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自杀的人际理论与关系满意度:一项日记式研究

The Interpersonal Theory of Suicide and Relationship Satisfaction: A Daily Diary Study.

作者信息

Love Heather A, Morgan Preston

机构信息

Department of Human Development and Family Studies, University of Alabama, Tuscaloosa, AL 35487, USA.

Department of Human Development and Family Science, Oklahoma State University, Stillwater, OK 74078, USA.

出版信息

Behav Sci (Basel). 2024 Nov 27;14(12):1138. doi: 10.3390/bs14121138.

Abstract

Romantic relationships serve as one of the most important relationships in adults' lives, yet the influence of relational dynamics on suicide ideation (SI) is limited and longitudinal associations are unclear. The Interpersonal Theory of Suicide has been applied to romantic relationships broadly and supports motivations of suicide (thwarted belonging and perceived burdensomeness) and relationship satisfaction to be predictors of SI. An online daily diary study ( = 94 adults) was conducted to examine romantic relationship dynamics and mental health indicators in adults over 10 days. Multilevel growth modeling results revealed that higher perceived burdensomeness, but not relational satisfaction or thwarted belonging, was associated with higher initial levels of SI. However, perceived burdensomeness, thwarted belonging, and relationship satisfaction were not associated with rates of change in SI over time. Further, no interaction effects between either relationship satisfaction and thwarted belonging or perceived burdensomeness were found in association with trajectories of SI over the 10-day period. The results of this study indicate that relational satisfaction, through a commonly used global assessment of relational wellbeing, may not have a substantial influence on SI, particularly in individuals with mild SI levels. This may be due to relational satisfaction being relatively consistent, while SI is prone to short-term fluctuations. However, additional research is recommended to address other relational dynamics' influences on SI.

摘要

浪漫关系是成年人生活中最重要的关系之一,但关系动态对自杀意念(SI)的影响有限,且纵向关联尚不清楚。自杀人际理论已广泛应用于浪漫关系中,并支持自杀动机(归属感受挫和感知到自身成为他人负担)以及关系满意度是自杀意念的预测因素。开展了一项在线每日日记研究(n = 94名成年人),以考察10天内成年人的浪漫关系动态和心理健康指标。多层次增长模型结果显示,较高的感知到自身成为他人负担,而非关系满意度或归属感受挫,与较高的初始自杀意念水平相关。然而,感知到自身成为他人负担、归属感受挫和关系满意度与自杀意念随时间的变化率无关。此外,在10天期间,未发现关系满意度与归属感受挫或感知到自身成为他人负担之间存在与自杀意念轨迹相关的交互作用。本研究结果表明,通过常用的关系幸福感整体评估得出的关系满意度,可能对自杀意念没有实质性影响,尤其是在自杀意念水平较轻的个体中。这可能是由于关系满意度相对稳定,而自杀意念容易出现短期波动。然而,建议开展更多研究以探讨其他关系动态对自杀意念的影响。

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The integrated motivational-volitional model of suicidal behaviour.自杀行为的综合动机-意志模型。
Philos Trans R Soc Lond B Biol Sci. 2018 Sep 5;373(1754). doi: 10.1098/rstb.2017.0268.

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