Department of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.
School of Veterinary Medicine, Texas Tech University, Amarillo, Texas, USA.
J Clin Psychol. 2022 Sep;78(9):1752-1763. doi: 10.1002/jclp.23333. Epub 2022 Feb 26.
Many people who die by suicide experience major depressive disorder (MDD), but most people with MDD do not die by suicide and many do not report thoughts of death or suicide. This cross-sectional study examined the potential of personal growth initiative (PGI) skills to protect against suicide ideation among adult psychotherapy outpatients.
Adult outpatients (N = 178) completed measures of suicide ideation severity (SI), depressive symptom severity (DEP), and PGI skills (PGI) at intake.
Although higher DEP significantly correlated with higher suicide ideation, a significant DEP × PGI interaction, indicated significant positive relations between DEP and SI only when PGI was at or below the mean for this sample.
PGI skills may function as a protective factor against the development of suicide ideation even in the presence of severe depressive symptoms. This suggests that training PGI skills might prevent or reduce suicide ideation among depressed patients.
许多自杀身亡的人都患有重度抑郁症（MDD），但大多数患有 MDD 的人并未自杀，许多人也没有表达过死亡或自杀的念头。本横断面研究旨在探讨个人成长主动性（PGI）技能是否可以预防成人心理治疗门诊患者的自杀意念。
成年门诊患者（N=178）在入组时完成自杀意念严重程度（SI）、抑郁症状严重程度（DEP）和 PGI 技能（PGI）的评估。
尽管较高的 DEP 与更高的自杀意念显著相关，但 DEP×PGI 交互作用表明，仅当 PGI 处于或低于该样本的平均值时，DEP 和 SI 之间才存在显著的正相关关系。
即使存在严重的抑郁症状，PGI 技能也可能作为自杀意念发展的保护因素。这表明，对 PGI 技能的培训可能会预防或减少抑郁患者的自杀意念。
