青少年不安全依恋与自杀行为
Insecure attachment and suicidal behavior in adolescents.
作者信息
Sheftall Arielle H, Schoppe-Sullivan Sarah J, Bridge Jeffrey A
机构信息
<location>The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA</location>
<location>Department of Human Sciences, The Ohio State University, Columbus, OH, USA</location>
出版信息
Crisis. 2014;35(6):426-30. doi: 10.1027/0227-5910/a000273.
BACKGROUND
Suicide among adolescents is an important public health problem. One risk factor for youth suicidal behavior that has been underexplored is insecure attachment.
AIMS
To investigate the association between attachment avoidance/anxiety and suicidal behavior in an adolescent sample.
METHOD
This study examined attachment insecurity in 40 adolescents who had attempted suicide and 40 never-suicidal demographically matched youths. Adolescents completed self-report measures of attachment style, family alliance, and depressive symptoms.
RESULTS
Suicide attempters reported significantly higher attachment avoidance and anxiety. Attachment avoidance, but not anxiety, predicted suicide attempt status in a conditional logistic regression analysis that controlled for depressive symptoms and family alliance.
CONCLUSION
Future research should determine the relative utility of attachment insecurity in prospectively predicting suicide attempts and investigate potential mediators and moderators of this association. Implications for clinicians working with suicidal youth with insecure attachment styles are discussed.
背景
青少年自杀是一个重要的公共卫生问题。青少年自杀行为的一个未被充分探索的风险因素是不安全依恋。
目的
调查青少年样本中依恋回避/焦虑与自杀行为之间的关联。
方法
本研究考察了40名曾有自杀未遂行为的青少年以及40名在人口统计学特征上匹配的未自杀青少年的依恋不安全感。青少年完成了关于依恋风格、家庭联盟和抑郁症状的自我报告测量。
结果
自杀未遂者报告的依恋回避和焦虑程度显著更高。在控制了抑郁症状和家庭联盟的条件逻辑回归分析中，依恋回避而非焦虑预测了自杀未遂状态。
结论
未来的研究应确定依恋不安全感在预测自杀未遂方面的相对效用，并调查这种关联的潜在中介因素和调节因素。讨论了对处理具有不安全依恋风格的自杀青少年的临床医生的启示。
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