Smith Nicole S, Bauer Brian W, Martin Rachel L, Tucker Raymond P, Capron Daniel W
Arch Suicide Res. 2022 Jan-Mar;26(1):245-260. doi: 10.1080/13811118.2020.1793042. Epub 2020 Aug 4.
Anxiety sensitivity cognitive concerns (ASCC), the fear of the consequences of mental dyscontrol, has been established as a risk factor for suicidal ideation (SI). Treatments targeted at reducing ASCC have been shown to reduce suicide risk. In this study, a new self-report measure, the Anxiety Sensitivity Index-3 Suicidal Cognition Concerns (ASI-3-SCC), was developed to assess sensitivity specifically to thoughts of suicide and wanting to die.
Participants completed the new measure as well as measures of anxiety sensitivity, depressive symptoms, SI, and worst point SI. We hypothesized that the ASI-3-SCC would be associated with SI and worst point SI. Additionally, we hypothesized that the ASI-3-SCC would moderate the relationship between ASCC and SI.
As predicted, the ASI-3-SCC was significantly associated with SI in the past two weeks and lifetime worst point SI after accounting for ASCC and depression. The ASI-3-SCC also moderated the relationship between ASCC and SI such that ASCC was related to SI at high levels of ASI-3-SCC.
We suggest that the interpretation of SI and feelings of wanting to die as dangerous may lead to more attention to those thoughts when they occur and increased psychological distress associated with those thoughts. This measure will allow researchers to measure a novel construct in the literature and further examine the impact of catastrophic interpretations of suicidal thoughts.HighlightsCreated a new measure for sensitivity to thoughts of suicide and wanting to die.Suicidal cognition concerns associated with suicidal ideation in the past two weeks.Suicidal cognition concerns associated with lifetime worst point suicidal ideation.Suicidal cognition concerns moderated AS cognitive concerns and ideation relation.
焦虑敏感性认知担忧（ASCC），即对精神失控后果的恐惧，已被确定为自杀意念（SI）的一个风险因素。针对降低ASCC的治疗已被证明可降低自杀风险。在本研究中，开发了一种新的自我报告量表，即焦虑敏感性指数-3自杀认知担忧量表（ASI-3-SCC），以专门评估对自杀想法和想死念头的敏感性。
参与者完成了新量表以及焦虑敏感性、抑郁症状、自杀意念和最严重时自杀意念的测量。我们假设ASI-3-SCC将与自杀意念和最严重时自杀意念相关。此外，我们假设ASI-3-SCC将调节ASCC与自杀意念之间的关系。
正如预测的那样，在考虑了ASCC和抑郁因素后，ASI-3-SCC与过去两周内的自杀意念以及一生中最严重时的自杀意念显著相关。ASI-3-SCC还调节了ASCC与自杀意念之间的关系，使得在ASI-3-SCC水平较高时，ASCC与自杀意念相关。
我们认为，将自杀意念和想死的感觉解释为危险可能会导致在这些想法出现时更多地关注它们，并增加与这些想法相关的心理困扰。该量表将使研究人员能够测量文献中的一种新结构，并进一步研究对自杀想法的灾难性解释的影响。要点：创建了一种对自杀想法和想死念头敏感性的新测量方法。自杀认知担忧与过去两周内的自杀意念相关。自杀认知担忧与一生中最严重的自杀意念相关。自杀认知担忧调节了焦虑敏感性认知担忧与意念之间的关系。
