Emotional Risk Factors, Rumination, and Self-Criticism in Relation to Suicidal Ideation Among Chinese Depressive Outpatients.

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Behavioral Sciences Pub Date : 2024-11-19 DOI:10.3390/bs14111111
Barbara Chuen Yee Lo, Sophie Kai Lam Cheng
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Abstract

Previous studies indicated that individuals with major depressive disorder (MDD) are at high risk of suicide, making the identification of risk factors in suicidal depressive outpatients essential for developing effective prevention and treatment strategies. This study aims to (1) identify emotional risk factors and (2) examine the relationship between cognitive markers-including rumination and self-criticism-and suicidal ideation among depressive outpatients. A total of 165 Chinese clinical outpatients with depression were recruited from local hospitals in Hong Kong. In our sample, 68% of patients with moderate depression and 87.5% of patients with severe depression reported experiencing suicidal thoughts. The results from the logistic regression revealed a significant interaction between rumination and self-critical thoughts in relation to suicidal ideation. Specifically, the ruminative patients with self-critical thoughts were more likely to have suicidal thoughts than those without self-critical thoughts. These findings align with the cognitive model of suicide, suggesting that maladaptive information processing and negative cognitive content are associated with an increased risk of suicide. The current findings have clinical implications for the future development of more specific and accurate mental health assessment, preventive programs, and psychotherapies for depressive outpatients.

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中国抑郁症门诊患者的情绪风险因素、遐想和自我批评与自杀意念的关系
以往的研究表明,重度抑郁障碍(MDD)患者具有很高的自杀风险,因此识别有自杀倾向的抑郁症门诊患者的风险因素对于制定有效的预防和治疗策略至关重要。本研究旨在:(1)识别抑郁症门诊患者的情绪风险因素;(2)研究抑郁症门诊患者的认知标记(包括反刍和自我批评)与自杀意念之间的关系。我们从香港本地医院招募了 165 名中国临床门诊抑郁症患者。在我们的样本中,68%的中度抑郁症患者和87.5%的重度抑郁症患者有自杀念头。逻辑回归结果显示,反刍和自我批评想法与自杀意念之间存在显著的交互作用。具体来说,有自我批评想法的反刍患者比没有自我批评想法的患者更容易产生自杀念头。这些发现与自杀的认知模式一致,表明不适应的信息处理和消极的认知内容与自杀风险的增加有关。目前的研究结果对未来为抑郁症门诊患者开发更具体、更准确的心理健康评估、预防计划和心理疗法具有临床意义。
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来源期刊
Behavioral Sciences
Behavioral Sciences Social Sciences-Development
CiteScore
2.60
自引率
7.70%
发文量
429
审稿时长
11 weeks
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