Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.
Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Suicide Life Threat Behav. 2024 Jun;54(3):468-478. doi: 10.1111/sltb.13058. Epub 2024 Feb 20.
This study aimed to analyze the real-time variability of suicidal ideation intensity and the relationship between real-time and retrospective reports of suicidal ideation made on the Beck Scale for Suicidal Ideation (BSS), among young people with borderline personality disorder (BPD).
Young people (15-25-year olds) with BPD (N = 46), recruited from two government-funded mental health services, rated the intensity of their suicidal ideation six times per day for 7 days before completing the BSS.
For 70% of participants, suicidal ideation changed in intensity approximately five times across the week, both within and between days. BSS ratings were most highly correlated with the highest real-time ratings of suicidal ideation. However, this was not significantly different from the relationship between the BSS and both the average and most recent ratings. Median ratings of suicidal ideation intensity were higher on the BSS compared with an equivalent question asked in real time.
Findings suggest that young people with BPD experience high levels of fluctuation in their intensity of suicidal ideation across a week and that retrospective reports of suicidal ideation might be more reflective of the most intense experience of suicidal ideation across the week.
本研究旨在分析边缘型人格障碍（BPD）青年的自杀意念强度的实时变化，以及贝克自杀意念量表（BSS）中实时报告和回溯报告的自杀意念之间的关系。
从两家政府资助的精神卫生服务机构招募了 46 名年龄在 15-25 岁之间的 BPD 患者，他们在完成 BSS 之前的 7 天内每天 6 次对自杀意念的强度进行评估。
对于 70%的参与者，自杀意念在一周内的强度大约发生了五次变化，无论是在一天内还是在两天之间。BSS 评分与自杀意念的最高实时评分相关性最高。然而，这与 BSS 与平均和最近评分之间的关系并无显著差异。与实时询问相比，BSS 上自杀意念强度的中位数评分更高。
研究结果表明，BPD 青年在一周内经历了自杀意念强度的高度波动，回溯报告的自杀意念可能更能反映一周内最强烈的自杀意念体验。
