a Couple and Family Therapy Program, Kent School of Social Work, University of Louisville , Louisville , KY , USA and.
b Graduate School of Social Work, University of Denver , Denver , CO , USA.
J Ment Health. 2017 Aug;26(4):366-372. doi: 10.1080/09638237.2017.1340592. Epub 2017 Jul 4.
Although most people who make an attempt do not die, attempt survivors remain at particularly elevated risk for suicide in the short- and long-term. Moreover, the research on suicide-related disclosure and subsequent family reactions on risk factors for the development of suicidal desire is limited.
This study examined the relationships between disclosure, family reaction and two interpersonal needs connected to the development of suicidal desire.
Data from 74 attempt survivors who participated in a larger study were analyzed to assess the relationships between degree of suicide-related disclosure, quality of family reaction and thwarted belongingness and perceived burdensomeness.
Results indicated that higher rates of disclosure predicted more positive family reactions, which in turn predicted lower levels of thwarted belongingness and perceived burdensomeness. Although there was no direct relationship between disclosure and the outcome variables, bootstrapping analyses indicated that family reaction mediated the relationship between disclosure and both belongingness and burdensomeness.
These findings suggest the need for more family interventions that promote healthy reactions following suicide-related disclosure in order to facilitate the recovery and treatment process.
尽管大多数尝试自杀的人都没有死亡，但尝试幸存者在短期和长期内仍然面临着特别高的自杀风险。此外，关于自杀相关披露以及随后的家庭反应对自杀欲望发展的风险因素的研究有限。
本研究探讨了披露、家庭反应与与自杀欲望发展相关的两个人际需求之间的关系。
对 74 名参与更大规模研究的尝试自杀幸存者的数据进行了分析，以评估与自杀相关的披露程度、家庭反应质量与归属感受挫和负担感之间的关系。
结果表明，更高程度的披露预测了更积极的家庭反应，而家庭反应又预测了更低水平的归属感受挫和负担感。尽管披露与结局变量之间没有直接关系，但 bootstrap 分析表明，家庭反应中介了披露与归属感和负担感之间的关系。
这些发现表明，需要更多的家庭干预措施，以促进与自杀相关披露后健康的反应，从而促进康复和治疗过程。
