An analysis of real-time suicidal ideation and its relationship with retrospective reports among young people with borderline personality disorder.

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-01 Epub Date: 2024-02-20 DOI:10.1111/sltb.13058
Holly E Andrewes, Marialuisa Cavelti, Carol Hulbert, Susan M Cotton, Jennifer K Betts, Henry J Jackson, Louise McCutcheon, John Gleeson, Christopher G Davey, Andrew M Chanen
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Abstract

Introduction: This study aimed to analyze the real-time variability of suicidal ideation intensity and the relationship between real-time and retrospective reports of suicidal ideation made on the Beck Scale for Suicidal Ideation (BSS), among young people with borderline personality disorder (BPD).

Methods: Young people (15-25-year olds) with BPD (N = 46), recruited from two government-funded mental health services, rated the intensity of their suicidal ideation six times per day for 7 days before completing the BSS.

Results: For 70% of participants, suicidal ideation changed in intensity approximately five times across the week, both within and between days. BSS ratings were most highly correlated with the highest real-time ratings of suicidal ideation. However, this was not significantly different from the relationship between the BSS and both the average and most recent ratings. Median ratings of suicidal ideation intensity were higher on the BSS compared with an equivalent question asked in real time.

Conclusion: Findings suggest that young people with BPD experience high levels of fluctuation in their intensity of suicidal ideation across a week and that retrospective reports of suicidal ideation might be more reflective of the most intense experience of suicidal ideation across the week.

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分析患有边缘型人格障碍的年轻人的实时自杀意念及其与回顾性报告之间的关系。
简介本研究旨在分析边缘型人格障碍(BPD)青少年自杀意念强度的实时变化以及贝克自杀意念量表(BSS)自杀意念实时报告与回顾性报告之间的关系:方法:从两家政府资助的心理健康服务机构招募患有边缘型人格障碍的年轻人(15-25 岁)(46 人),他们在完成贝克自杀意念量表之前,每天对自己的自杀意念强度进行六次评分,持续 7 天:在 70% 的参与者中,自杀意念的强度在一周内变化了约五次,包括在一天之内和一天之间的变化。BSS 评分与自杀意念的最高实时评分的相关性最高。然而,这与 BSS 与平均评级和最近评级之间的关系并无明显差异。与实时提问的同等问题相比,BSS对自杀意念强度评分的中位数更高:研究结果表明,患有 BPD 的青少年在一周内的自杀意念强度波动很大,自杀意念的回顾性报告可能更能反映一周内最强烈的自杀意念。
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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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