Suicidal ambivalence: A scoping review.

IF 2.7 3区医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-05-06 DOI:10.1111/sltb.13092

Tobias Teismann, Annika Maria Siebert, Thomas Forkmann

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Abstract

Background: Suicidal ambivalence is considered a characteristic condition of suicidal individuals. At the same time, there is a lack of a uniform definition, conception and assessment of suicidal ambivalence. On this background, the current scoping review aims to explore the extent, range, and nature of research activity on suicidal ambivalence and to summarize research findings.

Methods: A systematic literature search was conducted in four different databases (PubMed, Psychinfo, Web of Science, and Google Scholar) using an array of search terms (e.g., ambivalence, internal suicide debate, reasons for living and reasons for dying, wish to live and wish to die).

Results: In total, 28 articles published between 1977 and 2023 were included in the scoping review. The study situation lacks a clear definition, conceptualization and operationalization of suicidal ambivalence. Nonetheless, suicidal ambivalence is a common experience in persons contemplating suicide and suicidal ambivalence seems to be present before, during and after a suicide attempt. Suicidal ambivalence is associated with diverse markers of negative/positive mental health as well as suicidal ideation and behavior.

Conclusion: Results point to the relevance of suicidal ambivalence. At the same time, there are large gaps in knowledge about the development, impact and therapeutic responsiveness of suicidal ambivalence.

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自杀的矛盾心理：范围界定综述。

背景：自杀矛盾心理被认为是有自杀倾向者的一种特征。与此同时，对自杀矛盾心理缺乏统一的定义、概念和评估。在此背景下，本次范围界定综述旨在探讨自杀矛盾心理研究活动的程度、范围和性质，并总结研究结果：在四个不同的数据库（PubMed、Psychinfo、Web of Science 和 Google Scholar）中进行了系统的文献检索，并使用了一系列检索词（如矛盾心理、内部自杀辩论、生存原因和死亡原因、生存愿望和死亡愿望）：共有 28 篇 1977 年至 2023 年间发表的文章被纳入范围审查。研究情况缺乏对自杀矛盾心理的明确定义、概念化和操作化。然而，自杀矛盾心理是酝酿自杀者的一种常见体验，自杀矛盾心理似乎在自杀未遂前、自杀未遂期间和自杀未遂后都存在。自杀矛盾心理与消极/积极心理健康的各种标记以及自杀意念和行为有关：结论：研究结果表明了自杀矛盾心理的相关性。结论：研究结果表明了自杀矛盾心理的相关性，但与此同时，人们对自杀矛盾心理的发展、影响和治疗对策的认识还存在很大差距。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

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.