Chalker Samantha A, Khalifian Chandra E, Milano Robert, Dende Jacqueline, Jobes David A
Department of Mental Health, Veterans Affairs San Diego Healthcare System, San Diego, California.
Department of Psychiatry, University of California San Diego, San Diego, California.
Mil Psychol. 2022 Mar 1;34(5):622-628. doi: 10.1080/08995605.2022.2028532. eCollection 2022.
Even though suicide theories highlight the importance of interpersonal connection, little is known about how romantic relationships impact suicide risk among military personal seeking treatment for suicidal thoughts and behaviors. Data were drawn from active-duty U.S. Soldier participants with suicidal ideation engaged in a suicide-focused treatment - the Collaborative Assessment and Management of Suicidality (CAMS). This exploratory study used a mixed-methods approach to examine two aims: (a) frequencies in which romantic relationships were endorsed in the context of the initial the Suicide Status Form (SSF; the multipurpose clinical tool used in CAMS) and (b) if having endorsed romantic relationships were implicated in their suicidal thoughts and self-inflicted injuries regardless of intent (i.e., non-suicidal self-injury and suicide attempts). We found that 76% of participants mentioned a romantic partner in at least one qualitative assessment item on the SSF. More specifically, 22.6% identified their romantic relationship as a reason for living or a reason for dying, and half of those participants indicated that their romantic relationship was both a reason for living and dying. Soldier participants who identified a current romantic relationship problem, were significantly more likely to have made a self-inflicted injury regardless of intent in their lifetime. Overall, suicidal thoughts and behaviors are intertwined with romantic relationship dynamics, and suicide-focused interventions may benefit from directly addressing these relationship issues with active-duty Soldiers.
尽管自杀理论强调人际关系的重要性，但对于浪漫关系如何影响有自杀想法和行为并寻求治疗的军人的自杀风险，我们知之甚少。数据来自有自杀意念的现役美国士兵参与者，他们参与了以自杀为重点的治疗——自杀协同评估与管理（CAMS）。这项探索性研究采用混合方法来检验两个目标：（a）在初始自杀状态表（SSF；CAMS中使用的多用途临床工具）的背景下认可浪漫关系的频率，以及（b）认可浪漫关系是否与他们的自杀想法和自我伤害行为有关，无论其意图如何（即非自杀性自我伤害和自杀未遂）。我们发现，76%的参与者在SSF的至少一个定性评估项目中提到了浪漫伴侣。更具体地说，22.6%的人将他们的浪漫关系视为生存的理由或死亡的理由，其中一半的参与者表示他们的浪漫关系既是生存的理由也是死亡的理由。识别出当前浪漫关系存在问题的士兵参与者，在其一生中更有可能无论意图如何都曾进行过自我伤害。总体而言，自杀想法和行为与浪漫关系动态相互交织，以自杀为重点的干预措施可能会从直接解决现役士兵的这些关系问题中受益。
