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军事自杀预防:领导行为作为上游自杀预防目标的重要性。

Military suicide prevention: The importance of leadership behaviors as an upstream suicide prevention target.

机构信息

U.S. Army Medical Directorate-West, Walter Reed Army Institute of Research, Joint Base Lewis-McChord, WA, USA.

Department of Psychology, Louisiana State University, Baton Rouge, LA, USA.

出版信息

Suicide Life Threat Behav. 2021 Apr;51(2):316-324. doi: 10.1111/sltb.12707.

DOI:10.1111/sltb.12707
PMID:33876487
Abstract

OBJECTIVE

To evaluate the longitudinal relationships between unit cohesion, Army leader behaviors, and subordinate suicidal/death ideation. Recent cross-sectional research indicates that subordinates who perceive that their leaders instill a sense of purpose regarding military service demonstrate less frequent suicidal ideation.

METHOD

Five hundred fifty-nine soldiers completed self-report measures of perceptions of leadership behaviors, unit cohesion, and suicidal/death ideation during deployment as well as one and three months following deployment. Latent change score modeling was conducted to evaluate the course and direction of study variables as well as the relationship between them.

RESULTS

Although lower levels of suicidal/death ideation were related to leader-provided purpose, leader-provided meaning, and unit cohesion at baseline, only leader-provided purpose and unit cohesion prospectively predicted changes in suicidal/death ideation.

CONCLUSIONS

Consistent with the goal of military leadership to augment effective clinical interventions that reduce suicide risk, prevention programs that reach a broader population of personnel should be considered. Enhanced leadership training may be an important primary prevention tool to reduce suicide risk that warrants further research.

摘要

目的

评估单位凝聚力、陆军领导行为与下属自杀/死亡意念之间的纵向关系。最近的横断面研究表明,那些认为领导赋予他们服务军队使命感的下属自杀意念发生频率较低。

方法

559 名士兵在部署期间以及部署后一个月和三个月完成了关于领导行为、单位凝聚力和自杀/死亡意念的自我报告测量。潜在变化评分模型用于评估研究变量的过程和方向以及它们之间的关系。

结果

虽然自杀/死亡意念水平较低与领导提供的目标、领导提供的意义和单位凝聚力在基线时相关,但只有领导提供的目标和单位凝聚力才预示着自杀/死亡意念的变化。

结论

与军事领导的目标一致,即增强减少自杀风险的有效临床干预措施,应考虑针对更广泛人员的预防计划。增强领导培训可能是减少自杀风险的重要初级预防工具,值得进一步研究。

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