老年初级保健患者功能受限与控制策略及自杀意念。
Control strategies and suicidal ideation in older primary care patients with functional limitations.
出版信息
Int J Psychiatry Med. 2013;46(3):271-89. doi: 10.2190/PM.46.3.c.
OBJECTIVES
Failure to adapt to limitations in control may place older adults at risk for suicidal behavior. The present study examined the relation between control strategies, depressive symptoms, and suicidal ideation in older adults with health-related limitations.
METHODS
Cross-sectional study of 50 older adult (aged 65-94) primary care patients with health-related limitations.
RESULTS
Compensatory primary control strategies characterized by seeking help from others were associated with lower levels of suicidal ideation, independent of depressive symptoms. Selective primary control strategies (e.g., persistence) were also associated with reduced suicidal ideation independent of depressive symptoms, but only when a low level of compensatory primary control strategies was endorsed. Selective secondary control strategies were associated with higher suicidal ideation, whereas compensatory secondary control strategies (e.g., goal disengagement) were unrelated in this sample after controlling for covariates.
CONCLUSIONS
Findings demonstrate that primary care patients with functional limitations who are not striving to meet their goals, either through persistence or by seeking help from others, are at elevated risk of suicidal thinking.
目的
无法适应控制能力的限制可能会使老年人面临自杀行为的风险。本研究调查了与健康相关限制的老年人中控制策略、抑郁症状和自杀意念之间的关系。
方法
对 50 名患有与健康相关限制的 65-94 岁的老年初级保健患者进行了横断面研究。
结果
代偿性主要控制策略（即寻求他人帮助）与较低的自杀意念水平相关，与抑郁症状无关。选择性主要控制策略（例如坚持）也与减少自杀意念相关，而与抑郁症状无关，但前提是仅支持低水平的代偿性主要控制策略。选择性次要控制策略与较高的自杀意念相关，而代偿性次要控制策略（例如目标脱离）在控制了协变量后在该样本中无相关性。
结论
研究结果表明，功能受限的初级保健患者如果不努力实现自己的目标，无论是通过坚持还是寻求他人帮助，都有较高的自杀思维风险。
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