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青少年自杀的精神病理学:绝望、应对信念与抑郁。

Psychopathology of adolescent suicide: hopelessness, coping beliefs, and depression.

作者信息

Cole D A

出版信息

J Abnorm Psychol. 1989 Aug;98(3):248-55. doi: 10.1037//0021-843x.98.3.248.

Abstract

Two studies of adolescents examined the relation of several cognitive variables and depression to suicide-related behaviors. Study 1 compared hopelessness and depression in 281 high school students. Unlike research with adults, depression was significantly related to suicidal behaviors, even after hopelessness was statistically controlled. When depression was controlled, hopelessness was unrelated to suicidal behaviors for boys and only modestly related for girls. Study 2 examined depression, hopelessness, survival-coping beliefs, fear of social disapproval, and social desirability in relation to suicidal behaviors in 53 male juvenile delinquents. Again, hopelessness did not account for a significant proportion of the variance in suicide. Depression was uniquely related to past suicide attempts. Survival-coping beliefs were associated with self-predicted future suicide and other suicidal behaviors. Survival-coping beliefs are discussed as a cognitive buffer to suicidal ideation in adolescence.

摘要

两项针对青少年的研究探讨了几个认知变量和抑郁与自杀相关行为之间的关系。研究1比较了281名高中生的绝望感和抑郁情况。与针对成年人的研究不同,即使在对绝望感进行统计学控制之后,抑郁仍与自杀行为显著相关。当控制了抑郁因素后,绝望感与男孩的自杀行为无关,与女孩的自杀行为仅有适度关联。研究2考察了53名男性少年犯的抑郁、绝望感、生存应对信念、对社会 disapproval 的恐惧以及社会期望与自杀行为的关系。同样,绝望感在自杀差异中所占比例并不显著。抑郁与过去的自杀未遂行为存在独特关联。生存应对信念与自我预测的未来自杀及其他自杀行为相关。生存应对信念被作为青少年自杀意念的一种认知缓冲进行了讨论。 (注:原文中“fear of social disapproval”中的“disapproval”未明确准确中文释义,暂保留英文)

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