创伤后应激障碍（PTSD）源于自杀未遂：自杀未遂幸存者中的实证研究。
PTSD from a suicide attempt: An empirical investigation among suicide attempt survivors.
机构信息
Department of Psychology, Florida State University, Tallahassee, Florida.
Live Through This.
出版信息
J Clin Psychol. 2019 Oct;75(10):1879-1895. doi: 10.1002/jclp.22833. Epub 2019 Jul 23.
Abstract
OBJECTIVES
Suicide attempts (SAs), by definition, represent a risk for serious injury or death; thus, one's SA may contribute to the development of posttraumatic stress disorder (PTSD). Yet, empirical data on this topic are lacking. This study aimed to characterize the phenomenology, rate, and associated features of PTSD following one's SA.
METHOD
A total of 386 adult SA survivors recruited from web-based sources participated.
RESULTS
Overall, 27.5% (95% confidence interval = 23.1-31.9%) of SA survivors screened positive for a probable SA-related PTSD diagnosis. Individuals with a probable SA-related PTSD diagnosis reported greater current suicidal intent than those without this probable diagnosis; this association was significant at low, but not high, levels of depression symptoms.
CONCLUSIONS
A substantial proportion of SA survivors may experience SA-related PTSD. SA-related PTSD may be a viable assessment and intervention target to improve the quality of life and to reduce future suicide risk among SA survivors.
摘要
目的
自杀未遂（SA）根据其定义，代表着严重受伤或死亡的风险；因此，一个人的自杀未遂可能会导致创伤后应激障碍（PTSD）的发展。然而，关于这个主题的实证数据是缺乏的。本研究旨在描述一个人自杀未遂后 PTSD 的现象学、发生率和相关特征。
方法
共招募了 386 名来自网络资源的成年自杀未遂幸存者参与。
结果
总体而言，27.5%（95%置信区间=23.1-31.9%）的自杀未遂幸存者筛查出可能与自杀未遂相关的 PTSD 诊断。与没有这一可能诊断的人相比，有这种可能的与自杀未遂相关的 PTSD 诊断的个体当前自杀意图更大；这种关联在抑郁症状处于低水平而非高水平时具有显著意义。
结论
相当一部分自杀未遂幸存者可能会经历与自杀未遂相关的 PTSD。与自杀未遂相关的 PTSD 可能是一个可行的评估和干预目标，以提高自杀未遂幸存者的生活质量并降低他们未来的自杀风险。
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