Silva Caroline, Hagan Christopher R, Rogers Megan L, Chiurliza Bruno, Podlogar Matthew C, Hom Melanie A, Tzoneva Mirela, Lim Ingrid C, Joiner Thomas E
Florida State University.
United States Army.
J Clin Psychol. 2017 Jun;73(6):669-680. doi: 10.1002/jclp.22347. Epub 2016 Aug 1.
Although the interpersonal theory of suicide may explain the elevated suicide risk among military service members, past explorations have been equivocal. This study aimed to investigate the propositions of the interpersonal theory in a sample of U.S. Army recruiters.
Participants (N = 3,428) completed self-report measures assessing the interpersonal theory's constructs (i.e., thwarted belongingness (TB), perceived burdensomeness (PB), acquired capability for suicide), current suicidal ideation, agitation, and insomnia. History of depression was obtained from medical records.
Hierarchical multiple regression analyses revealed that the interaction between TB and PB was associated with current suicidal ideation, controlling for depression, agitation, and insomnia. This effect was especially notable among those with high capability for suicide.
Findings provide support for the interpersonal theory in a large, diverse military sample. It may be advantageous to assess and therapeutically address TB and PB among at-risk service members.
虽然自杀人际理论可能解释了军人自杀风险升高的现象,但以往的研究结果并不明确。本研究旨在对美国陆军征兵人员样本进行调查,以探究人际理论的相关命题。
参与者(N = 3428)完成了自我报告测量,评估人际理论的相关构念(即归属感受挫(TB)、感知负担感(PB)、获得性自杀能力)、当前的自杀意念、激动情绪和失眠情况。通过医疗记录获取抑郁病史。
分层多元回归分析显示,在控制抑郁、激动情绪和失眠的情况下,归属感受挫与感知负担感之间的交互作用与当前的自杀意念相关。这种效应在自杀能力较高的人群中尤为显著。
研究结果为在一个规模大且多样化的军人样本中验证人际理论提供了支持。对有风险的军人评估并从治疗角度解决归属感受挫和感知负担感问题可能具有优势。