Tripp Jessica C, McDevitt-Murphy Meghan E
Department of Psychology, The University of Memphis and Memphis Veterans Affairs Medical Center, Memphis, TN, USA.
Suicide Life Threat Behav. 2017 Feb;47(1):78-85. doi: 10.1111/sltb.12266. Epub 2016 Jun 7.
Posttraumatic stress disorder (PTSD) and trauma-related guilt are risk factors for suicidal ideation (SI) in veterans. Components of trauma-related guilt were examined as serial mediators of the relationship between PTSD and SI. In a sample of 53 OEF/OIF/OND combat veterans, PTSD had an indirect effect on SI through a serial mediation chain of guilt cognitions, distress, and global guilt, suggesting that trauma-related guilt via cognitions, distress, and global guilt is a pathway from PTSD to SI. Attention should be given to assessing and addressing trauma-related guilt in veterans experiencing PTSD to prevent SI.
创伤后应激障碍(PTSD)和与创伤相关的内疚感是退伍军人自杀意念(SI)的风险因素。与创伤相关的内疚感的组成部分被视为PTSD与SI之间关系的系列中介变量。在一个由53名参加过“持久自由行动”/“伊拉克自由行动”/“新黎明行动”的退伍军人组成的样本中,PTSD通过内疚认知、痛苦和总体内疚感的系列中介链对SI产生间接影响,这表明经由认知、痛苦和总体内疚感的与创伤相关的内疚感是从PTSD到SI的一条途径。对于患有PTSD的退伍军人,应重视评估和处理与创伤相关的内疚感,以预防自杀意念。