Molaie Ali M, Chiu Chih-Yun, Habib Zara, Galynker Igor, Briggs Jessica, Rosenfield Paul J, Calati Raffaella, Yaseen Zimri S
Department of Psychiatry, Mount Sinai Beth Israel, New York, NY, United States.
Department of Psychiatry, Mount Sinai St. Luke's and Mount Sinai West, New York, NY, United States.
Front Psychol. 2019 Feb 21;10:289. doi: 10.3389/fpsyg.2019.00289. eCollection 2019.
Non-suicidal self-injury (NSSI) is a risk factor for suicide attempts (SA). Both attachment disturbances and cognitive and emotional problems (e.g., emotional pain) have been associated with SA history. This study sought to determine differential contributions of attachment styles and cognitive and emotional states associated with SA to lifetime NSSI occurrence among adults hospitalized for suicide risk. Adult psychiatric inpatients ( = 200) were assessed for attachment style, cognitive and emotional states, and lifetime NSSI within 72 h of hospitalization. Binary logistic regression and mediation analyses were performed. Preoccupied attachment and emotional pain at admission were independently associated with lifetime NSSI. Emotional pain partially mediated the relationship between preoccupied attachment and lifetime NSSI. The cross-sectional nature of the study and the use of a dichotomous (yes/no) measure of NSSI, not specifically designed for its assessment. Preoccupied attachment and emotional pain are associated with NSSI and may be useful targets for assessing risk of NSSI.
非自杀性自伤（NSSI）是自杀未遂（SA）的一个风险因素。依恋障碍以及认知和情绪问题（如情绪痛苦）都与自杀未遂史有关。本研究旨在确定与自杀未遂相关的依恋风格、认知和情绪状态对因自杀风险住院的成年人一生中发生非自杀性自伤的不同影响。对200名成年精神科住院患者在住院72小时内进行依恋风格、认知和情绪状态以及一生中非自杀性自伤情况的评估。进行了二元逻辑回归和中介分析。入院时的过度依恋和情绪痛苦与一生中的非自杀性自伤独立相关。情绪痛苦部分介导了过度依恋与一生中非自杀性自伤之间的关系。本研究的横断面性质以及使用非专门为评估非自杀性自伤而设计的二分法（是/否）测量方法。过度依恋和情绪痛苦与非自杀性自伤有关，可能是评估非自杀性自伤风险的有用指标。
