青少年的基本心理需求、自杀意念及自杀行为风险
Basic psychological needs, suicidal ideation, and risk for suicidal behavior in young adults.
作者信息
Britton Peter C, Van Orden Kimberly A, Hirsch Jameson K, Williams Geoffrey C
机构信息
Department of Veterans Affairs, Canandaigua Medical Center, VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, NY, USA; Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
出版信息
Suicide Life Threat Behav. 2014 Aug;44(4):362-71. doi: 10.1111/sltb.12074. Epub 2014 Feb 3.
Associations between the satisfaction of basic psychological needs of autonomy, competence, and relatedness with current suicidal ideation and risk for suicidal behavior were examined. Two logistic regressions were conducted with a cross-sectional database of 440 university students to examine the association of need satisfaction with suicidal ideation and risk for suicidal behavior, while controlling for demographics and depressive symptoms. Suicidal ideation was reported by 15% of participants and 18% were found to be at risk for suicidal behavior. A one standard deviation increase in need satisfaction reduced the odds of suicidal ideation by 53%, OR (95% CI) = 0.47 (0.33-0.67), and the odds of being at risk for suicidal behavior by 50%, OR (95% CI) = 0.50 (0.37-0.69). Young adults whose basic psychological needs are met may be less likely to consider suicide and engage in suicidal behavior. Prospective research is needed to confirm these associations.
研究了自主性、能力和关联性等基本心理需求的满足与当前自杀意念及自杀行为风险之间的关联。利用440名大学生的横断面数据库进行了两项逻辑回归分析，以检验需求满足与自杀意念及自杀行为风险之间的关联，同时控制人口统计学因素和抑郁症状。15%的参与者报告有自杀意念，18%的人被发现有自杀行为风险。需求满足每增加一个标准差，自杀意念的几率降低53%，比值比（95%置信区间）=0.47（0.33 - 0.67），自杀行为风险的几率降低50%，比值比（95%置信区间）=0.50（0.37 - 0.69）。基本心理需求得到满足的年轻人可能不太可能考虑自杀或实施自杀行为。需要进行前瞻性研究来证实这些关联。
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