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影响青少年自杀意念的因素:抑郁症状还是固定思维模式?固定思维模式与自杀意念的横断面和纵向关联研究。

What matters for adolescent suicidality: Depressive symptoms or fixed mindsets? Examination of cross-sectional and longitudinal associations between fixed mindsets and suicidal ideation.

机构信息

Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.

Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.

出版信息

Suicide Life Threat Behav. 2022 Oct;52(5):932-942. doi: 10.1111/sltb.12891. Epub 2022 Jun 10.

Abstract

BACKGROUND

Fixed mindsets or beliefs about the non-malleability of self-attributes are linked to a wide range of negative psychological outcomes. Its association with suicidal ideation (SI) among young people has not been explored.

OBJECTIVES

To examine the association of fixed mindsets of depression, anxiety, and stress and SI; and its mediating role underlying the association between depression and SI.

METHODS

A sample of 1393 adolescents (M  = 13.04, SD = 0.85, 640 boys) from 11 middle schools voluntarily participated in a two-wave longitudinal study before and during the COVID-19 pandemic with a 9-month interval.

RESULTS

Both depressive symptoms and fixed mindsets were positively and significantly associated with concurrent and future suicidality, after controlling for demographic and socioeconomic status and previous SI. Participants with stronger fixed mindsets were more likely to have SI than those with only depressive symptoms. Also, fixed mindsets mediated the association between depressive symptoms and SI in both cross-sectional and longitudinal models.

CONCLUSION

The current study provides empirical evidence of the effects of fixed mindsets and SI and the mediating role of fixed mindset between depressive symptoms and SI among young people. Interventions to foster a growth mindset may enhance hope and reduce suicidality among adolescents.

摘要

背景

对自身属性不可改变的固定思维模式或信念与广泛的负面心理结果有关。它与年轻人自杀意念(SI)的关联尚未得到探索。

目的

研究抑郁、焦虑和压力的固定思维模式与 SI 的关联;以及其在抑郁与 SI 之间关联中的中介作用。

方法

一项针对 11 所中学的 1393 名青少年(M = 13.04,SD = 0.85,640 名男生)的样本在 COVID-19 大流行前后进行了为期 9 个月的两次纵向研究,两次研究之间间隔 9 个月。

结果

在控制人口统计学和社会经济地位以及以前的 SI 后,抑郁症状和固定思维模式都与当前和未来的自杀意念呈正相关且显著相关。与只有抑郁症状的人相比,固定思维模式较强的参与者更有可能出现 SI。此外,在横断面和纵向模型中,固定思维模式均介导了抑郁症状与 SI 之间的关联。

结论

本研究提供了实证证据,证明了固定思维模式和 SI 的影响,以及固定思维模式在抑郁症状和 SI 之间的中介作用。培养成长型思维模式的干预措施可能会增强青少年的希望并降低自杀意念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eeb/9796128/654782f32e40/SLTB-52-932-g001.jpg

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