Sharaf Amira Y, Lachine Ola A, Thompson Elaine A
Psychiatric Nursing and Mental Health, Alexandria University, Faculty of Nursing, Egypt.
Psychiatric Nursing and Mental Health, Alexandria University, Faculty of Nursing, Egypt.
Arch Psychiatr Nurs. 2018 Feb;32(1):86-92. doi: 10.1016/j.apnu.2017.10.008. Epub 2017 Oct 13.
The more complex influences of social problem-solving abilities and rumination-specifically brooding and reflection-on suicide intent is not well understood. We hypothesized that social problem solving would moderate the association between reflection and suicide intent, and mediate the influence of brooding on suicide intent. A convenience sample (N=186) of individuals hospitalized for recent suicide attempt was interviewed, assessing suicide intent, social problem solving, brooding, reflection and depression. Brooding and reflection were positively associated with suicide intent. The mediating, but not the moderating, hypothesis was supported. Brooding was not significant (β=0.15, t=1.92, p=0.06) with social problem solving controlled. Interventions to disengage rumination and improve social problem-solving skills are underscored.
社会问题解决能力和反复思考（特别是沉思和反思）对自杀意图的更复杂影响尚未得到充分理解。我们假设社会问题解决能力会调节反思与自杀意图之间的关联，并介导沉思对自杀意图的影响。对因近期自杀未遂而住院的个体进行了一项便利样本研究（N = 186），评估自杀意图、社会问题解决能力、沉思、反思和抑郁情况。沉思和反思与自杀意图呈正相关。中介假设得到支持，但调节假设未得到支持。在控制了社会问题解决能力后，沉思不显著（β = 0.15，t = 1.92，p = 0.06）。强调了旨在消除反复思考并提高社会问题解决技能的干预措施。
