Perceived responsiveness in suicidal ideation: An experience sampling study in psychiatric patients.

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-01 DOI:10.1111/sltb.13095
Laura Sels, Stephanie A Homan, Harry T Reis, Andrea B Horn, Jordan Revol, Urte Scholz, Tobias Kowatsch, Birgit Kleim
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Abstract

Introduction: Perceived responsiveness, or the extent to which one feels understood, validated and cared for by close others, plays a crucial role in people's well-being. Can this interpersonal process also protect people at risk? We assessed whether fluctuations in suicidal ideation were associated with fluctuations in the degree of perceived responsiveness that psychiatric patients (admitted in the context of suicide or indicating suicidal ideation) experienced in daily interactions immediately after discharge.

Methods: Fifty-seven patients reported on suicidal ideation (5 times a day) and perceived responsiveness (daily) for four consecutive weeks. The effects of established risk factors-thwarted belongingness, perceived burdensomeness, and hopelessness-were assessed as well.

Results: The more patients felt that close others had been responsive to them, the less suicidal ideation they reported. At low levels of thwarted belongingness, perceived burdensomeness, or hopelessness, perceived responsiveness seemed to play a protective role, negatively co-occurring with suicidal ideation. When thwarted belongingness, perceived burdensomeness, and hopelessness were high, perceived responsiveness did not have an effect.

Conclusion: Perceived responsiveness could be a protective factor for suicidal ideation for people at risk only when they are experiencing low levels of negative perceptions. When experiencing highly negative perceptions, however, perceived responsiveness seems to matter less.

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自杀意念中的感知反应能力:精神病患者的经验取样研究。
简介感知到的反应能力,即一个人感到被亲密的人理解、认可和关心的程度,对人的幸福感起着至关重要的作用。这种人际交往过程是否也能保护高危人群?我们评估了自杀意念的波动是否与精神病患者(因自杀入院或有自杀意念)出院后在日常互动中感受到的回应程度的波动有关:57 名患者连续四周报告了自杀意念(每天 5 次)和感知反应能力(每天)。同时还评估了既定风险因素的影响--归属感动摇、感知到的负担和绝望:结果:患者越觉得亲近的人对他们有回应,他们报告的自杀意念就越少。在归属感受挫、负担感或绝望感较低的情况下,感知到的回应似乎起着保护作用,与自杀意念呈负相关。当挫败归属感、感知到的负担感和绝望感较高时,感知到的反应性则没有影响:结论:只有当高危人群的负面认知水平较低时,他们的感知反应能力才可能成为自杀意念的保护因素。结论:只有当高危人群的负面认知水平较低时,感知反应能力才可能成为他们自杀意念的保护因素。
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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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