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自我批评与自杀概率的关系。

The relationship between self-criticism and suicide probability.

机构信息

Division of Psychology & Mental Health, School of Health Sciences, University of Manchester, England, UK.

Early Intervention in Psychosis Team, Lancashire Care NHS Trust, Preston, UK.

出版信息

Clin Psychol Psychother. 2021 Nov;28(6):1445-1456. doi: 10.1002/cpp.2593. Epub 2021 Jul 21.

Abstract

The relationship of self-to-self relating and suicide has received attention in explanatory models of suicide. However, exploration of specific types of self-relationships, namely feelings of inadequacy (associated with perfectionism), self-attacking and the ability to be kind and nurturing towards the self has received limited attention in a suicidal population. The present study assessed the relative contribution of self-criticism to suicide probability, alongside established predictors of suicidal ideation; hopelessness, depression, defeat and entrapment. Participants completed measures of inadequacy, self-attacking, self-reassurance, defeat, entrapment, depression and hopelessness (N = 101). A correlation, regression and mediation analysis was undertaken. Results demonstrated that self-attacking has a direct relationship with suicide probability, alongside established predictors; entrapment and hopelessness. Depressive symptomology was not found to be a significant predictor of suicide probability in this population. Addressing particularly hostile forms of self-criticism may be a promising area in terms of future research and clinical practice. Entrapment continues to be a significant predictor of suicide risk and interventions that target this experience should be explored.

摘要

自我与自我关系与自杀的关系在自杀的解释模型中受到了关注。然而,在自杀人群中,对特定类型的自我关系(即不称职感(与完美主义有关)、自我攻击以及对自我友善和养育的能力)的探索关注有限。本研究评估了自我批判对自杀可能性的相对贡献,以及自杀意念的既定预测因素;绝望、抑郁、挫败感和困境感。参与者完成了不称职感、自我攻击、自我安慰、挫败感、困境感、抑郁和绝望感的测量(N=101)。进行了相关性、回归和中介分析。结果表明,自我攻击与自杀可能性以及既定的预测因素(困境感和绝望感)直接相关。在该人群中,抑郁症状并不是自杀可能性的重要预测因素。针对特别具有敌意的自我批判形式可能是未来研究和临床实践的一个有前途的领域。困境感仍然是自杀风险的重要预测因素,应该探索针对这种体验的干预措施。

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