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9·11事件后退伍军人的情绪失调与自杀意念有关吗?

Is Emotion Dysregulation Associated With Suicidal Ideation in Post 9/11 Veterans?

作者信息

Decker Suzanne E, Hoff Rani, Martino Steve, Mazure Carolyn M, Park Crystal L, Porter Elizabeth, Kraus Shane W

出版信息

Arch Suicide Res. 2021 Jan-Mar;25(1):126-140. doi: 10.1080/13811118.2019.1661895. Epub 2019 Sep 26.

DOI:10.1080/13811118.2019.1661895
PMID:31556798
Abstract

Emotion dysregulation, a risk factor for suicide ideation and attempts, has not been studied in U.S. veterans of Operations Enduring and Iraqi Freedom and New Dawn (OEF/OIF/OND). Data were collected through standardized telephone interviews and computer-based surveys from 278 OEF/OIF/OND veterans (70.6% male, 29.4% female). Bivariate analyses indicated that emotion dysregulation was associated with suicidal ideation during the past-three-months (r = 0.30, p < 0.05) and lifetime suicide attempts (r = 0.21, p < 0.05). When PTSD and depression symptoms were added to a sequential logistic regression model, emotion dysregulation was no longer significantly associated with ideation or attempt. Emotion dysregulation was associated with suicidal ideation and attempt; however, current distress had greater associations. Dysregulation is one of several factors in veteran suicide risk.

摘要

情绪失调是自杀意念和自杀未遂的一个风险因素,美国持久自由行动、伊拉克自由行动和新黎明行动(OEF/OIF/OND)的退伍军人中尚未对此进行研究。通过标准化电话访谈和基于计算机的调查,收集了278名OEF/OIF/OND退伍军人的数据(70.6%为男性,29.4%为女性)。双变量分析表明,情绪失调与过去三个月的自杀意念相关(r = 0.30,p < 0.05)以及终生自杀未遂相关(r = 0.21,p < 0.05)。当将创伤后应激障碍(PTSD)和抑郁症状添加到顺序逻辑回归模型中时,情绪失调与意念或未遂不再显著相关。情绪失调与自杀意念和未遂相关;然而,当前的痛苦与之关联更强。失调是退伍军人自杀风险的几个因素之一。

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