Department of Psychology, Idaho State University, Pocatello, ID, USA.
Suicide Life Threat Behav. 2020 Apr;50(2):545-557. doi: 10.1111/sltb.12608. Epub 2019 Dec 4.
Negative social interactions are known to contribute to the development of suicide ideation. However, it is unclear how this risk factor interacts with other predisposing risk factors. The purpose of this study was to determine how social and neuropsychological factors interact as a prospective predictor of the emergence of suicide ideation in adolescents.
Data were collected from adolescents (M age = 13.12, SD = 1.48) over 3 years as part of a larger study. Participants completed the MINI-Kid and Youth Self-Report, which were used to assess for suicidality. Negative social interactions were operationalized as the Social Problems scale of the YSR. Additionally, adolescents completed a neuropsychological battery at each wave of data collection.
Logistic moderation analyses demonstrated a significant interaction between task switching and endorsement of negative social interactions in the prediction of suicide ideation one year later, Wald χ (1) = 4.94, OR = 0.90, p < .05. Distractibility was a significant predictor, Wald χ (1) = 5.52, OR = 3.45, p < .05, but it did not demonstrate an interaction effect. Perseveration failed to reach statistical significance independently and in the interaction.
The results indicate that certain neuropsychological characteristics can aid in predicting which adolescents will develop suicide ideation in the presence of negative social interactions, which may have significant clinical implications.
已知负面的社会交往会导致自杀意念的发展。然而,目前尚不清楚这种风险因素如何与其他易患风险因素相互作用。本研究的目的是确定社会和神经心理学因素如何作为青少年自杀意念出现的前瞻性预测因素相互作用。
本研究的数据是作为一项更大研究的一部分,在 3 年内从青少年(M 年龄=13.12,SD=1.48)中收集的。参与者完成了 MINI-Kid 和青少年自我报告,用于评估自杀倾向。负面的社会交往被定义为 YSR 的社会问题量表。此外,青少年在每次数据收集时都完成了神经心理学测试。
逻辑调节分析表明,在预测一年后自杀意念时,任务转换和负面社会交往的认可之间存在显著的交互作用,Wald χ(1)=4.94,OR=0.90,p<0.05。注意力分散是一个显著的预测因素,Wald χ(1)=5.52,OR=3.45,p<0.05,但它没有表现出交互作用。坚持力独立和交互作用均未达到统计学意义。
研究结果表明,某些神经心理学特征可以帮助预测在存在负面社会交往的情况下哪些青少年会出现自杀意念,这可能具有重要的临床意义。