Department of Psychiatry, The University of British Columbia, Vancouver, British Columbia, Canada.
School of Psychology and Public Health, LaTrobe University, Bundoora, Victoria, Australia.
Br J Clin Psychol. 2021 Sep;60(3):414-423. doi: 10.1111/bjc.12291. Epub 2021 Apr 9.
This study examined associations between generalized shame and guilt, and suicidal ideation.
Individuals attending outpatient mental health services (N = 100) completed study measures at a single time point. Correlation and regression analyses examined associations between recent suicidal ideation and generalized shame and guilt, both concurrently and interacting, controlling for depressive symptoms and history of previous suicide attempt.
When examined concurrently, guilt - but not shame - remained significantly associated with suicidal ideation, after accounting for effects of depressive symptoms and past suicide attempt. A significant shame × guilt interaction revealed the association between guilt and suicidal ideation intensified with higher shame.
Findings emphasize consideration of generalized shame and guilt - and their interaction - when working with patients exhibiting suicidal thoughts.
Shame and guilt are self-conscious emotions that, when generalized and excessive, may confer risk for suicidal ideation Generalized guilt may be uniquely linked with suicidal ideation, yet this association may also amplified by shame Both shame and guilt - and their interaction - are important to consider when working with patients exhibiting suicidal thoughts.
本研究考察了普遍羞耻感和罪恶感与自杀意念之间的关系。
在一个时间点，参加门诊心理健康服务的个体完成了研究措施。相关和回归分析检验了近期自杀意念与普遍羞耻感和罪恶感之间的关联，同时考虑了抑郁症状和既往自杀企图的影响。
在考虑抑郁症状和既往自杀企图的影响后，当同时进行检验时，只有罪恶感——而不是羞耻感——与自杀意念显著相关。羞耻感与罪恶感的显著交互作用表明，随着羞耻感的增强，罪恶感与自杀意念的关联也随之增强。
研究结果强调，在治疗有自杀念头的患者时，应考虑普遍的羞耻感和罪恶感，以及它们之间的相互作用。
羞耻感和罪恶感是自我意识的情感，当它们普遍存在且过度时，可能会增加自杀意念的风险。普遍的罪恶感可能与自杀意念有独特的联系，但这种联系也可能因羞耻感而加剧。在治疗有自杀念头的患者时，应考虑羞耻感、罪恶感及其相互作用。
