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寻求治疗的酷刑幸存者自杀意念的预测因素。

Predictors of suicidal ideation in treatment-seeking survivors of torture.

机构信息

Department of Psychology, Long Island University.

Department of Psychology, Teachers College, Columbia University.

出版信息

Psychol Trauma. 2016 Jan;8(1):17-24. doi: 10.1037/tra0000040. Epub 2015 Apr 27.

Abstract

In this study, we examined sociodemographic, persecutor identity, torture, and postmigration variables associated with suicidal ideation in a clinical sample of 267 immigrant survivors of torture who have resettled in New York City. The purpose of this study was to identify variables associated with increased risk for suicidal ideation in survivors of torture before they receive legal, psychological, or medical services for torture-related needs. Results from a binary logistic regression model identified a combination of 3 variables associated with current suicidal ideation at intake into the program. Being female, having not submitted an application for asylum, and a history of rape or sexual assault were significantly associated with suicidal ideation at intake, when also controlling for several other important variables. The final model explained 21.4% of variation in reported suicidal ideation at intake. The discussion will focus on the importance of conducting a thorough assessment of suicidal ideation in refugees and survivors of torture.

摘要

在这项研究中,我们研究了社会人口统计学、迫害者身份、酷刑和移民后变量与在纽约市重新安置的 267 名酷刑幸存者的自杀意念相关。本研究的目的是在酷刑幸存者获得与酷刑相关的法律、心理或医疗服务之前,确定与自杀意念风险增加相关的变量。二项逻辑回归模型的结果确定了 3 个与进入方案时当前自杀意念相关的变量组合。在控制了其他几个重要变量后,女性、未提交庇护申请以及强奸或性侵犯史与进入方案时的自杀意念显著相关。最终模型解释了 21.4%的报告自杀意念在进入方案时的变化。讨论将集中在对难民和酷刑幸存者进行自杀意念全面评估的重要性上。

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