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积极和消极问题解决作为生活事件压力与自杀意念之间关系的调节变量:自杀未遂者和非未遂者的比较。

Active and passive problem solving as moderators of the relation between negative life event stress and suicidal ideation among suicide attempters and non-attempters.

机构信息

Department of Psychology , Hunter College, City University of New York, NY, USA.

出版信息

Arch Suicide Res. 2012;16(3):183-97. doi: 10.1080/13811118.2012.695233.

Abstract

This study examined whether active problem solving would buffer against, whereas passive problem solving would exacerbate, the association of negative life stress with suicidal ideation. Young adult college students (73 females, M(age) = 19.0) from a diverse urban public university, with (n = 37) and without (n = 59) a suicide attempt history completed measures of life stress, problem solving, hopelessness, depression, and suicidal ideation. Hierarchical linear regressions were conducted to test moderating roles of active and passive problem solving, along with suicide attempt history, on the relation between negative life event stress and suicidal ideation. There was a weaker relation between life stress and suicidal ideation at high and average levels of relevant problem solving than at low levels, and this was the case primarily for suicide attempters but not for non-attempters. Individuals with a past attempt produced more passive solutions than non-attempters, but among attempters, even passive problem solving buffered the association of life stress with suicidal ideation. Relevant problem solving in the face of life stress may be especially important for individuals vulnerable to suicidal ideation due to an attempt history. Among such at-risk individuals, generating even passive solutions in the face of life stress may be more adaptive than generating few solutions. Thus, clinical interventions with suicide attempters that focus on generating solutions to problems, even if these are initially passive, may help mitigate the effect of life stress on suicidal ideation.

摘要

本研究旨在探讨积极解决问题是否能缓冲,而消极解决问题是否会加剧生活压力与自杀意念之间的关联。研究对象为来自一所多元化城市公立大学的青年大学生(73 名女性,M(年龄)=19.0),其中有(n=37)和没有(n=59)自杀企图史的学生完成了生活压力、问题解决、绝望、抑郁和自杀意念的测量。采用分层线性回归检验了积极和消极问题解决、自杀企图史在负性生活事件压力与自杀意念之间的调节作用。在高和中水平的相关问题解决时,生活压力与自杀意念之间的关系较弱,而在低水平时则较强,这种情况主要发生在自杀未遂者身上,而非未未遂者。有过自杀企图的个体比未未遂者产生了更多的消极解决办法,但在企图者中,即使是消极的问题解决也能缓冲生活压力与自杀意念之间的关联。在面对生活压力时进行相关问题解决可能对有自杀意念风险的个体尤为重要,因为他们有过自杀企图史。对于这些高风险个体来说,在面对生活压力时产生消极解决办法可能比产生较少解决办法更具适应性。因此,针对自杀未遂者的临床干预措施,关注问题的解决方法,即使这些方法最初是消极的,也可能有助于减轻生活压力对自杀意念的影响。

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