Mental Health Research and Treatment Center, Department of Psychology, Ruhr-Universität Bochum, Germany.
Department for Psychology and Psychotherapy, Universität Witten/Herdecke, Witten, Germany.
Psychiatry Res. 2019 Mar;273:678-684. doi: 10.1016/j.psychres.2019.01.091. Epub 2019 Jan 29.
In recent studies positive mental health has been shown as a resilience factor related to suicide ideation/behavior. It is not known if positive mental health buffers the effect of various risk factors (depression, perceived burdensomeness, hopelessness, childhood maltreatment) on suicide ideation/behavior in psychiatric inpatients-a high risk population. A total of 100 psychiatric inpatients were included in the survey. Four hierarchical regression analyses were conducted to examine, whether positive mental health moderates the association between the four risks factors and suicide ideation/behavior. Positive mental health was shown to moderate the association between perceived burdensomeness and suicide ideation/behavior. The association between the other three risk factors and suicide ideation/behavior was not moderated by positive mental health. Given the cross-sectional nature of the data, conclusions on causality cannot be drawn. The buffering effect of positive mental health suggests that positive mental health may improve the identification of individuals at risk of suicide ideation/behavior and may be an important area to target in the prevention and treatment of individuals at risk of suicide. Further research is needed.
在最近的研究中，积极的心理健康已被证明是与自杀意念/行为相关的韧性因素。目前尚不清楚积极的心理健康是否能缓冲各种风险因素（抑郁、感知负担、绝望、儿童期虐待）对精神科住院患者（高风险人群）自杀意念/行为的影响。共有 100 名精神科住院患者参与了这项调查。进行了四项分层回归分析，以检验积极的心理健康是否能调节四个风险因素与自杀意念/行为之间的关系。研究结果表明，积极的心理健康可以调节感知负担与自杀意念/行为之间的关系。而其他三个风险因素与自杀意念/行为之间的关系则不受积极心理健康的调节。鉴于数据的横断面性质，不能得出因果关系的结论。积极心理健康的缓冲作用表明，积极心理健康可能有助于识别有自杀意念/行为风险的个体，并且可能是预防和治疗有自杀风险的个体的一个重要目标领域。需要进一步的研究。
