Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester M13 9PL, UK.
Greater Manchester Mental Health NHS Foundation Trust, Manchester M25 3BL, UK.
Int J Environ Res Public Health. 2022 Mar 23;19(7):3813. doi: 10.3390/ijerph19073813.
It is important to understand the psychological factors which underpin pathways to suicidal experiences. It is equally as important to understand how people develop and maintain resilience to such psychological factors implicated in suicidal experiences. Exploring optimal routes to gaining this understanding of resilience to suicidal thoughts and acts in people with severe mental health problems, specifically non-affective psychosis, was the overarching aim of this position paper. There are five central suggestions: 1. investigating resilience to suicidal experiences has been somewhat over-looked, especially in those with severe mental health problems such as schizophrenia; 2. it appears maximally enlightening to use convergent qualitative, quantitative and mixed research methods to develop a comprehensive understanding of resilience to suicide; 3. relatedly, involving experts-by-experience (consumers) in suicide research in general is vital, and this includes research endeavours with a focus on resilience to suicide; 4. evidence-based models of resilience which hold the most promise appear to be buffering, recovery and maintenance approaches; and 5. there is vast potential for contemporary psychological therapies to develop and scaffold work with clients centred on building and maintaining resilience to suicidal thoughts and acts based on different methodological and analytical approaches which involve both talking and non-talking approaches.
理解导致自杀经历的心理因素至关重要。同样重要的是要了解人们如何发展和保持对自杀经历中涉及的这些心理因素的适应力。本立场文件的首要目标是探索了解严重精神健康问题（特别是非情感性精神病）患者的自杀思维和行为的适应力的最佳途径。有五个核心建议：1. 对自杀经历的适应力的研究有些被忽视了，特别是在患有严重精神健康问题的人群中，如精神分裂症；2. 似乎使用收敛性的定性、定量和混合研究方法来全面了解对自杀的适应力最有启发性；3. 相关地，让有经验的专家（消费者）参与到一般的自杀研究中至关重要，这包括关注自杀适应力的研究工作；4. 最有前途的适应力证据模型似乎是缓冲、恢复和维持方法；5. 基于涉及言语和非言语方法的不同方法学和分析方法，当代心理疗法有很大的潜力为以建立和维持对自杀思维和行为的适应力为中心的客户工作提供发展和支持。
