Bhattacharyya D, Namdeo M, Dwivedi A K
Department of Psychiatry, Base Hospital Delhi Cantt, New Delhi, India.
Ind Psychiatry J. 2018 Jan-Jun;27(1):67-72. doi: 10.4103/ipj.ipj_2_18.
Coping style adopted by a person has been identified as an important factor in precipitating or preventing an intentional self-harm attempt. While the influence of reactive coping has received lot of research attention, effects of proactive coping on suicidal behavior has not been studied, even though it is known that proactive coping is associated with better mental health. The authors in the current study sought to investigate the relationship of proactive coping style with attempted deliberate self-harm.
A total of 44 individuals who presented with intentional self-harm were compared with age, sex, marital status, and education-matched healthy controls. Pierce Suicide Intent Scale was used to ascertain suicidal intent, and Proactive Coping Inventory was used to assess proactive coping.
There were no significant differences between subjects and controls for proactive coping, preventive coping, emotional support seeking, avoidance coping, and instrumental support seeking. However, participants scored higher in strategic planning ( = 0.027).
Proactive coping has no significant relationship with intentional self-harm; however, more studies with better designs are needed to comment conclusively.
人们采用的应对方式已被确定为引发或预防故意自我伤害行为的一个重要因素。虽然反应性应对的影响已受到大量研究关注，但前瞻性应对对自杀行为的影响尚未得到研究，尽管已知前瞻性应对与更好的心理健康相关。本研究的作者试图调查前瞻性应对方式与故意自我伤害未遂之间的关系。
将总共44名有故意自我伤害行为的个体与年龄、性别、婚姻状况和教育程度相匹配的健康对照者进行比较。使用皮尔斯自杀意图量表确定自杀意图，并使用前瞻性应对量表评估前瞻性应对。
在前瞻性应对、预防性应对、寻求情感支持、回避性应对和寻求工具性支持方面，研究对象与对照组之间没有显著差异。然而，参与者在战略规划方面得分更高（P = 0.027）。
前瞻性应对与故意自我伤害没有显著关系；然而，需要更多设计更优的研究才能得出确定性结论。
