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自杀未遂者的依恋风格和童年期虐待史。

Attachment style and history of childhood abuse in suicide attempters.

机构信息

Ferdowsi University of Mashhad, Mashhad, Iran.

Ferdowsi University of Mashhad, Mashhad, Iran.

出版信息

Psychiatry Res. 2019 Jan;271:1-7. doi: 10.1016/j.psychres.2018.11.006. Epub 2018 Nov 5.

DOI:10.1016/j.psychres.2018.11.006
PMID:30447558
Abstract

Insecure attachment style has been observed in some people with a history of suicide attempt. Furthermore, some types of abuse in childhood may predict suicide attempt in adulthood. The purpose of this study was to assess the attachment style, history of abuse, demographic information and number of suicide attempts in suicide attempters. This cross-sectional study was performed on 80 suicide attempters in Tehran in 2017. Demographic information, suicide behavior, attachment style and history of childhood abuse were assessed in a psychological interview using the Revised Adult Attachment Scale. Of all, 38.8% had attempted suicide once and 45% had experienced heavy maltreatment in childhood. There was no significant correlation between the number of suicide attempts and the attachment style. History of abuse could predict the number of suicide attempts in 17.3%, which was not significant; 78.8% had avoidant attachment style. The frequency of avoidant and ambivalent attachment styles was higher in suicide attempters who had experienced maltreatment in childhood. Considering the important role of attachment style and history of abuse in attempting suicide, knowledge in this regard is important especially in those at risk of suicide attempt to plan early psychological intervention and prevent suicide.

摘要

不安全的依恋模式在一些有自杀未遂史的人中观察到。此外,童年时期的某些虐待类型可能预示着成年后的自杀未遂。本研究的目的是评估自杀未遂者的依恋模式、虐待史、人口统计学信息和自杀未遂次数。这项横断面研究于 2017 年在德黑兰对 80 名自杀未遂者进行。使用修订后的成人依恋量表,通过心理访谈评估人口统计学信息、自杀行为、依恋模式和童年虐待史。其中,38.8%的人曾有过一次自杀未遂,45%的人在童年时期遭受过严重的虐待。自杀未遂次数与依恋模式之间无显著相关性。虐待史可预测 17.3%的自杀未遂次数,但无统计学意义;78.8%的人有回避型依恋模式。在童年时期遭受过虐待的自杀未遂者中,回避型和矛盾型依恋模式的频率更高。考虑到依恋模式和虐待史在自杀未遂中的重要作用,了解这方面的知识尤为重要,特别是对那些有自杀未遂风险的人,以便及早进行心理干预和预防自杀。

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