心理健康问题与自杀风险：急性自杀性情感障碍的影响
Mental Health Problems and Suicide Risk: The Impact of Acute Suicidal Affective Disturbance.
作者信息
Buckner Julia D, Lewis Elizabeth M, Tucker Raymond P
机构信息
Department of Psychology, Louisiana State University, Baton Rouge, Louisiana, USA.
出版信息
Arch Suicide Res. 2020;24(sup1):303-313. doi: 10.1080/13811118.2019.1574688. Epub 2019 Mar 24.
Abstract
Acute Suicidal Affective Disturbance (ASAD) is a suicide-specific, episodic clinical entity that is theorized to characterize acute suicide risk. Little work has examined the role of ASAD in mental health conditions linked to suicide risk. Thus, the current study examined whether depression, social anxiety, panic, and alcohol-related problems were related to suicide risk via ASAD history. A total of 527 undergraduates completed an online survey. Depression, social anxiety, and alcohol problem risk (but not panic) were robustly, significantly related to suicide risk, but only social anxiety and depression were robustly related to ASAD history. Depression and social anxiety symptoms were indirectly related to suicide risk via ASAD. ASAD may serve as a potential explanatory pathway through which some mental health conditions may lead to greater suicide risk.
摘要
急性自杀性情感障碍（ASAD）是一种特定于自杀的发作性临床实体，理论上被认为是急性自杀风险的特征。很少有研究探讨ASAD在与自杀风险相关的心理健康状况中的作用。因此，本研究考察了抑郁、社交焦虑、惊恐和酒精相关问题是否通过ASAD病史与自杀风险相关。共有527名本科生完成了一项在线调查。抑郁、社交焦虑和酒精问题风险（而非惊恐）与自杀风险密切相关且具有显著相关性，但只有社交焦虑和抑郁与ASAD病史密切相关。抑郁和社交焦虑症状通过ASAD与自杀风险间接相关。ASAD可能是一些心理健康状况导致更高自杀风险的潜在解释途径。
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