Holliday Ryan, Holder Nicholas, Monteith Lindsey L, Surís Alina
J Nerv Ment Dis. 2018 Jul;206(7):575-578. doi: 10.1097/NMD.0000000000000840.
Posttraumatic stress disorder (PTSD) is associated with suicidal ideation (SI) and suicidal self-directed violence (SDV). Military sexual trauma (MST) is a common precursor to PTSD among veterans. Survivors of MST are more likely to be diagnosed with PTSD and are at greater risk for SI than survivors of other forms of trauma. Suicide-specific beliefs (e.g., unlovability, unbearability, unsolvability) have been shown to be strong predictors of SI and future suicidal SDV. Suicide-specific beliefs were examined over the course of treatment and follow-up in 32 veterans (23 women, 9 men) who received cognitive processing therapy (CPT) for MST-related PTSD. Hierarchical linear models revealed that veterans who received CPT had significant reductions in suicide-specific cognitions regarding unbearability, unlovability, and unsolvability. These preliminary findings warrant replication in a randomized controlled trial with a larger sample that includes participants with more acute suicidal intent.
创伤后应激障碍（PTSD）与自杀意念（SI）和自杀性自我导向暴力行为（SDV）相关。军事性创伤（MST）是退伍军人中PTSD的常见先兆。与其他形式创伤的幸存者相比，MST幸存者更有可能被诊断为PTSD，且自杀意念风险更高。自杀特异性信念（如不可爱、无法忍受、无法解决）已被证明是自杀意念和未来自杀性SDV的有力预测因素。在32名接受与MST相关PTSD认知加工疗法（CPT）的退伍军人（23名女性，9名男性）的治疗和随访过程中，对自杀特异性信念进行了研究。分层线性模型显示，接受CPT治疗的退伍军人在关于无法忍受、不可爱和无法解决的自杀特异性认知方面有显著降低。这些初步研究结果值得在一项随机对照试验中进行重复验证，该试验样本量更大，且包括有更强烈自杀意图的参与者。
