Huguet Elena, Paniagua-Granados Teresa, Romero Miriam, Fernández-Arias Ignacio, Larroy Cristina
Psychology Department, European University of Madrid, 28670 Madrid, Spain.
Personality, Assessment and Clinical Psychology, Complutense University of Madrid, 28223 Madrid, Spain.
Behav Sci (Basel). 2025 Jul 14;15(7):946. doi: 10.3390/bs15070946.
Knowing the configuration of psychopathological dimensions in patients according to suicidal ideation in an applied context is fundamental in clinical approaches. A cross-sectional and retrospective single-measurement study was carried out in 625 patients of the University Psychology Clinic of the Complutense University of Madrid (CUP-UCM) divided into two groups: with and without suicidal ideation. Network analysis was used as the main methodology. Anxiety and interpersonal variables appeared as core symptoms of the group with suicidal ideation, reinforcing theoretical models where the social component is a key part of present suicidal ideation. Even though the configuration of networks was not significantly different between the two groups, the severity of symptoms in the group with suicidal ideation was higher. In the predictive analyses, depressive symptoms, hostility, somatization, paranoid ideation, and psychoticism were independently associated with suicidal ideation. This result highlights the complex and multidimensional nature of suicide risk, which cannot be fully explained by depressive symptoms alone. Anxiety and interpersonal variables stand out as core symptoms with influence on others, which may guide clinicians in prioritization in therapeutic goals.
在临床实践中，了解应用背景下根据自杀意念划分的患者精神病理维度配置至关重要。对马德里康普顿斯大学大学心理诊所（CUP-UCM）的625名患者进行了一项横断面回顾性单测量研究，这些患者分为两组：有自杀意念组和无自杀意念组。网络分析被用作主要方法。焦虑和人际变量是有自杀意念组的核心症状，强化了社会成分是当前自杀意念关键部分的理论模型。尽管两组之间网络配置没有显著差异，但有自杀意念组的症状严重程度更高。在预测分析中，抑郁症状、敌意、躯体化、偏执观念和精神质与自杀意念独立相关。这一结果凸显了自杀风险的复杂多维度性质，仅靠抑郁症状无法完全解释。焦虑和人际变量作为对其他症状有影响的核心症状脱颖而出，这可能会指导临床医生确定治疗目标的优先级。
