自杀意念披露:模式、相关性和结果。
Suicidal ideation disclosure: Patterns, correlates and outcome.
机构信息
Centre for Mental Health Research, Research School of Population Health, The Australian National University, 63 Eggleston Road, Acton, Canberra ACT 2601, Australia.
Centre for Mental Health Research, Research School of Population Health, The Australian National University, 63 Eggleston Road, Acton, Canberra ACT 2601, Australia.
出版信息
Psychiatry Res. 2019 Aug;278:1-6. doi: 10.1016/j.psychres.2019.05.024. Epub 2019 May 16.
This study aimed to identify how frequently suicidal individuals disclosed their ideation, assess which sources were perceived to be most helpful and identify correlates of disclosure and source helpfulness. A cross-sectional survey was conducted with 1,616 Australian adults reporting suicidal ideation in the past 12-months. Participants were recruited from social media and reported on their disclosure of suicidal thoughts to formal and informal sources. 39% of participants did not disclose to anyone, while 47% disclosed to an informal source and 42% to a health professional. The responses of psychologists and counsellors were perceived to be the most helpful, while parents and hospital-based health professionals were perceived to be the least helpful. Severity of suicidal thoughts, younger age, and a suicide attempt in the past 12-months were associated with greater likelihood of disclosure, while participants who were younger, linguistically diverse, had greater suicidal ideation or personal stigma were less likely to perceive the response of a GP to be helpful. This study demonstrates that non-disclosure of suicidal thoughts is frequent and that the response received to a disclosure may not always be perceived to be helpful. Further research is needed to identify how best to support individuals who disclose suicide.
本研究旨在确定有多少自杀个体透露了他们的自杀意念,评估哪些来源被认为最有帮助,并确定透露和来源帮助的相关性。对 1616 名过去 12 个月有自杀意念的澳大利亚成年人进行了一项横断面调查。参与者是通过社交媒体招募的,并报告了他们向正式和非正式来源透露自杀想法的情况。39%的参与者没有向任何人透露,47%的参与者向非正式来源透露,42%的参与者向卫生专业人员透露。心理学家和咨询师的回应被认为最有帮助,而父母和医院的卫生专业人员被认为最没有帮助。自杀意念的严重程度、年龄较小和过去 12 个月内的自杀未遂与更大的透露可能性相关,而年龄较小、语言多样性更大、自杀意念或个人耻辱感更强的参与者则不太可能认为全科医生的反应有帮助。这项研究表明,自杀意念的不透露是很常见的,而对透露的反应并不总是被认为是有帮助的。需要进一步研究以确定如何最好地支持透露自杀的个体。