Department of Speech-Language Pathology, Duquesne University, Pittsburgh, PA.
School of Speech-Language Pathology and Audiology, University of Akron, OH.
Am J Speech Lang Pathol. 2023 Sep 11;32(5):2087-2110. doi: 10.1044/2023_AJSLP-23-00007. Epub 2023 Jul 20.
Suicide and suicidal ideation are topics that have a long but limited history in stuttering research. Clinicians and clinical researchers have discussed personal and therapeutic experiences with clients who have attempted suicide, died by suicide, or struggled with suicidal thoughts. This study sought to (a) explore the occurrence of suicidal ideation in a sample of adults who stutter; (b) evaluate the relationship between adverse impact related to stuttering and suicidal ideation; and (c) document respondents' thoughts related to suicide, stuttering, and their intersection.
One hundred forty adults who stutter completed the Suicide Behavior Questionnaire-Revised (SBQ-R). Of these, 70 participants completed the Perseverative Thinking Questionnaire (PTQ), and 67 completed the Overall Assessment of the Speaker's Experience of Stuttering (OASES). Participants who indicated at least some tendency for suicidal thoughts on the SBQ-R ( = 95) were then asked a set of follow-up questions to explore their experiences of suicidal ideation related to stuttering.
Quantitative data indicated that the majority of adults who reported experiencing suicidal ideation associated these experiences with stuttering (61.2%, = 59). Individuals with higher Total Scores on the PTQ and OASES were predicted to experience significantly of suicidal ideation and, in particular, a higher likelihood of having more suicidal ideation in the past year. Qualitative analyses revealed that suicidal ideation intersects meaningfully with the experience of stuttering.
Data from this study highlight the importance of considering broader life consequences of stuttering that some adults may experience, including suicidal ideation. By being cognizant that clients may develop such thoughts, speech-language pathologists can play a valuable role in identifying and providing necessary support for at-risk individuals.
自杀和自杀意念是口吃研究中一个历史悠久但有限的话题。临床医生和临床研究人员讨论了与试图自杀、自杀身亡或与自杀念头作斗争的客户的个人和治疗经验。本研究旨在：（a）探讨口吃样本中自杀意念的发生情况；（b）评估与口吃相关的不良影响与自杀意念之间的关系；（c）记录受访者与自杀、口吃及其交集相关的想法。
140 名口吃成年人完成了修订后的自杀行为问卷（SBQ-R）。其中，70 名参与者完成了坚持思维问卷（PTQ），67 名参与者完成了口吃者演讲体验总体评估（OASES）。在 SBQ-R 上至少表现出一定自杀倾向的参与者（=95），然后被问及一组后续问题，以探讨他们与口吃相关的自杀意念体验。
定量数据表明，大多数报告经历过自杀意念的成年人将这些经历与口吃联系起来（61.2%，=59）。PTQ 和 OASES 总分较高的个体预计会经历明显更多的自杀意念，特别是过去一年更有可能有更多的自杀意念。定性分析显示，自杀意念与口吃的体验有很大的交集。
本研究的数据强调了口吃更广泛的生活后果的重要性，包括自杀意念。通过意识到客户可能会产生这样的想法，言语语言病理学家可以在识别和为高危个体提供必要的支持方面发挥宝贵的作用。
