Suicidal Behavior and Social Cognition: The Role of Hypomentalizing and Fearlessness About Death.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psicothema Pub Date : 2024-05-01 DOI:10.7334/psicothema2024.82

Jorge Andreo-Jover, Eduardo Fernández-Jiménez, Julio Bobes, Ana I. Cebria, Benedicto Crespo-Facorro, Alejandro De la Torre-Luque, Marina Díaz-Marsá, Adriana García-Ramos, Iria Grande, Ana González-Pinto, Luis Jiménez-Treviño, Natalia Roberto, Miguel Ruiz-Veguilla, Ángela Palao-Tarrero, Víctor Pérez-Sola

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Abstract

Background: Suicide attempt (SA) lethality is associated with heightened suicidal desires and social cognition deficits. Fearlessness about death (FAD) and hypomentalizing may play a role in SA and self-harm. Although studies have identified relationships between these constructs, this line of research is still limited. We aimed to explore the mediating role of FAD and mentalizing between suicidal ideation and both SA lethality and self-harm.

Method: 1,371 suicide attempters (70.1% women; M = 40 years) from seven Spanish hospitals participated. We used the Fearlessness About Death (ACSS-FAD) subscale, the Reflective Functioning Questionnaire-8 (RFQ-8), and the Columbia Suicide Severity Rating Scale (CSSRS). We conducted serial multiple mediation analyses with suicidal ideation as exposure; FAD and mentalizing as mediators; SA lethality and self-harm as outcomes.

Results: Indirect effects were found of suicidal ideation on self-harm ( B = 0.08, CI = 0.03-0.15) and SA lethality mediated by FAD ( B = 0.02, CI = 0.001-0.04); indirect effects of suicidal ideation on self-harm through mentalizing ( B = 0.10, CI = 0.04-0.167), and total indirect effects between suicidal ideation and self-harm through FAD and mentalizing ( B = 0.18, CI = 0.11-0.27).

Conclusions: Interventions addressing mentalizing and FAD may help reduce SA lethality and self-harm risk.

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自杀行为与社会认知：预想和对死亡的恐惧的作用。

背景：自杀未遂（SA）的致命性与自杀欲望增强和社会认知缺陷有关。对死亡的恐惧（FAD）和意念减退可能会在自杀和自残中发挥作用。虽然已有研究发现了这些构念之间的关系，但这一研究方向仍然有限。我们旨在探索 FAD 和心理化在自杀意念与 SA 致命性和自残之间的中介作用：来自西班牙七家医院的 1,371 名自杀未遂者（70.1% 为女性；= 40 岁）参与了研究。我们使用了 "对死亡的恐惧"（ACSS-FAD）分量表、"反思功能问卷-8"（RFQ-8）和 "哥伦比亚自杀严重程度评定量表"（CSSRS）。我们进行了序列多重中介分析，将自杀意念作为暴露因素；FAD和心理化作为中介因素；SA致死率和自残作为结果：结果：自杀意念对自残的间接影响（=0.08，=0.03-0.15）和SA致死率由FAD中介（=0.02，=0.001-0.04）；自杀意念通过心理化对自残的间接影响（=0.10，=0.04-0.167），自杀意念和自残之间通过FAD和心理化的总间接影响（=0.18，=0.11-0.27）：结论：针对心理化和 FAD 的干预措施可能有助于降低 SA 的致死率和自残风险。

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

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.