自杀军人的感知负担、欺凌和自杀意念。
Perceived burdensomeness, bullying, and suicidal ideation in suicidal military personnel.
机构信息
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
出版信息
J Clin Psychol. 2019 Dec;75(12):2147-2159. doi: 10.1002/jclp.22836. Epub 2019 Jul 23.
OBJECTIVE
Suicide is a major public health concern among military servicemembers and previous research has demonstrated an association between bullying and suicide. This study evaluated the association between workplace bullying and suicidal ideation via perceived burdensomeness and thwarted belongingness which were hypothesized to mediate this association.
METHOD
Four hundred and seventy-one suicidal Army Soldiers and U.S. Marines completed self-report measures of suicidal ideation, thwarted belongingness, perceived burdensomeness, and bullying. A series of regressions were used to test the hypothesized mediation model using the baseline data from a larger clinical trial.
RESULTS
Perceived burdensomeness was a significant mediator of the association between bullying and the level of suicidal ideation, but thwarted belongingness was not a significant mediator.
CONCLUSIONS
Perceived burdensomeness may represent a malleable target for intervention to prevent suicide among military service members, and should be evaluated further as an intervening variable with regard to suicidality in the setting of bullying victimization.
目的
自杀是军人中一个主要的公共卫生关注点，既往研究表明欺凌与自杀之间存在关联。本研究通过感知负担和归属感受挫来评估工作场所欺凌与自杀意念之间的关系，假设这两个因素可以介导这种关联。
方法
471 名有自杀意念的陆军士兵和美国海军陆战队员完成了自杀意念、归属感受挫、感知负担和欺凌的自我报告测量。使用一系列回归来检验假设的中介模型，使用更大的临床试验的基线数据。
结果
感知负担是欺凌与自杀意念水平之间关联的一个显著中介因素，但归属感受挫不是一个显著的中介因素。
结论
感知负担可能是预防军人自杀的一个可干预的目标，并且应该进一步评估它作为在遭受欺凌时自杀意念的一个中间变量。
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