Department of Medical and Clinical Psychology, Suicide Care, Prevention, and Research (CPR) Initiative, Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Road, B3046, Bethesda, MD 20814, USA.
Walter Reed National Military Medical Center, National Intrepid Center of Excellence, Bethesda, MD, USA.
Psychiatry Res. 2018 Dec;270:1131-1136. doi: 10.1016/j.psychres.2018.10.023. Epub 2018 Oct 9.
Individuals with suicide ideation require self-efficacy to avoid engagement in suicidal behaviors. Low self-efficacy has been examined as a risk indicator for suicidal behaviors. The Self-Efficacy to Avoid Suicidal Action (SEASA) scale assesses self-efficacy to resist suicidal urges and was originally evaluated in a sample of adults receiving treatment for substance use disorders. The goal of this study was to explore the link between suicide ideation and self-efficacy to avoid suicidal action among a high-risk group of psychiatric inpatients. Military personnel psychiatrically hospitalized following a suicide-related event (N = 139) completed a modified version of the SEASA and provided a full history of suicidal behaviors. Data were analyzed using multiple linear regression. Severity of worst time point suicide ideation, endorsement of any current suicide ideation, and history of multiple lifetime suicide attempts were associated with lower self-efficacy to avoid suicidal action. Self-efficacy to avoid engagement in suicidal action is a belief that can be strengthened and practiced within evidence-based treatments such as cognitive behavior therapy for suicide prevention. Thus, providers are encouraged to target this type of self-efficacy in case conceptualization and treatment planning. Future research on how self-efficacy to avoid suicidal action can be effectively measured are needed.
有自杀意念的个体需要自我效能感来避免自杀行为。低自我效能感已被视为自杀行为的风险指标。《避免自杀行动的自我效能感量表》（SEASA）评估了抵抗自杀冲动的自我效能感，最初在接受药物滥用治疗的成年人样本中进行了评估。本研究的目的是探讨在一组高危精神科住院患者中，自杀意念与避免自杀行动的自我效能感之间的联系。因自杀相关事件而被精神病院收治的军人（n=139）完成了 SEASA 的修改版，并提供了自杀行为的完整病史。使用多元线性回归分析数据。最严重的自杀意念时间点的严重程度、当前任何自杀意念的存在，以及多次一生中自杀企图的历史，与避免自杀行动的自我效能感较低有关。避免参与自杀行为的自我效能感是一种信念，可以在认知行为治疗预防自杀等循证治疗中得到加强和实践。因此，鼓励提供者在病例概念化和治疗计划中针对这种类型的自我效能感。需要进一步研究如何有效地衡量避免自杀的自我效能感。
