Department of Psychology, Florida State University, 1107 West Call Street, Tallahassee, FL, 32306-4301, USA.
Department of Psychology, Ben-Gurion University of the Negev, Beersheba, Israel.
J Clin Psychol Med Settings. 2021 Mar;28(1):137-148. doi: 10.1007/s10880-020-09749-x. Epub 2020 Oct 31.
Suicide rates are elevated in individuals with chronic illness, yet few studies have examined risk factors for suicide in this population. Drawing from theoretical models and risk factors identified in the suicide literature more broadly, this article provides a conceptual overview of cognitive (e.g., pain catastrophizing, self-criticism), affective (e.g., emotion dysregulation), interpersonal (e.g., perceived burdensomeness, thwarted belongingness, critical expressed emotion), and behavioral factors that may contribute, at least in part, to the link between chronic illness, and illness-specific factors, and suicidal thoughts and behaviors. We also outline several avenues for future research in this area and provide specific considerations and recommendations for the screening, assessment, and initial intervention of suicide risk within individuals with chronic health conditions.
自杀率在患有慢性疾病的个体中升高，但很少有研究检查这一人群中自杀的风险因素。本文借鉴了自杀文献中更广泛的理论模型和风险因素，提供了一个认知（例如，疼痛灾难化、自我批评）、情感（例如，情绪失调）、人际（例如，被认为是负担、归属感受挫、批判性表达情感）和行为因素的概念概述，这些因素可能至少部分导致慢性疾病、疾病特异性因素以及自杀念头和行为之间的联系。我们还概述了该领域未来研究的几个方向，并为慢性健康状况个体的自杀风险的筛查、评估和初步干预提供了具体的考虑和建议。
