Gipson Polly, King Cheryl
University of Michigan.
Cogn Behav Pract. 2012 May;19(2):209-217. doi: 10.1016/j.cbpra.2010.11.005.
Treatment linkage and adherence to psychotherapeutic interventions can be challenging with suicidal individuals. Health behavior theories, specifically the Health Belief Model, Stages of Change, and Theory of Planned Behavior, focus on individuals' beliefs, their readiness to change, their perceptions of illness severity and "threat," their perceptions of significant others' attitudes toward illness and treatment, and their behavioral intentions to change. These constructs have relevance both for understanding suicidal individuals' behaviors related to treatment utilization and for understanding cultural variations in these behaviors. Furthermore, these theories have implications for clinical practices aimed at facilitating improved treatment follow-through and adherence. After describing the theories and their constructs, clinical examples are provided to illustrate applications to practice with suicidal individuals.
对于有自杀倾向的个体而言，治疗衔接以及坚持心理治疗干预可能具有挑战性。健康行为理论，特别是健康信念模型、行为改变阶段理论和计划行为理论，关注个体的信念、改变的意愿、对疾病严重程度和“威胁”的认知、对重要他人对疾病和治疗态度的认知，以及他们改变的行为意图。这些概念对于理解有自杀倾向个体与治疗利用相关的行为以及这些行为中的文化差异都具有相关性。此外，这些理论对于旨在促进更好的治疗跟进和坚持的临床实践具有启示意义。在描述了这些理论及其概念之后，提供了临床实例来说明在有自杀倾向个体的实践中的应用。
