1 School of Community and Environmental Health, Old Dominion University, Norfolk, VA, USA.
2 School of Psychological Sciences & Health, University of Strathclyde, Glasgow, UK.
Int J Soc Psychiatry. 2019 Feb;65(1):46-55. doi: 10.1177/0020764018815206. Epub 2018 Nov 29.
Suicide prevention literature currently suffers from inconsistent measurement and incomplete theoretical development.
Using a recommended suicide measurement approach for epidemiological studies (i.e. the Suicidal Behaviors Questionnaire-Revised (SBQ-R)), the present investigation assessed United Kingdom young adult suicide prevalence rates. This study also investigated the utility of a Preferences in Information Processing (PIP) model of suicide in identifying those at increased odds for elevated suicide risk, as well as lifetime ideation and attempt.
A cross-sectional mental health and well-being survey study ( n = 414) was conducted.
The prevalence rates of elevated risk (49.8%), lifetime ideation only (55.3%) and lifetime attempt (13.5%) were high. Bivariate associations demonstrated that elevated depression, anxiety and Need for Affect (NFA) Avoidance were associated with worsened suicide outcomes, whereas elevated Need for Cognition (NFC) was associated with decreased suicide risk. Logistic regression results identified depression and NFA Avoidance as the strongest predictors of elevated suicide risk. Multinomial logistic regression results established several PIP-based moderation effects for depression and anxiety in which NFA Approach and NFC differentially influenced odds of suicide attempt group membership.
The SBQ-R is an appropriate tool for UK young adult suicide research. NFA and NFC demonstrated potential for inclusion in young adult suicide prevention programming. Further research is needed to fully evaluate the PIP model of suicide and effectiveness of proposed theory-based approaches to suicide prevention.
自杀预防文献目前存在测量方法不一致和理论发展不完整的问题。
本研究采用推荐的用于流行病学研究的自杀测量方法(即修订后的自杀行为问卷 [SBQ-R]),评估英国青年成年人的自杀率。本研究还探讨了自杀的偏好信息处理(PIP)模型在识别自杀风险增加的个体以及终生意念和尝试自杀方面的效用。
进行了一项横断面心理健康和幸福感调查研究(n=414)。
高风险(49.8%)、终生意念(55.3%)和终生尝试(13.5%)的发生率很高。双变量关联表明,抑郁、焦虑和情感回避需求增加与自杀结局恶化相关,而认知需求增加与自杀风险降低相关。逻辑回归结果确定了抑郁和情感回避需求是增加自杀风险的最强预测因素。多项逻辑回归结果确定了抑郁和焦虑的基于 PIP 的调节效应,其中情感接近和认知需求对自杀尝试组别的可能性有不同的影响。
SBQ-R 是英国青年成年人自杀研究的合适工具。情感回避和认知需求在青年成年人自杀预防计划中具有潜在应用价值。需要进一步研究来全面评估自杀的 PIP 模型以及拟议的基于理论的自杀预防方法的有效性。