Florida State University, FL 32306-4301, United States.
Florida State University, FL 32306-4301, United States.
Psychiatry Res. 2015 Mar 30;226(1):252-6. doi: 10.1016/j.psychres.2014.12.057. Epub 2015 Jan 13.
Anxiety sensitivity (AS) cognitive concerns, which reflects fears of mental incapacitation, have been previously associated with suicidal ideation and behavior. The first study aim was to replicate and extend upon previous research by investigating whether AS cognitive concerns can discriminate between those at low risk versus high risk for suicidal behavior. Secondly, we aimed to test the incremental predictive power of AS cognitive concerns above and beyond known suicide risk factors (i.e., thwarted belongingness and insomnia). The sample consisted of 106 individuals (75% meeting current criteria for an Axis I disorder) recruited from the community. Results revealed that AS cognitive concerns were a robust predictor of elevated suicide risk after covarying for negative affect, whereas AS social and physical concerns were not. Those with high, relative to low, AS cognitive scores were 3.67 times more likely to be in the high suicide risk group. Moreover, AS cognitive concerns significantly predicted elevated suicide risk above and beyond relevant suicide risk factors. Results of this study add to a growing body of the literature demonstrating a relationship between AS cognitive concerns and increased suicidality. Incorporating AS cognitive concerns amelioration protocols into existing interventions for suicidal behavior may be beneficial.
焦虑敏感 (AS) 的认知担忧，反映了对心理能力丧失的恐惧，先前与自杀意念和行为有关。第一项研究旨在通过调查 AS 认知担忧是否可以区分自杀行为风险低和高的人群，来复制和扩展之前的研究。其次，我们旨在测试 AS 认知担忧在已知自杀风险因素（即归属感受挫和失眠）之上的额外预测能力。该样本由 106 名个体（75%符合当前轴 I 障碍标准）组成，从社区招募。结果表明，在对负性情绪进行协方差分析后，AS 认知担忧是升高自杀风险的有力预测指标，而 AS 社会和身体担忧则不是。与低 AS 认知评分者相比，高 AS 认知评分者处于高自杀风险组的可能性高 3.67 倍。此外，AS 认知担忧在考虑相关自杀风险因素后，仍然显著预测升高的自杀风险。本研究的结果增加了越来越多的文献，证明 AS 认知担忧与自杀率升高之间存在关系。将 AS 认知担忧改善方案纳入现有的自杀行为干预措施中可能会有所帮助。
