Identifying latent classes of suicidal ambivalence: Associations with suicide risk correlates and outcomes.

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-07-12 DOI:10.1111/sltb.13111
Sean Mitchell, Cole Marvin, Dea Mitaj, Megan L Rogers
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Abstract

Introduction: Research has largely conceptualized suicidal ambivalence as the difference between one's wish to live and wish to die without fully considering other suicide ideation (SI) experiences included on measures like the Beck Scale for Suicide Ideation (BSS). We utilized BSS items to identify SI latent classes and examined relevant correlates and outcomes.

Methods: We collected self-report data from two samples of US adults who: (1) self-identified as LGBTQ+ (N = 349; cross-sectional) and (2) self-reported past-week SI (BSS score ≥ 11; N = 133; 3 timepoints).

Results: Latent class analyses supported three-class (Sample 1) and four-class solutions (Sample 2), which included ambivalent classes. In Sample 1, sexual orientation, gender, depression, anxiety, SI, and suicide-specific rumination were concurrently associated with class membership. In Sample 2, depression, SI, suicide-specific rumination, and physical/psychological distance from suicide methods were concurrently associated with class membership. In Sample 2, at both follow-ups, suicide plans/preparations and Acute Suicidal Affective Disturbance symptom frequencies were provided by class membership, and suicidal intent significantly differed by class membership.

Conclusions: SI classes differed by sample and evidenced nuances in SI and suicidal ambivalence. Risk factors and suicide-related outcomes also differed by class membership. Implications and limitations are discussed.

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识别自杀矛盾心理的潜在类别:与自杀风险相关因素和结果的联系。
简介研究在很大程度上将自杀矛盾感概念化为一个人求生愿望与求死愿望之间的差异,而没有充分考虑贝克自杀意念量表(BSS)等量表中包含的其他自杀意念(SI)体验。我们利用贝克自杀意念量表(BSS)的项目来确定自杀意念的潜在类别,并研究了相关的关联性和结果:我们收集了两个美国成年人样本的自我报告数据,他们分别是(1)自我认同为 LGBTQ+(N = 349;横断面);(2)自我报告过去一周的 SI(BSS 分数≥ 11;N = 133;3 个时间点):潜类分析支持三类(样本 1)和四类解决方案(样本 2),其中包括矛盾类。在样本 1 中,性取向、性别、抑郁、焦虑、SI 和自杀特异性反刍同时与类别成员资格相关。在样本 2 中,抑郁、SI、自杀特异性反刍以及与自杀方法的生理/心理距离同时与阶层成员资格相关。在样本 2 中,在两次随访中,自杀计划/准备和急性自杀性情感障碍症状的出现频率都是按类别成员提供的,而自杀意向则因类别成员的不同而存在显著差异:结论:不同样本的自闭症类别存在差异,并证明了自闭症和自杀矛盾心理的细微差别。风险因素和自杀相关结果也因群体成员而异。本文讨论了研究的意义和局限性。
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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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