School of Psychological Sciences and Health, University of Strathclyde, Glasgow G1 1QE, UK.
Department of Psychology, Glasgow Caledonian University, Glasgow G4 0BA, UK.
Int J Environ Res Public Health. 2020 Sep 17;17(18):6771. doi: 10.3390/ijerph17186771.
Mental well-being protects against the emergence of suicidal thoughts. However, it is not clear whether these findings extend to self-harm thoughts and behaviors irrespective of intent during adolescence-or why this relationship exists. The current study aimed to test predictions-informed by the integrated motivational-volitional (IMV) model of suicide-concerning the role of perceived defeat and entrapment within the link between mental well-being and self-harm risk. Young people ( = 573) from secondary schools across Scotland completed an anonymous self-report survey at two time points, six months apart, that assessed mental well-being, self-harm thoughts and behaviors, depressive symptomology and feelings of defeat and entrapment. Mental well-being was associated with reduced defeat and entrapment (internal and external) and a decrease in the likelihood that a young person would engage in self-harm thoughts and behaviors. The relationship between mental well-being and thoughts of self-harm was mediated by perceptions of defeat and entrapment (internal and external). Mental well-being was indirectly related to self-harm behaviors via decreased feelings of defeat and internal (but not external) entrapment. Taken together, these findings provide novel insights into the psychological processes linking mental well-being and self-harm risk and highlight the importance of incorporating the promotion of mental well-being within future prevention and early intervention efforts.
心理健康可以预防自杀念头的出现。然而，目前尚不清楚这些发现是否适用于青少年时期无论意图如何的自残想法和行为，或者为什么会存在这种关系。本研究旨在测试基于自杀的综合动机-意志（IMV）模型的预测，这些预测涉及心理健康与自残风险之间联系中的感知挫败感和困境。来自苏格兰各地中学的年轻人（=573 人）在两次相隔六个月的时间点上完成了一项匿名自我报告调查，该调查评估了心理健康、自残想法和行为、抑郁症状以及挫败感和困境感。心理健康与降低的挫败感和困境（内部和外部）以及年轻人从事自残想法和行为的可能性降低有关。心理健康与自残想法之间的关系受到挫败感和困境（内部和外部）的感知的调节。心理健康通过降低的挫败感和内部（而非外部）困境与自残行为间接相关。总的来说，这些发现为心理健康和自残风险之间的心理过程提供了新的见解，并强调了在未来的预防和早期干预工作中纳入促进心理健康的重要性。
