Sahlgrenska Academy at the University of Gothenburg, Göteborg, Sweden.
J Psychiatr Ment Health Nurs. 2012 Feb;19(1):62-9. doi: 10.1111/j.1365-2850.2011.01755.x. Epub 2011 May 30.
The usefulness of the Sense of Coherence (SOC) scale in the nursing setting is well-established, and an association between SOC and suicidality has been suggested. The aim was to test whether low SOC at index attempt is an independent predictor of suicidality at 2-month follow-up and of risk for repeat attempt. The study, which had a prospective cross-sectional design, included patients admitted to hospital after a suicide attempt. They were interviewed by means of Structured Clinical Interview for DSM-IV. Participants (n=155) completed the SOC scale and the Comprehensive Psychopathological Self-rating Scale for Affective Syndromes. Suicidality was rated with the Suicide Assessment Scale. Instruments were employed again at follow-up. Non-fatal/fatal repetition within 3 years was determined by review of hospital records. Low SOC at baseline predicted high suicidality at follow-up. The association remained after adjustment for major depression and affective symptom burden. Repeat attempts were made by 54 persons. Low baseline SOC was associated with repeat attempt, but the association did not remain after adjustment for major depression and symptom burden. Low SOC ratings could be a marker of risk for high suicidality in the aftermath of a suicide attempt. The SOC scale could be incorporated in nursing assessments of suicide attempters.
该量表在护理环境中的实用性已经得到了充分证实，并且已经有人提出 SOC 与自杀意念之间存在关联。本研究旨在检验自杀未遂时 SOC 评分较低是否是 2 个月随访时自杀意念和再次尝试自杀风险的独立预测因素。本研究采用前瞻性横断设计，纳入了自杀未遂后住院的患者。他们通过 DSM-IV 结构临床访谈进行了访谈。参与者（n=155）完成了 SOC 量表和综合精神病理自评量表情感综合征。自杀意念通过自杀评估量表进行评估。在随访时再次使用这些工具。通过审查医院记录确定 3 年内非致命/致命的重复情况。基线时 SOC 评分较低预测随访时的高自杀意念。在调整了重性抑郁和情感症状负担后，该关联仍然存在。有 54 人再次尝试自杀。低基线 SOC 与再次尝试相关，但在调整了重性抑郁和症状负担后，该关联不再存在。低 SOC 评分可能是自杀未遂后发生高自杀意念的风险标志物。SOC 量表可纳入对自杀未遂者的护理评估。
