Holden R R, Mendonca J D
J Clin Psychol. 1984 Nov;40(6):1342-5.
Although hopelessness has been postulated as the primary mediator that links depression and suicide, empirical evidence has produced varied results. A review of previous research suggests that the measurement of hopelessness has not been independent of social desirability. Consequently, the relationship of hopelessness to suicidal behavior remains unclear. It is suggested that the theoretical and clinical usefulness of assessing hopelessness depends on the use of theoretically explicit instruments to assess independently content and response styles with clinically relevant populations.
尽管绝望被假定为连接抑郁和自杀的主要中介因素，但实证证据却产生了不同的结果。对先前研究的综述表明，绝望的测量并非独立于社会期望。因此，绝望与自杀行为之间的关系仍不明确。有人认为，评估绝望的理论和临床效用取决于使用理论明确的工具，在临床相关人群中独立评估内容和反应方式。
