预谋在自杀中的作用：确定与自杀死亡者中增加计划相关的因素。
The role of premeditation in suicide: Identifying factors associated with increased planning among suicide decedents.
机构信息
Department of Psychological Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center, Jackson, Mississippi, USA.
出版信息
J Clin Psychol. 2023 Dec;79(12):2768-2780. doi: 10.1002/jclp.23577. Epub 2023 Aug 4.
INTRODUCTION
Suicide premeditation is a critical factor to consider when assessing suicide risk. Understanding which individuals are more or less likely to plan their suicidal behavior can shed light on how suicidal thoughts turn into actions.
METHOD
The present study used psychological autopsy data to identify factors associated with level of premeditation among 131 adults who died by suicide.
RESULTS
Logistic regression analyses indicated that suicide decedents with higher premeditation scores had higher odds of being diagnosed with a depressive disorder and choosing a violent suicide method, specifically a firearm. Individuals with lower premeditation scores had higher odds of being diagnosed with a polysubstance use disorder.
CONCLUSION
Suicide decedents exhibiting greater premeditation before their deaths were different in several ways from suicide decedents exhibiting less premeditation. A better understanding of suicide premeditation can ultimately aid in the development of improved risk assessments and targeted safety interventions for those struggling with suicidal thoughts.
引言
自杀预谋是评估自杀风险时需要考虑的一个关键因素。了解哪些人更有可能或不太可能计划他们的自杀行为，可以揭示自杀念头如何转化为行动。
方法
本研究使用心理解剖数据，确定了 131 名自杀死亡者中与预谋程度相关的因素。
结果
逻辑回归分析表明，预谋程度较高的自杀死亡者被诊断为抑郁症和选择暴力自杀方法（特别是枪支）的可能性更高。预谋程度较低的个体被诊断为多种物质使用障碍的可能性更高。
结论
在死亡前表现出更高预谋程度的自杀死亡者在几个方面与预谋程度较低的自杀死亡者不同。更好地理解自杀预谋可以最终帮助改善对有自杀念头的人的风险评估和有针对性的安全干预。
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