Ali Habiba, Hameed Muddsar, Abbasi Mahrukh Anwar, Ali Alishba, Abbas Zamurd, Rahim Valiyakath Cijal, Ahmad Abbasi Gohar, Qureshi Aliyah Usman, Kainaat Maryam, Amer Alishba
Department of Clinical Psychology, University of Karachi, Karachi, PAK.
Department of Clinical Psychology, Shifa Tameer e Millat University, Islamabad, PAK.
Cureus. 2024 Jun 2;16(6):e61519. doi: 10.7759/cureus.61519. eCollection 2024 Jun.
The present study investigated the predictive relationship between ostracism and suicidal behaviors in individuals with substance use disorders. It also attempts to highlight the mediating role of the risk of relapse between ostracism and suicidal behavior.
The study was based on a cross-sectional survey design. The sample comprised 100 men aged between 30 to 45 years (M = 35.25, SD = 3.06) from Karachi. The purposive sampling technique was employed. The study employed demographic forms and three self-reporting measures: the Ostracism Experience Scale (OES-A), the Advance Warning of Relapse Questionnaire 3.0 (AWARE), and the Suicide Behaviors Questionnaire-Revised (SBQ-R).
Ostracism significantly predicted relapse risk and suicidal behavior. Risk of relapse positively predicted both dimensions of ostracism (ignored: r = 0.33, p < 0.01; excluded: r = 0.43, p < 0.01) and suicidal behavior (r = 0.35, p < 0.01). Additionally, the risk of relapse strongly correlated with overall ostracism score (r = 0.43, p < 0.01). However, no significant mediating effect of ostracism on suicidal behavior was found. The effect was mediated through the risk of relapse (B indirect = 0.12, 95% CI = 0.04, 0.23). These findings suggest that ostracism increases the likelihood of recurrence, which in turn is associated with suicidal behavior. The mediation model explained 17% of the variation in suicidal behavior.
The findings propose the importance of addressing ostracism as a risk factor for suicidal behavior and relapse in substance use disorders. The results suggest that reducing the adverse effects of ostracism and improving social support for individuals can have a significant impact on their mental health.
本研究调查了物质使用障碍患者中被排斥与自杀行为之间的预测关系。同时，本研究还试图强调复发风险在被排斥与自杀行为之间的中介作用。
本研究采用横断面调查设计。样本包括来自卡拉奇的100名年龄在30至45岁之间的男性（M = 35.25，SD = 3.06）。采用了立意抽样技术。本研究使用了人口统计学表格和三种自我报告测量工具：被排斥体验量表（OES-A）、复发预警问卷3.0（AWARE）和自杀行为问卷修订版（SBQ-R）。
被排斥显著预测了复发风险和自杀行为。复发风险正向预测了被排斥的两个维度（被忽视：r = 0.33，p < 0.01；被排除：r = 0.43，p < 0.01）以及自杀行为（r = 0.35，p < 0.01）。此外，复发风险与总体被排斥得分高度相关（r = 0.43，p < 0.01）。然而，未发现被排斥对自杀行为有显著中介作用。该效应通过复发风险介导（间接效应B = 0.12，95%置信区间 = 0.04，0.23）。这些发现表明，被排斥会增加复发的可能性，而复发又与自杀行为相关。中介模型解释了自杀行为中17%的变异。
研究结果表明，将被排斥作为物质使用障碍患者自杀行为和复发的风险因素加以关注具有重要意义。结果表明，减少被排斥的负面影响并改善对个体的社会支持，可能会对他们的心理健康产生重大影响。
