Department of Psychology, University of Notre Dame, Notre Dame, IN, United States.
Department of Psychology, University of Notre Dame, Notre Dame, IN, United States.
Psychiatry Res. 2020 Nov;293:113430. doi: 10.1016/j.psychres.2020.113430. Epub 2020 Aug 24.
Identifying those who engage in non-suicidal self-injury (NSSI) rely heavily on self-disclosure. However, less than half of those who engage in NSSI disclose their self-injurious behavior often due to the fear of negative reaction. This study examined how perceived reactions to NSSI disclosure (i.e., 'negative reactions', 'tangible aid,' and 'emotional support') may be associated with suicide risk through depression. Participants were 385 undergraduate students who had a lifetime history of engaging in and disclosing at least one of their NSSI acts. Perceived reactions to NSSI disclosure were assessed through the Self-injury Social Reactions Questionnaire; suicide risk was assessed through the Suicidal Behavior Questionnaire Revised; depression was assessed through the Beck Depression Inventory-II. Path analyses were conducted to examine the indirect effects of perceived reactions to NSSI disclosure on suicide risk through depression. Exploratory analyses of independent models examining each reaction separately were conducted as well. In the full model, negative reactions and emotional support were indirectly associated with suicide risk through depression. In the independent models, all three reaction types were associated with suicide risk through depression. The current study elucidates a potential mechanism in which specific perceived reactions to NSSI disclosure may influence one's suicide risk.
识别那些有非自杀性自伤行为(NSSI)的人严重依赖于自我披露。然而,由于担心负面反应,只有不到一半的有 NSSI 行为的人会经常披露他们的自伤行为。本研究通过抑郁来探讨对 NSSI 披露的感知反应(即“负面反应”、“实际帮助”和“情感支持”)如何与自杀风险相关。参与者是 385 名有过 NSSI 行为经历并至少披露过一次的本科生。对 NSSI 披露的感知反应通过自伤社会反应问卷进行评估;自杀风险通过自杀行为问卷修订版进行评估;抑郁通过贝克抑郁量表第二版进行评估。通过路径分析来检验感知到的 NSSI 披露反应通过抑郁对自杀风险的间接影响。还分别对独立模型中每种反应的探索性分析进行了检验。在全模型中,负面反应和情感支持通过抑郁与自杀风险间接相关。在独立模型中,所有三种反应类型都通过抑郁与自杀风险相关。本研究阐明了一个潜在的机制,即对 NSSI 披露的特定感知反应可能会影响一个人的自杀风险。
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