Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland (MK, AJ, AK, AK, MW); Department of Psychiatry, Addiction Research Center, University of Michigan, Ann Arbor, MI (KJB, MW); and Department of Psychology, University of Warsaw, Warsaw, Poland (HS).
J Addict Med. 2018 Jan/Feb;12(1):24-30. doi: 10.1097/ADM.0000000000000358.
The importance of investigating various emotional skills in assessment of suicide risk in alcohol-dependent (AD) individuals has recently become the focus of increasing interest. The objective of this study was to explore the relationships between self-reported components of emotional intelligence and lifetime prevalence of suicide attempts in a clinical sample of AD subjects.
A group of 80 inpatients entering an alcohol treatment program in Warsaw, Poland, was recruited. Baseline information about demographics, psychopathological symptoms, personality, and severity of alcohol problems was obtained. The Schutte Self-Report Emotional Intelligence Test was utilized for assessment of emotional processing. Lifetime history of suicide attempts was obtained from the MINI International Neuropsychiatric Interview.
After accounting for affect-related suicide risk factors (severity of depression, anxiety, neuroticism), and also other significant predictors (eg, age, sex, history of childhood abuse), mood regulation/optimism deficits remained a significant correlate of lifetime suicide attempts in AD patients. In the mediation models, mood regulation appeared to fully mediate the relationship between history of suicide attempts and depression, and also neuroticism.
The results of this study support the evidence that poor mood regulation might be related to the risk for suicidal behavior in AD individuals. These findings point towards the significance of addressing the issue of emotion-related skills in the therapy of those AD subjects who are at risk for suicide.
研究自杀风险评估中各种情绪技能的重要性最近引起了越来越多的关注。本研究的目的是探讨情绪智力自我报告成分与酒精依赖(AD)个体自杀未遂终生发生率之间的关系。
招募了波兰华沙一个酒精治疗项目的 80 名住院患者。获得了人口统计学、精神病理学症状、人格和酒精问题严重程度的基线信息。采用 Schutte 自我报告情绪智力测试评估情绪处理能力。通过 MINI 国际神经精神访谈获得自杀未遂的终生史。
在考虑了与情绪相关的自杀风险因素(抑郁、焦虑、神经质的严重程度)以及其他重要预测因素(如年龄、性别、儿童期虐待史)后,情绪调节/乐观缺陷仍然是 AD 患者自杀未遂终生发生率的显著相关因素。在中介模型中,情绪调节似乎完全中介了自杀未遂史与抑郁和神经质之间的关系。
本研究结果支持以下证据:情绪调节不良可能与 AD 个体自杀行为的风险有关。这些发现表明,在那些有自杀风险的 AD 患者的治疗中,解决与情绪相关的技能问题具有重要意义。