Translational Research Centre, University Hospital of Psychiatry, University of Bern, Switzerland; University of Leipzig, Department of Medical Psychologie and Medical Sociology, Germany.
Translational Research Centre, University Hospital of Psychiatry, University of Bern, Switzerland.
J Affect Disord. 2020 Mar 1;264:393-399. doi: 10.1016/j.jad.2019.11.059. Epub 2019 Nov 11.
The development of individual coping strategies for suicidal crises is essential for suicide prevention. However, the influence of a brief intervention and the effect on coping strategies is largely unknown. This study aimed to investigate the influence of the Attempted Suicide Short Intervention Program on the development of coping strategies, in comparison to a control group.
In this secondary analysis of a 24-month follow-up randomised controlled study, 120 patients (55% female; mean age of 36) with a history of suicide attempts were randomly allocated to either the ASSIP group or to a control group, in addition to treatment as usual.
The present study identified 11% less dysfunctional coping in the ASSIP group and 6% more problem-focussed coping compared to the control group after 24-months. The analysis of broader strategies showed a statistically significant group difference regarding self-distraction (after 12-months) and self-blame (after 24-months). In regard to the long-term association between coping strategies and suicidal ideation, active coping and substance use were negatively associated with suicidal ideation in the ASSIP group. Whereas, in the control group, behavioural disengagement and positive reframing were positively and self-distraction was negatively related to suicidal ideation.
The receipt of a clinical interview and suicide risk assessment in the control group could have potentially had an effect on participants' coping mechanisms.
These results indicate that ASSIP may have an impact on the development of problem-focussed coping strategies. Although a reduction in dysfunctional coping seems to be essential in overcoming suicidal crises.
针对自杀危机开发个体应对策略对于预防自杀至关重要。然而，简短干预的影响及其对应对策略的效果在很大程度上尚不清楚。本研究旨在调查与对照组相比，尝试自杀简短干预计划（ASSIP）对应对策略发展的影响。
这是一项为期 24 个月的随访随机对照研究的二次分析，将 120 名有自杀未遂史的患者（55%为女性；平均年龄 36 岁）随机分配到 ASSIP 组或对照组，除了常规治疗外，还接受 ASSIP 或对照组干预。
与对照组相比，ASSIP 组在 24 个月后出现的功能失调应对减少了 11%，问题聚焦应对增加了 6%。对更广泛策略的分析显示，在自我分心（12 个月后）和自责（24 个月后）方面，两组存在统计学显著差异。关于应对策略与自杀意念之间的长期关联，积极应对和物质使用与 ASSIP 组的自杀意念呈负相关。而在对照组中，行为脱离和积极重塑与自杀意念呈正相关，自我分心与自杀意念呈负相关。
对照组接受临床访谈和自杀风险评估可能会对参与者的应对机制产生影响。
这些结果表明，ASSIP 可能会对问题聚焦应对策略的发展产生影响。尽管减少功能失调应对似乎对于克服自杀危机至关重要。
