Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Grady Health System, Atlanta, GA, USA.
Department of Psychiatry and Behavioral Sciences, University of Texas Health Sciences Center, Houston, TX, USA.
Suicide Life Threat Behav. 2019 Apr;49(2):401-412. doi: 10.1111/sltb.12438. Epub 2018 Feb 12.
Individuals diagnosed with bipolar disorder (BD) are at an increased risk of Suicidal ideation, attempts, and death. Moreover, a strong association exists between childhood sexual abuse (CSA) and suicidal ideation among individuals with BD. Yet growing evidence suggests that existential well-being (EWB) may be a protective factor against suicidality. In this study, adult BD patients (N = 112) provided data on CSA, religious well-being (RWB; spiritual life in relation to God), EWB (purpose/meaning in life), and suicidal ideation. Participants were between 19 and 65 years of age. The majority was female and described their race/ethnicity as African American. Results indicated that CSA was negatively associated with EWB and was not related to RWB. Further, EWB mediated the association between CSA and suicidal ideation, whereas RWB did not. Having meaning/purpose in life may serve as a protective factor against suicidal ideation among individuals with BD who experienced CSA, whereas having a relationship/belief in God may not serve the same function.
个体被诊断患有双相情感障碍（BD），自杀意念、自杀企图和自杀死亡的风险增加。此外，BD 患者的童年期性虐待（CSA）与自杀意念之间存在强烈关联。然而，越来越多的证据表明，存在幸福感（EWB）可能是自杀意念的保护因素。在这项研究中，成人 BD 患者（N=112）提供了 CSA、宗教幸福感（RWB；与上帝有关的精神生活）、EWB（生活的目的/意义）和自杀意念的数据。参与者年龄在 19 至 65 岁之间。大多数是女性，描述自己的种族/族裔为非裔美国人。结果表明，CSA 与 EWB 呈负相关，与 RWB 无关。此外，EWB 介导了 CSA 与自杀意念之间的关联，而 RWB 则没有。对于经历过 CSA 的 BD 患者，生活有意义/目的可能是预防自杀意念的保护因素，而与上帝的关系/信仰可能没有相同的作用。
