Stressful Life Events and Near-term Suicidal Risk in a Clinical Population.

IF 2.7 4区 医学 Q2 PSYCHIATRY Psychiatric Quarterly Pub Date : 2023-09-01 DOI:10.1007/s11126-023-10038-7
Lisa J Cohen, Michelle Hernandez, Radwa Mokhtar, Jenelle Richards, Sarah Bloch-Elkouby, Megan L Rogers, Igor Galynker
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Abstract

The present study examined 22 specific stressful life events (SLEs) in relation to recent and prospective suicidal thoughts and behaviors (STBs). The effect of assessment method (self-report vs. chart-based ratings) and inpatient/outpatient status was also investigated. Past 3-month STBs and SLEs were assessed for 1,058 psychiatric patients; 696 completed one-month follow-up assessments. SLEs were common, with 684 participants (64.7%) reporting at least one. Total number of SLEs correlated with recent and prospective STB. A higher incidence of SLE's was found with self-report vs. chart-based measures (on 20 SLEs) and inpatients vs. outpatients (on 7 SLEs). SLEs of interpersonal rejection and loss, homelessness and academic failure offered elevated risk. In sum, SLEs are common and associated with STBs in psychiatric patients. SLEs of interpersonal rejection and loss, homelessness and academic failure may merit increased clinical attention.

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临床人群中的压力生活事件与近期自杀风险
本研究调查了22个与近期和预期自杀想法和行为相关的特定压力生活事件(SLEs)。评估方法(自我报告与基于图表的评分)和住院/门诊状况的影响也进行了调查。对1058例精神病患者进行了过去3个月的STBs和SLEs评估;696人完成了为期一个月的随访评估。SLEs很常见,684名参与者(64.7%)至少报告了一次SLEs。SLEs总数与近期和未来STB相关。自我报告与基于图表的测量(20例SLEs)、住院患者与门诊患者(7例SLEs)的SLE发病率更高。人际排斥和损失、无家可归和学业失败的SLEs增加了风险。总之,SLEs在精神病人中很常见,并且与性传播感染有关。人际排斥和丧失、无家可归和学业失败的SLEs可能值得更多的临床关注。
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来源期刊
Psychiatric Quarterly
Psychiatric Quarterly PSYCHIATRY-
CiteScore
8.10
自引率
0.00%
发文量
40
期刊介绍: Psychiatric Quarterly publishes original research, theoretical papers, and review articles on the assessment, treatment, and rehabilitation of persons with psychiatric disabilities, with emphasis on care provided in public, community, and private institutional settings such as hospitals, schools, and correctional facilities. Qualitative and quantitative studies concerning the social, clinical, administrative, legal, political, and ethical aspects of mental health care fall within the scope of the journal. Content areas include, but are not limited to, evidence-based practice in prevention, diagnosis, and management of psychiatric disorders; interface of psychiatry with primary and specialty medicine; disparities of access and outcomes in health care service delivery; and socio-cultural and cross-cultural aspects of mental health and wellness, including mental health literacy. 5 Year Impact Factor: 1.023 (2007) Section ''Psychiatry'': Rank 70 out of 82
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