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性别悖论:理解男性气质在自杀意念中的作用。

The Gender Paradox: Understanding the Role of Masculinity in Suicidal Ideation.

机构信息

Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia.

出版信息

Am J Mens Health. 2022 Sep-Oct;16(5):15579883221123853. doi: 10.1177/15579883221123853.

Abstract

It is important to understand the role of social determinants, such as gender, in suicidal ideation. This study examined whether conformity to specific masculine norms, particularly high self-reliance and emotional self-control, moderated the relationship between psychological distress and suicidal ideation for men. The other norms explored were those pertaining to behavioral-emotional or social hierarchy status aspects of masculinity, and whether they moderated the psychological distress-suicidal ideation relationship for men and women. The Conformity to Masculine Norms Inventory, the Kessler Psychological Distress Scale, and the Suicidal Ideation Attributes Scale were administered to an Australian community sample in an online survey ( = 486). As predicted, higher psychological distress was associated with higher suicidal ideation. Self-reliance enhanced the relationship and was the only moderator among men. High self-reliance levels might be an important indicator of risk, which can be used when assessing and working with men who are hesitant to openly discuss suicidal ideation with clinicians. For female participants, higher endorsement of behavioral-emotional norms and lower conformity to social hierarchy status norms appear to increase suicide risk in the presence of psychological distress. Our findings suggest that high self-reliance is of particular concern for men experiencing psychological distress. It is also important to consider the roles of masculine norm endorsement in the psychological distress-suicidal ideation relationship among women.

摘要

了解社会决定因素(如性别)在自杀意念中的作用很重要。本研究探讨了特定的男性规范(特别是高度的自力更生和情绪自控)是否调节了男性的心理困扰与自杀意念之间的关系。探索的其他规范涉及男性的行为-情感或社会等级地位方面的规范,以及它们是否调节了男性和女性的心理困扰与自杀意念之间的关系。通过在线调查(= 486)向澳大利亚社区样本发放了《男性规范遵从量表》、《凯斯勒心理困扰量表》和《自杀意念特征量表》。正如预测的那样,较高的心理困扰与较高的自杀意念有关。自力更生增强了这种关系,而且是男性中唯一的调节因素。高自力更生水平可能是风险的重要指标,在评估和与不愿与临床医生公开讨论自杀意念的男性合作时可以使用。对于女性参与者,在心理困扰的情况下,较高的行为-情感规范的认可和较低的社会等级地位规范的遵从似乎会增加自杀风险。我们的研究结果表明,高度的自力更生对经历心理困扰的男性尤为重要。考虑到女性在心理困扰与自杀意念关系中的男性规范认可的作用也很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22e/9490473/2e9359407a8e/10.1177_15579883221123853-fig1.jpg

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