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“你是否有自杀念头?”审视披露和否认自杀意念的经历。

"Are You Having Thoughts of Suicide?" Examining Experiences With Disclosing and Denying Suicidal Ideation.

作者信息

Hom Melanie A, Stanley Ian H, Podlogar Matthew C, Joiner Thomas E

机构信息

Florida State University.

出版信息

J Clin Psychol. 2017 Oct;73(10):1382-1392. doi: 10.1002/jclp.22440. Epub 2017 Jan 13.

DOI:10.1002/jclp.22440
PMID:28085200
Abstract

OBJECTIVE

To characterize individuals' prior experiences with being asked whether they are having thoughts of suicide and to understand factors that affected their response accuracy.

METHOD

Undergraduates (N = 306) reporting a lifetime history of suicidal ideation completed a web-based survey about their experiences being probed about suicidal thoughts.

RESULTS

Nearly two-thirds of participants (63.1%) reported having been previously asked whether they were having thoughts of suicide, with health care providers comprising the plurality of probers. Individuals reported the greatest accuracy of ideation disclosure to mental health professionals. Stigma-related concerns were the most common barriers to accurate disclosure of ideation, whereas wanting emotional support and the prober to understand them were cited as facilitators for accurately responding.

CONCLUSION

A number of factors influence the accurate and inaccurate disclosure of suicidal ideation. Further research is needed to understand how to facilitate accurate disclosure of suicidal ideation across settings and populations.

摘要

目的

描述个体被询问是否有自杀念头的既往经历,并了解影响其回答准确性的因素。

方法

报告有过自杀意念终生史的本科生(N = 306)完成了一项关于其被询问自杀念头经历的网络调查。

结果

近三分之二的参与者(63.1%)报告曾被询问是否有自杀念头,其中询问者大多是医疗保健人员。个体报告向心理健康专业人员披露意念的准确性最高。与污名相关的担忧是准确披露意念最常见的障碍,而希望获得情感支持以及希望询问者理解自己被视为准确回答的促进因素。

结论

多种因素影响自杀意念的准确和不准确披露。需要进一步研究以了解如何促进在不同环境和人群中准确披露自杀意念。

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