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生命意义、应对方式与自杀意念之间的关系:一项网络分析

The relationships among the meaning of life, coping styles, and suicidal ideation: a network analysis.

作者信息

He Yang, Liu Xufeng, Yang Tianqi, Xu Xiang, Liu Wei, Sun Keiwei, Wu Shengjun

机构信息

School of Psychology, Shanghai Normal University, Shanghai, 200234, China.

Department of Military Medical Psychology, Air Force Military Medical University, Xi'an, 710032, China.

出版信息

BMC Public Health. 2025 Jul 30;25(1):2587. doi: 10.1186/s12889-025-23877-9.

DOI:10.1186/s12889-025-23877-9
PMID:40739211
Abstract

BACKGROUND

Suicide is a serious global public health problem, and suicidal ideation is a significant predictor of and risk factor for suicide deaths. Previous studies have confirmed the relationships among suicidal ideation, the meaning of life and coping styles using latent variables but have overlooked the heterogeneity of symptoms.

OBJECTIVES

The purpose of this study was to explore the fine-grained relationships among these three factors based on network analysis to provide a theoretical basis to identify potential psychological interventions for suicidal ideation.

METHODS

These factors were investigated by administering the Chinese Meaning of life Questionnaire (C-MLQ), the Simple Coping Styles Questionnaire (SCSQ), and the Suicidal Ideation Self-Assessment Scale (SIOSS) to 800 self-reported healthy adults. Analyses of network structure and bridge expected influence (BEI) were conducted with R4.1.1 software.

RESULTS

The network showed a total of 18 edges for the meaning of life, coping styles, and suicidal ideation communities. Of these, S1, "pessimism", had the greatest negative BEI value (-0.25) in the suicidal ideation community; M1, "perception of meaning of life", had the greatest negative BEI value (-0.42) in the meaning of life and coping styles communities; and C2, "negative coping", had the greatest positive BEI value (0.31).

CONCLUSIONS

Complex pathways exist among meaning of life, coping styles and suicidal ideation. Negative coping is the strongest risk factor for suicidal ideation, the perception of the meaning of life is the strongest protective factor for suicidal ideation, and pessimism is a potential target for suicide prevention interventions.

摘要

背景

自杀是一个严重的全球公共卫生问题,自杀意念是自杀死亡的重要预测指标和风险因素。以往的研究已经通过潜在变量证实了自杀意念、生命意义和应对方式之间的关系,但忽略了症状的异质性。

目的

本研究旨在基于网络分析探讨这三个因素之间的细粒度关系,为识别自杀意念的潜在心理干预措施提供理论依据。

方法

通过对800名自我报告的健康成年人进行中国生命意义问卷(C-MLQ)、简易应对方式问卷(SCSQ)和自杀意念自评量表(SIOSS)来调查这些因素。使用R4.1.1软件进行网络结构分析和桥接预期影响(BEI)分析。

结果

该网络显示生命意义、应对方式和自杀意念群落共有18条边。其中,S1“悲观主义”在自杀意念群落中的负BEI值最大(-0.25);M1“生命意义感知”在生命意义和应对方式群落中的负BEI值最大(-0.42);C2“消极应对”的正BEI值最大(0.31)。

结论

生命意义、应对方式和自杀意念之间存在复杂的路径。消极应对是自杀意念最强的风险因素,生命意义感知是自杀意念最强的保护因素,悲观主义是自杀预防干预的潜在目标。

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本文引用的文献

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Reasons to Live During a Suicidal Crisis: A Case Series With Suicidal Inpatients.自杀危机期间活下去的理由:一组有自杀倾向住院患者的案例研究。
Psicothema. 2024 Jan;36(4):319-330. doi: 10.7334/psicothema2023.311.
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An investigation of the relationships between suicidal ideation, psychache, and meaning in life using network analysis.采用网络分析方法研究自杀意念、心理痛苦和生活意义之间的关系。
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Psychometric properties of the Patient Health Questionnaire-4 among Hong Kong young adults in 2021: Associations with meaning in life and suicidal ideation.2021年香港年轻人中患者健康问卷-4的心理测量学特性:与生活意义及自杀意念的关联
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Deficits in psychological resilience and problem-solving ability in adolescents with suicidal ideation.有自杀意念的青少年在心理复原力和解决问题能力方面存在缺陷。
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The Relationships Between Suicidal Ideation, Meaning in Life, and Affect: a Network Analysis.自杀意念、生命意义与情感之间的关系:一项网络分析
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