelessness. The findings support that suicidal risk assessment may be enhanced by evaluating both hopelessness and affect, and that negative affect, in particular, is important to address in the treatment of suicidal individuals.
风险因素、自杀行为的理论解释和治疗建议在历史上主要集中在认知上，但通过研究情感在自杀想法和行为中的作用，可能会提供更全面的认识。在当前的研究中，在心境的环模型的理论框架内实证检验了情感与自杀之间的联系。来自 104 名参与者的数据表明，积极和消极的情感都与自杀的想法和行为有关，并且情感提供了关于自杀倾向的信息，这些信息超出了无望感这一认知变量。研究结果支持了这样一种观点，即通过评估无望感和情感，可以提高自杀风险评估的效果，而且在治疗自杀患者时，特别要关注消极情感。
