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非裔美国女性的母性、生存理由和自杀倾向。

Motherhood, reasons for living, and suicidality among African American women.

机构信息

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30303, USA.

出版信息

J Fam Psychol. 2013 Aug;27(4):600-6. doi: 10.1037/a0033592.

Abstract

This report examines the protective role of motherhood against suicidal ideation among low-income African American women with a history of suicide attempts. Findings from previous studies examining the relations between family factors and suicide risks are inconsistent in this population, indicating that family could both exacerbate and reduce risks. Research on the link between motherhood-status specifically and suicide risk is rare, but family and child-related concerns have been identified as unique reasons for living associated with reduced risk of suicide attempt. Self-identified African American women (N = 146), ages 18-64, who attempted suicide within the previous 12 months were recruited from a large urban public hospital. A bootstrapping mediation model was tested using motherhood status from the demographics measure as the predictor, the Reasons for Living (RFL) scales as the mediator, and the Beck Suicidal Ideation Scale as the outcome. The model accounted for 41% of the variance in suicidal ideation and the indirect effect of RFL was statistically significant. These findings provide empirical support for the hypothesis that motherhood is protective against suicidal ideation among African American women with a history of suicide attempts. Future research should seek to determine how incorporating the protective function of motherhood status in clinical interventions with this high-risk population might help to improve treatment effectiveness.

摘要

本报告探讨了母亲身份对有自杀企图史的低收入非裔美国妇女自杀意念的保护作用。在这一人群中,先前研究考察家庭因素与自杀风险之间关系的结果不一致,这表明家庭既可能加剧也可能降低风险。关于母亲身份与自杀风险之间的联系的研究很少,但已确定与家庭和孩子有关的问题是非裔美国自杀企图者特有的生存原因,可降低自杀企图的风险。从一家大型城市公立医院招募了 18 至 64 岁、在过去 12 个月内有过自杀企图的自我认定为非裔美国女性(N=146)。使用人口统计学测量中的母亲身份作为预测因子、生存原因(RFL)量表作为中介变量、贝克自杀意念量表作为结果,测试了 bootstrap 中介模型。该模型解释了 41%的自杀意念方差,RFL 的间接效应具有统计学意义。这些发现为假设提供了实证支持,即母亲身份对有自杀企图史的非裔美国妇女的自杀意念具有保护作用。未来的研究应努力确定如何将母亲身份的保护功能纳入对这一高风险人群的临床干预中,以提高治疗效果。

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