Department of Psychology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Department of Psychology, Harvard University, Cambridge, Massachusetts, USA.
Suicide Life Threat Behav. 2024 Oct;54(5):814-830. doi: 10.1111/sltb.13127. Epub 2024 Sep 2.
The transition from suicidal thoughts to behaviors often involves considering the consequences of suicide as part of the decision-making process. This study explored the relationship between this consideration process and the decision to either abort or carry out a suicide attempt.
Among inpatients with a suicide-related event in the past 2 weeks (suicide attempt n = 30 or aborted attempt n = 16), we assessed the degree to which they considered six domains of consequences, the impact of these considerations on their inclination to attempt suicide, and the duration of their decision-making.
All the participants who aborted and 87% of those who attempted considered consequences of suicide. Participants who aborted took longer to progress through decision-making stages and considered more suicide-hindering factors, especially interpersonal ones, though these differences were no longer significant after correction. Group status moderated the relationship between the balance of suicide-facilitating and suicide-hindering considerations and decision-making duration. Considering the consequences of suicide more favorably was related to a shorter ideation-to-action period before a suicide attempt and a longer ideation period before aborting an attempt.
This study highlights the complexity of suicide decision-making and its role in better understanding the progression from ideation to action.
从自杀念头到行为的转变通常涉及到将自杀后果纳入决策过程的考虑。本研究探讨了这一考虑过程与中止或实施自杀企图之间的关系。
在过去 2 周内发生自杀相关事件的住院患者中（自杀未遂 30 例或中止未遂 16 例），我们评估了他们考虑六个后果领域的程度、这些考虑对他们自杀倾向的影响，以及他们决策的持续时间。
所有中止未遂的参与者和 87%的试图自杀的参与者都考虑过自杀的后果。中止未遂的参与者在决策阶段需要更长的时间，并且考虑到更多的自杀抑制因素，尤其是人际关系方面的因素，尽管在纠正后这些差异不再显著。组间状态调节了自杀促进因素和自杀抑制因素的平衡与决策时间之间的关系。更有利地考虑自杀的后果与自杀企图前的意念到行动期更短和中止未遂前的意念期更长有关。
本研究强调了自杀决策的复杂性及其在更好地理解从意念到行动的进展中的作用。
