自杀特异性认知、注意固着与最痛点自杀意念。
Suicide-Specific Cognitions, Attentional Fixation, and Worst-Point Suicidal Ideation.
机构信息
Louisiana State University, Baton Rouge, LA, USA.
University of Utah, Salt Lake City, UT, USA.
出版信息
Suicide Life Threat Behav. 2020 Aug;50(4):899-908. doi: 10.1111/sltb.12628. Epub 2020 Feb 26.
OBJECTIVE
The fluid vulnerability theory of suicide posits that each person has a baseline risk for suicide, which is comprised of both stable and dynamic factors. The current study investigated the unique involvement of suicide-specific cognitions and attentional fixation on recent suicidal ideation (SI) and SI at its worst.
METHOD
Data were analyzed from a sample of N = 126 undergraduate students with a history of SI. Path analyses were used to analyze the relationship between suicide-specific cognitions, attentional fixation, and SI (current and worst point).
RESULTS
Results revealed that suicide-specific cognitions were directly related to both recent SI and worst-point SI. Suicide-specific cognitions had a significant, indirect effect with worst-point SI through attentional fixation, but this effect was not significant when using recent SI.
CONCLUSION
These data support the need for interventions to target cognitive contents and contexts (e.g., fixation) to reduce escalation of SI. Future work would benefit from replicating and extending results in studies that include prospective designs and the assessment of suicidal behaviors.
目的
自杀的易感性理论认为，每个人都有一个自杀的基本风险，由稳定和动态因素组成。本研究调查了自杀特异性认知和对最近自杀意念（SI）和最严重 SI 的注意力固定的独特作用。
方法
对有 SI 病史的 126 名本科生样本进行了数据分析。路径分析用于分析自杀特异性认知、注意力固定与 SI（当前和最严重程度）之间的关系。
结果
结果表明，自杀特异性认知与最近的 SI 和最严重的 SI 均直接相关。自杀特异性认知通过注意力固定对最严重的 SI 有显著的间接影响，但在使用最近的 SI 时，这种影响不显著。
结论
这些数据支持需要干预措施来针对认知内容和情境（例如，固定）以减少 SI 的升级。未来的工作将受益于在包括前瞻性设计和自杀行为评估的研究中复制和扩展这些结果。
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