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男性囚犯中的自杀意念:关于精神病态特质通过人际需求受挫与自杀意念间接相关的初步证据。

Suicide Ideation Among Male Prisoners: Preliminary Evidence That Psychopathic Traits are Indirectly Linked to Suicide Ideation Through Thwarted Interpersonal Needs.

作者信息

Dhingra Katie, Mitchell Sean M, Davies Bill, Anestis Michael D, Anestis Joye C

机构信息

School of Social Sciences, Leeds Beckett University, England, UK.

Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.

出版信息

Suicide Life Threat Behav. 2020 Aug;50(4):823-837. doi: 10.1111/sltb.12632. Epub 2020 Mar 16.

DOI:10.1111/sltb.12632
PMID:32175630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7483615/
Abstract

BACKGROUND

The relation between psychopathic traits and suicide ideation (SI) is frequently discussed but little research has examined potential mechanisms underlying this association. The interpersonal theory of suicide (ITS) proposes two mechanisms in the pathogenesis of suicidal desire: thwarted belongingness (TB) and perceived burdensomeness (PB). This study cross-sectionally tested TB and PB as possible explanatory links in the relation between psychopathic traits and SI.

METHOD

Archival data from 784 male U.K. prisoners (M  = 37.21, SD = 9.97) were analyzed using structural equation modeling.

RESULTS

Psychopathic traits were indirectly associated with SI through more specific suicide-promoting processes - namely TB and PB. More specifically, results indicated that Egocentricity and Stimulus Seeking were indirectly associated with SI through PB and TB in combination. However, results indicated specific indirect effects of TB in the relations between the Antisocial Behavior, Egocentricity, and Stimulus Seeking facets, and SI, whereas specific indirect effects for PB were only significant in the relations between Egocentricity and Stimulus Seeking facets and SI.

CONCLUSION

Preliminary results are consistent with the ITS and suggest that psychopathic traits may be distal risk markers for SI and provide direction for future research that could inform suicide prevention efforts among male prisoners high in such traits.

摘要

背景

精神病态特质与自杀意念(SI)之间的关系经常被讨论,但很少有研究探讨这种关联背后的潜在机制。自杀人际理论(ITS)提出了自杀欲望发病机制中的两种机制:归属感受挫(TB)和感知负担感(PB)。本研究横断面检验了TB和PB作为精神病态特质与SI之间关系的可能解释性联系。

方法

使用结构方程模型分析了来自784名英国男性囚犯(M = 37.21,SD = 9.97)的档案数据。

结果

精神病态特质通过更具体的自杀促进过程——即TB和PB与SI间接相关。更具体地说,结果表明自我中心性和刺激寻求通过PB和TB的共同作用与SI间接相关。然而,结果表明TB在反社会行为、自我中心性和刺激寻求方面与SI的关系中具有特定的间接效应,而PB的特定间接效应仅在自我中心性和刺激寻求方面与SI的关系中显著。

结论

初步结果与ITS一致,表明精神病态特质可能是SI的远端风险标志物,并为未来研究提供方向,可为具有此类特质的男性囚犯的自杀预防工作提供信息。

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