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战争退伍军人中的自杀意念与蓄意自伤行为

Suicide Ideation and Deliberate Self-Harm among Ex-Prisoners of War.

作者信息

Levi-Belz Yossi, Zerach Gadi, Solomon Zahava

机构信息

a Department of Behavioral Sciences , Ruppin Academic Center , Emek-Hefer , Israel.

出版信息

Arch Suicide Res. 2015;19(2):231-48. doi: 10.1080/13811118.2013.845123. Epub 2014 Jul 10.

DOI:10.1080/13811118.2013.845123
PMID:25010463
Abstract

The current study aims to assess the relations among war captivity, PTSD, suicidal ideation (SI), and deliberate self-harm (DSH) among former prisoners of war (ex-POWs). Israeli ex-POWs (N = 176) and a matched control group of combat veterans (controls; N = 118) were assessed using self-report measures. Ex-POWs with PTSD reported higher levels of both SI and DSH compared to ex-POWs and comparable veterans without PTSD. Furthermore, captivity-related variables as well as PTSD symptom clusters were positively related to both SI and DSH. However, only loss of emotional control in captivity and posttraumatic intrusion and emotional numbing symptoms, predicted SI. Ex-POWs with PTSD endorse high levels of SI and DSH. Among ex-POWs, both SI and DSH share similar captivity-related and posttraumatic symptoms correlates but only posttraumatic intrusion and emotional numbing symptoms predict SI.

摘要

当前研究旨在评估战争囚禁、创伤后应激障碍(PTSD)、自杀意念(SI)和故意自伤(DSH)在前战俘(前战俘)中的关系。使用自我报告测量方法对以色列前战俘(N = 176)和一组匹配的战斗退伍军人对照组(对照组;N = 118)进行了评估。与没有PTSD的前战俘和类似退伍军人相比,患有PTSD的前战俘报告的SI和DSH水平更高。此外,与囚禁相关的变量以及PTSD症状群与SI和DSH均呈正相关。然而,只有囚禁期间情绪控制的丧失以及创伤后侵入和情感麻木症状可预测SI。患有PTSD的前战俘认可高水平的SI和DSH。在前战俘中,SI和DSH都有类似的与囚禁相关和创伤后症状的关联,但只有创伤后侵入和情感麻木症状可预测SI。

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