Arch Suicide Res. 2016 Oct-Dec;20(4):567-79. doi: 10.1080/13811118.2016.1158680. Epub 2016 Mar 16.
Social functioning is negatively impacted by the presence of PTSD, while increasing risk of suicidal behavior among individuals with PTSD. However, little research has examined the specific role of social functioning in the association between PTSD and suicidal behavior. Parallel multiple indirect effects analyses were performed to understand the unique indirect effects of four aspects of social functioning. Indirect effects of PTSD on suicidal ideation were significant through three pathways: interpersonal conflict, perceived family support, and interpersonal apprehension. Perceived family support was the only indirect pathway significantly associated with suicide attempt. Findings suggest that social functioning should be assessed and potentially targeted during treatment to help modify the risk for suicidal behavior among individuals with PTSD.
社会功能受 PTSD 的影响呈负面，而 PTSD 患者自杀行为的风险增加。然而，很少有研究调查社会功能在 PTSD 和自杀行为之间关联中的具体作用。平行多重间接效应分析被用来理解社会功能四个方面的独特间接效应。通过三条途径，PTSD 对自杀意念的间接影响是显著的：人际冲突、感知家庭支持和人际焦虑。感知家庭支持是唯一与自杀企图显著相关的间接途径。研究结果表明，在治疗过程中应该评估和可能针对社会功能，以帮助降低 PTSD 患者自杀行为的风险。
