Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.
Suicide Life Threat Behav. 2022 Dec;52(6):1159-1167. doi: 10.1111/sltb.12911. Epub 2022 Aug 16.
Perceived social support is a well-established protective factor against suicidal ideation, yet few studies have examined how actually seeking social support relates to suicidal ideation. We investigated the contexts under which social support seeking may be related to greater, or lesser, suicidal ideation.
Undergraduates completed ecological momentary assessments up to 6 times daily. Multi-level moderated logistic regressions examined interactions between presence of daily-level support seeking with burdensomeness and loneliness as indicators of same-day and next-day suicidal ideation.
Seeking social support was positively associated with same-day, but not next-day reports of suicidal thinking. On days when participants felt burdensome and sought support, they had greater odds of reporting suicidal ideation (OR = 1.659, 95% CI = [1.420, 1.938]), compared with days they felt burdensome but did not seek support. There was no effect of burdensomeness on next-day ideation. There was no significant interaction effect between support seeking and loneliness on same-day or next-day ideation.
Seeking support and feeling like a burden are associated with a greater likelihood of experiencing suicidal ideation. The current results underscore the importance of equipping at-risk individuals with a toolbelt of a variety of coping skills.
感知到的社会支持是对抗自杀意念的一个成熟的保护因素，但很少有研究探讨实际寻求社会支持与自杀意念之间的关系。我们研究了社会支持寻求与自杀意念增加或减少的相关情境。
大学生每天最多完成 6 次的即时评估。多层次的调节逻辑回归分析检验了每日支持寻求与困扰和孤独感之间的交互作用，困扰和孤独感是当天和次日自杀意念的指标。
寻求社会支持与当天而非次日的自杀思维报告呈正相关。与感到困扰但没有寻求支持的日子相比，当参与者感到困扰并寻求支持时，他们报告自杀意念的几率更高（OR=1.659，95%CI=[1.420, 1.938]）。困扰对次日的意念没有影响。支持寻求和孤独感之间没有显著的交互作用，对当天或次日的意念没有影响。
寻求支持和感到负担是与自杀意念体验的可能性增加相关的。目前的结果强调了为高风险个体提供各种应对技能工具包的重要性。
