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特定情境下的人际问题解决与自杀念头及行为

Context-Specific Interpersonal Problem-Solving and Suicidal Thoughts and Behaviors.

作者信息

Park Yeonsoo, McCloskey Michael S, Ammerman Brooke A

机构信息

Department of Psychology, University of Notre Dame, IN, USA.

Department of Psychology, Temple University, Philadelphia, PA, USA.

出版信息

Crisis. 2023 Jan;44(1):78-81. doi: 10.1027/0227-5910/a000811. Epub 2021 Aug 31.

Abstract

Interpersonal problem-solving difficulties constitute a suicide risk factor that may be particularly relevant among college students. Most studies have examined general interpersonal problem-solving; however, context-specific abilities may have greater clinical implications. This study examined whether individuals with and without a history of suicidal thoughts and behaviors differed in context-specific interpersonal problem-solving. Undergraduate students ( = 112) completed a brief interview and interpersonal problem-solving tasks with positive (e.g., initiating romantic relationship) and negative (i.e., physical revenge) resolutions. Individuals with a history of suicide ideation generated more effective solutions and more alternatives in the negative-resolution scenario; no significant differences were identified for the positive-resolution scenarios. No group differences were found based on suicide attempt status. Our results do not account for the mechanisms that influence problem-solving abilities in negative-resolution scenarios. Clinical efforts may benefit from targeting the translation of interpersonal problem-solving abilities to situations with positive resolutions.

摘要

人际问题解决困难是一种自杀风险因素,在大学生中可能尤为相关。大多数研究考察的是一般人际问题解决能力;然而,特定情境下的能力可能具有更大的临床意义。本研究考察了有自杀想法和行为史的个体与没有此类历史的个体在特定情境下人际问题解决能力上是否存在差异。本科生(n = 112)完成了一次简短访谈以及具有积极(如开始浪漫关系)和消极(即身体报复)解决方案的人际问题解决任务。有自杀意念史的个体在消极解决方案情境中产生了更有效的解决方案和更多的替代方案;在积极解决方案情境中未发现显著差异。基于自杀未遂状态未发现组间差异。我们的结果并未解释在消极解决方案情境中影响问题解决能力的机制。针对将人际问题解决能力转化应用于积极解决方案情境的临床干预可能会有所助益。

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