Department of Psychology, University of Notre Dame, Notre Dame, IN, USA.
Seattle-Denver Center of Innovation for Veteran-Centered Value-Driven Care, VA Puget Sound Health Services, Seattle, WA, USA.
Crisis. 2021 Nov;42(6):411-417. doi: 10.1027/0227-5910/a000727. Epub 2020 Nov 5.
Patient disclosure of prior suicidal behaviors is critical for effectively managing suicide risk; however, many attempts go undisclosed. The current study explored how responses following a suicide attempt disclosure may relate to help-seeking outcomes. Participants included 37 veterans with a previous suicide attempt receiving inpatient psychiatric treatment. Veterans reported on their most and least helpful experiences disclosing their suicide attempt to others. Veterans disclosed their suicide attempt to approximately eight individuals. Mental health professionals were the most cited recipient of their most helpful disclosure; romantic partners were the most common recipient of their least helpful disclosures. Positive reactions within the context of the least helpful disclosure experience were positively associated with a sense of connection with the disclosure recipient. Positive reactions within the most helpful disclosure experience were positively associated with the likelihood of future disclosure. No reactions were associated with having sought professional care or likelihood of seeking professional care. The results are considered preliminary due to the small sample size. Findings suggest that while positive reactions may influence suicide attempt disclosure experiences broadly, additional research is needed to clarify factors that drive the decision to disclose a suicide attempt to a professional.
患者披露先前的自杀行为对于有效管理自杀风险至关重要；然而，许多尝试都未被披露。本研究探讨了自杀尝试披露后的反应如何与寻求帮助的结果相关。参与者包括 37 名接受住院精神科治疗的有过自杀尝试的退伍军人。退伍军人报告了他们向他人披露自杀企图的最有帮助和最没有帮助的经历。退伍军人向大约八个人披露了他们的自杀企图。心理健康专业人员是他们最有帮助的披露中最常被提到的接受者；浪漫伴侣是他们最常提到的最没有帮助的披露接受者。在最没有帮助的披露经历中，积极的反应与与披露接受者的联系感呈正相关。在最有帮助的披露经历中，积极的反应与未来披露的可能性呈正相关。没有反应与寻求专业护理或寻求专业护理的可能性有关。由于样本量小，结果被认为是初步的。研究结果表明，虽然积极的反应可能会广泛影响自杀企图披露的经历，但需要进一步研究来澄清促使向专业人员披露自杀企图的因素。
