Department of Psychology, Koç University, Istanbul, Turkey.
Department of Psychology, Razi University, Kermanshah, Iran.
Suicide Life Threat Behav. 2021 Jun;51(3):586-595. doi: 10.1111/sltb.12735. Epub 2021 Feb 9.
This study compared cognitive control (working memory, interference control, perseveration) and cognitive emotion regulation among Iranian women with depression who had attempted suicide, had only suicidal ideation, and healthy controls.
Participants (N = 75) completed a clinical interview, cognitive control tasks, and the Cognitive Emotion Regulation Questionnaire.
Those with suicidal ideation or previous attempts had poorer cognitive control and cognitive emotion regulation than controls. Furthermore, those who had attempted suicide had poorer cognitive control and reported greater use of self-blame, rumination, and catastrophizing, and less use of acceptance, than those with suicidal ideation only. There was an indirect effect of cognitive control deficits on suicidality through cognitive emotion regulation (self-blame, acceptance, rumination, catastrophizing).
Exploring these cognitive deficits and difficulties can assist in further understanding the risk factors for suicidality and improve targeted interventions. This is of particular relevance in Iran where the need for policies and interventions targeting the prevention of suicide has been identified.
本研究比较了有自杀企图、仅有自杀意念和健康对照组的伊朗女性在认知控制（工作记忆、干扰控制、坚持）和认知情绪调节方面的差异。
参与者（N=75）完成了临床访谈、认知控制任务和认知情绪调节问卷。
有自杀意念或既往自杀尝试者的认知控制和认知情绪调节均差于对照组。此外，与仅有自杀意念者相比，有自杀企图者的认知控制更差，自责、反刍和灾难化思维的使用更多，而接受度更低。认知控制缺陷通过认知情绪调节（自责、接受、反刍、灾难化思维）对自杀意念产生间接影响。
探索这些认知缺陷和困难可以帮助我们进一步了解自杀意念的风险因素，并改善有针对性的干预措施。这在伊朗尤为重要，因为伊朗已经确定需要制定和实施针对自杀预防的政策和干预措施。
