近期有自杀意念者、自杀未遂者及自杀死亡者中否认自杀意念的情况有多常见？文献综述。
How Common is Recent Denial of Suicidal Ideation among Ideators, Attempters, and Suicide Decedents? A Literature Review.
作者信息
Obegi Joseph H
机构信息
California Department of Corrections and Rehabilitation, California Correctional Health Care Services, Statewide Mental Health Program, Bldg. G, P.O. Box 588500, Elk Grove, CA 95758, United States of America.
出版信息
Gen Hosp Psychiatry. 2021 Sep-Oct;72:92-95. doi: 10.1016/j.genhosppsych.2021.07.009. Epub 2021 Jul 31.
OBJECTIVE
It is sometimes stated that most people who die by suicide deny suicidal thoughts before their deaths. This narrative review examines the empirical basis for this assertion.
METHODS
Studies from 2000 to 2021 that examined the prevalence of the denial of suicidal thoughts among ideators in general, denial before suicide, and denial before and immediately after a suicide attempt were reviewed. Twenty-two papers met the inclusion criteria.
RESULTS
About 50% of ideators denied suicidal ideation (SI) during interviews. In addition, about half of decedents denied SI in the previous week or month before suicide, whereas about 30% denied SI in the previous week or month before a suicide attempt.
CONCLUSIONS
The denial of SI among ideators, attempters, and suicide decedents is an alarmingly common occurrence. Findings support the clinical wisdom that denial of SI is, by itself, an inadequate indicator of suicide risk.
目的
有时会有人说，大多数自杀身亡的人在死前否认有自杀念头。这篇叙述性综述探讨了这一断言的实证依据。
方法
回顾了2000年至2021年期间的研究，这些研究考察了一般情况下有自杀念头者否认自杀念头的比例、自杀前的否认情况以及自杀未遂前和未遂后立即出现的否认情况。22篇论文符合纳入标准。
结果
约50%的有自杀念头者在访谈中否认有自杀意念（SI）。此外，约一半的死者在自杀前一周或一个月内否认有自杀意念，而约30%的人在自杀未遂前一周或一个月内否认有自杀意念。
结论
有自杀念头者、自杀未遂者和自杀死亡者否认有自杀意念的情况惊人地普遍。研究结果支持了临床经验，即否认有自杀意念本身并不能充分表明自杀风险。
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