社会人口学特征对以色列士兵自杀意念的影响。
The contribution of the socio-demographic characteristics on suicidal ideation among Israeli soldiers.
作者信息
Shelef Leah, Ayzen Evyatar, Yavnai Nirit, Fruchter Eyal, Sarid Orly
机构信息
Psychology Branch, Israel Air Force, Ramat-Gan, Israel.
Mental Health Department, Israel Defense Forces Medical Corps, Ramat-Gan, Israel.
出版信息
Disaster Mil Med. 2016 Mar 1;2:5. doi: 10.1186/s40696-016-0014-7. eCollection 2016.
BACKGROUND
Suicidal ideation is a risk factor for suicide attempt. The aim of the present study is to compare suicidal ideation of different groups with different distress.
METHODS
100 soldiers, aged 18-21, divided into four research cohorts: soldiers who had carried out a suicide attempt (n = 40); soldiers with a psychiatric diagnosis (n = 20); soldiers having high severity adjustment difficulties (n = 20); and a control group of soldiers, having neither a history of mental health diagnosis, nor adjustment difficulties (n = 20). All completed the suicide ideation scale.
RESULTS
Half of the attempters had a psychiatric diagnosis (depression or anxiety) on the day of their enlistment and 37.5 % of them had a specified personality disturbance. The attempters were characterized by previously-attempted suicide (p < .01). The lowest mean values ( = 1.95, = .67) were among the attempter (F = 3.173, df = 3, p = .02) in motivation for military service. The variable expressing low motivation for military service was the sole predictor of suicide ideation (p = .032).
CONCLUSIONS
Early diagnosis facilitated better monitoring by military mental health officers.
背景
自杀意念是自杀未遂的一个风险因素。本研究的目的是比较不同痛苦程度的不同群体的自杀意念。
方法
100名年龄在18至21岁之间的士兵被分为四个研究队列：有过自杀未遂行为的士兵（n = 40）；被诊断患有精神疾病的士兵（n = 20）；有严重适应困难的士兵（n = 20）；以及一个既无心理健康诊断史也无适应困难的士兵对照组（n = 20）。所有人都完成了自杀意念量表。
结果
一半的自杀未遂者在入伍当天被诊断患有精神疾病（抑郁症或焦虑症），其中37.5%的人有特定的人格障碍。自杀未遂者的特征是之前有过自杀未遂行为（p <.01）。在参军动机方面，自杀未遂者的平均得分最低（= 1.95，= 0.67）（F = 3.173，自由度 = 3，p = 0.02）。表示参军动机低的变量是自杀意念的唯一预测因素（p = 0.032）。
结论
早期诊断有助于军队心理健康官员进行更好的监测。
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