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有意义的生活值得活:生活意义作为自杀韧性因素。

A meaningful life is worth living: meaning in life as a suicide resiliency factor.

机构信息

Department of Psychology, George Mason University, Fairfax, VA 22030, USA.

出版信息

Psychiatry Res. 2013 Dec 30;210(3):934-9. doi: 10.1016/j.psychres.2013.08.002. Epub 2013 Aug 23.

Abstract

Given the high rate of suicide worldwide, it is imperative to find factors that can confer resiliency to suicide. The goal of the present study was to examine the search for and the presence of meaning in life as possible resilience factors. We hypothesized that the presence of, but not the search for, meaning in life would predict decreased suicidal ideation over an eight-week time period and decreased lifetime odds of a suicide attempt. We also examined a subsidiary hypothesis that the presence of, but not the search for, meaning in life would mediate the relationship between the two variables associated with the interpersonal psychological theory of suicide (i.e., perceived burdensomeness and thwarted belongingness) and suicidal ideation. Our results were generally in support of our hypothesis: presence of meaning in life predicted decreased suicidal ideation over time and lower lifetime odds of a suicide attempt. Surprisingly, search for meaning in life also predicted decreased suicidal ideation over time. Finally, the search for, but not presence of, meaning in life mediated the relationship between the interpersonal psychological theory variables and suicidal ideation. These findings suggest that interventions that target meaning in life may be useful to attenuate suicide risk in individuals.

摘要

鉴于全球自杀率居高不下,当务之急是寻找能够赋予人们抗自杀能力的因素。本研究的目的是探讨生活意义的寻找和存在是否可以作为抗自杀的因素。我们假设,生活意义的存在而非寻找,能够预测在八周的时间内自杀意念的减少,以及降低一生中自杀企图的几率。我们还检验了一个辅助假设,即生活意义的存在而非寻找,能够在与人际心理理论自杀(即感知到的累赘感和挫败的归属感)相关的两个变量与自杀意念之间的关系中起中介作用。我们的结果基本支持我们的假设:生活意义的存在预测随着时间的推移自杀意念的减少,以及一生中自杀企图的几率降低。令人惊讶的是,生活意义的寻找也预测随着时间的推移自杀意念的减少。最后,生活意义的寻找而非存在,在人际心理理论变量和自杀意念之间的关系中起中介作用。这些发现表明,针对生活意义的干预措施可能有助于减轻个体的自杀风险。

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