对性少数群体青壮年样本中的非自杀性自伤行为及与自杀人际关系理论的相关性进行潜类分析

IF 1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Social and Clinical Psychology Pub Date : 2024-02-01 DOI:10.1521/jscp.2024.43.1.50
Cindy J. Chang, Matt R. Nobles, Robert J. Cramer, Ryan A. Robertson, Ryan M. Hill, Brian A. Feinstein
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摘要

简介自导暴力(SDV)包括非自杀性自伤(NSSI)和自杀,在性少数群体中发病率较高。NSSI 的发病年龄已被证明会影响 SDV 结果的严重程度。自杀的人际关系理论(ITS)的组成部分包括感知到的负担(PB)、挫败的归属感(TB)和获得的自杀能力(ACS),这可能有助于了解 NSSI 亚群,尤其是研究不足的群体,如性少数群体。研究方法本研究考察了 NSSI 的亚型以及与 ITS 构建的关联。473 名有 NSSI 史的性少数群体青年样本完成了自我报告测量,评估了人口统计学、SDV 和 ITS 构建。半数以上的样本(59.7%)报告在其一生中曾有 NSSI 行为。在自杀想法和行为方面,大多数样本(87.3%)表示在其一生中有过自杀想法,三分之一(33.0%)表示在其一生中有过自杀企图。研究结果潜类分析显示有三个类别:(1)较低的 NSSI,(2)中等的 NSSI,以及(3)较高的 NSSI。NSSI的发病年龄、自杀想法的强度、自杀计划的可能性、NSSI的持续时间和NSSI方法的数量区分了不同的组别。多变量方差分析(MANOVA)显示,低度 NSSI 组报告的 PB 和 TB 低于中度 NSSI 组。不同 NSSI 等级的 ACS 没有差异。讨论:本研究从理论意义和对高危性少数群体青年咨询的应用角度对结果进行了讨论。本研究确定了与性少数群体青壮年自我导向暴力亚组相关的因素。这些发现为针对性少数群体的自我导向暴力预防研究和临床实践提供了信息。
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A latent class analysis of non-suicidal self-injury and associations with constructs from the interpersonal theory of suicide in a sample of sexual minority young adults
Introduction: Self-directed violence (SDV), comprising both non-suicidal self-injury (NSSI) and suicide, is elevated among sexual minority populations. NSSI age of onset has been shown to impact severity of SDV outcomes. Components of the Interpersonal Theory of Suicide (ITS), which includes perceived burdensomeness (PB), thwarted belongingness (TB), and acquired capability for suicide (ACS), may be useful to understanding NSSI subgroups, especially among under-researched groups such as sexual minority persons. Methods: This study examined subtypes of NSSI and associations with constructs from the ITS. A sample of 473 sexual minority young adults with a history of NSSI completed self-report measures assessing demographics, SDV, and ITS constructs. More than half of the sample (59.7%) reported engaging in NSSI during their lifetime. For suicidal thoughts and behaviors, a majority of the sample reported having thoughts of suicide in their lifetime (87.3%), and one-third reported a lifetime suicide attempt (33.0%). Results: Latent class analysis revealed three classes: (1) lower NSSI, (2) moderate NSSI, and (3) higher NSSI. NSSI age of onset, intensity of suicidal thoughts, suicide plan likelihood, duration of NSSI, and number of NSSI methods differentiated groups. Multivariate Analysis of Variance (MANOVA) revealed that the lower NSSI group reported lower PB and TB than the moderate NSSI group. No differences were found for ACS across NSSI classes. Discussion: Results are discussed in terms of their theoretical implications and application for counseling at-risk sexual minority young adults. This study identifies factors associated with subgroups of self-directed violence among sexual minority young adults. Such findings inform gaps in self-directed violence prevention research and clinical practice for sexual minority persons.
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
20
期刊介绍: This journal is devoted to the application of theory and research from social psychology toward the better understanding of human adaptation and adjustment, including both the alleviation of psychological problems and distress (e.g., psychopathology) and the enhancement of psychological well-being among the psychologically healthy. Topics of interest include (but are not limited to) traditionally defined psychopathology (e.g., depression), common emotional and behavioral problems in living (e.g., conflicts in close relationships), the enhancement of subjective well-being, and the processes of psychological change in everyday life (e.g., self-regulation) and professional settings (e.g., psychotherapy and counseling). Articles reporting the results of theory-driven empirical research are given priority, but theoretical articles, review articles, clinical case studies, and essays on professional issues are also welcome. Articles describing the development of new scales (personality or otherwise) or the revision of existing scales are not appropriate for this journal.
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