Department of Psychology, University of Southern Mississippi, Hattiesburg, Mississippi, USA.
Mental Health Research Education and Clinical Center (MIRECC), VA Puget Sound Health Care System, Seattle, Washington, USA.
J Trauma Dissociation. 2022 Jan-Feb;23(1):97-109. doi: 10.1080/15299732.2021.1989112. Epub 2021 Oct 11.
Anxiety sensitivity (AS) and AS subfactors (physical, cognitive, and social) have been found to have robust associations with suicide risk. While the direct association between AS subfactors and suicide risk have been explored, little is known about how specific mechanisms, such as dissociation, might explain this relationship. This study aimed to run three analyses to examine the direct and indirect effects of suicidal thoughts and AS via dissociative symptoms. We predicted that dissociation would be a pathway through which AS physical concerns (ASPC) and AS cognitive concerns (ASCC) predicts suicidal ideation. Participants included 84 undergraduate students from a Southeastern University who were elevated on ASCC. Participants completed measures examining dissociative experiences, anxiety sensitivity, and current suicidal ideation. Results revealed that dissociation had a significant indirect effect with ASPC but not ASCC. The current preliminary study showed that ASCC had direct associations with suicide risk; however, those with lower levels of ASPC and dissociation may also be more likely to develop suicide risk. Future research should explore the possibility that the dissociation/ASPC and ASCC pathways are separate, but related, paths to suicidality.
焦虑敏感 (AS) 和 AS 子因素（身体、认知和社会）已被发现与自杀风险有很强的关联。虽然已经探讨了 AS 子因素与自杀风险的直接关联，但对于特定机制（如解离）如何解释这种关系知之甚少。本研究旨在进行三项分析，以检查通过分离症状，AS 与自杀念头之间的直接和间接影响。我们预测，分离是 AS 身体关注（ASPC）和 AS 认知关注（ASCC）预测自杀意念的途径。参与者包括来自东南大学的 84 名本科生，他们的 ASCC 水平较高。参与者完成了评估分离体验、焦虑敏感和当前自杀意念的测量。结果表明，分离对 ASPC 有显著的间接影响，但对 ASCC 没有。目前的初步研究表明，ASCC 与自杀风险有直接关联；然而，那些 ASPC 和分离程度较低的人也可能更容易产生自杀风险。未来的研究应该探索分离/ASPC 和 ASCC 途径是否是通向自杀的独立但相关的途径的可能性。
