Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK.
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK.
J Affect Disord. 2014 Feb;155(100):241-6. doi: 10.1016/j.jad.2013.11.006. Epub 2013 Nov 18.
Previous research has suggested that some individuals may obtain comfort from their suicidal cognitions.
This study explored clinical variables associated with comfort from suicidal cognition using a newly developed 5 item measure in 217 patients with a history of recurrent depression and suicidality, of whom 98 were followed up to at least one relapse to depression and reported data on suicidal ideation during the follow-up phase.
Results indicated that a minority of patients, around 15%, reported experiencing comfort from suicidal cognitions and that comfort was associated with several markers of a more severe clinical profile including both worst ever prior suicidal ideation and worst suicidal ideation over a 12 month follow-up period.
Few patients self-harmed during the follow-up period preventing an examination of associations between comfort and repetition of self-harm.
These results, although preliminary, suggest that future theoretical and clinical research would benefit from further consideration of the concept of comfort from suicidal thinking.
先前的研究表明，一些人可能会从自杀意念中获得安慰。
本研究使用一种新开发的 5 项测度量表，对 217 名有反复发作性抑郁和自杀史的患者进行了临床变量与自杀认知安慰相关的研究，其中 98 名患者至少有一次复发为抑郁症，并在随访阶段报告了自杀意念的数据。
结果表明，约 15%的患者报告了从自杀意念中获得安慰，且安慰与更严重的临床特征标志物有关，包括既往最严重的自杀意念和 12 个月随访期间最严重的自杀意念。
在随访期间，只有少数患者自残，这使得无法检查安慰与自残复发之间的关系。
这些结果虽然初步，但表明未来的理论和临床研究将受益于进一步考虑从自杀思维中获得安慰的概念。
