Morgan Preston C, Love Heather A, Hunt Quintin A, King Salena
Department of Human Development and Family Sciences, Oklahoma State University, Stillwater, Oklahoma, USA.
Department of Human Development and Family Studies, The University of Alabama, Tuscaloosa, Alabama, USA.
J Marital Fam Ther. 2025 Jan;51(1):e12757. doi: 10.1111/jmft.12757.
This study investigated the prevalence of suicidal risk and associated trajectories of relational satisfaction in couples presenting for therapy using a national clinical data set, the Marriage and Family Therapy Practice Research Network (MFT-PRN). The sample assessed 296 different-sex couples attending couple therapy at sessions one, four, and eight. Nearly a quarter of couples indicated suicidal risk at session one. Dyadic latent growth models revealed that higher suicidal risk had a small but significant association with lower initial relationship satisfaction for men; thus, while the suicidal risk is associated with men's lower relationship satisfaction at intake, it may not continue to have impacts later in treatment. Alternative analyses of 27 same-sex couples revealed a quarter of couples with suicidal risk at session one and that suicidal risk was not associated with relationship satisfaction. Although suicide risk was not associated with changes in relational satisfaction over time, suicidal risk should be assessed for couples presenting to therapy.
本研究利用国家临床数据集“婚姻与家庭治疗实践研究网络”（MFT-PRN），调查了前来接受治疗的夫妻中自杀风险的患病率以及关系满意度的相关轨迹。该样本评估了296对不同性别的夫妻，他们在治疗的第一、第四和第八次疗程中接受夫妻治疗。近四分之一的夫妻在第一次疗程时表示有自杀风险。二元潜变量增长模型显示，较高的自杀风险与男性较低的初始关系满意度存在小但显著的关联；因此，虽然自杀风险与男性在治疗开始时较低的关系满意度相关，但在治疗后期可能不再产生影响。对27对同性伴侣的替代分析显示，四分之一的伴侣在第一次疗程时有自杀风险，且自杀风险与关系满意度无关。尽管自杀风险与关系满意度随时间的变化无关，但对于前来接受治疗的夫妻，仍应评估其自杀风险。
