社会支持和社会困扰的衡量标准是否与自杀意念和自杀未遂相关的一般因素相同?

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-05-30 DOI:10.1111/sltb.13097
K G Saulnier, C A King, M A Ilgen, D Ganoczy, J Jagusch, J Garlick, K M Abraham, A Lapidos, H M Kim, E Vega, B K Ahmedani, P N Pfeiffer
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引用次数: 0

摘要

简介社会关系的各个方面与自杀意念(SI)和自杀企图(SA)有不同程度的关联。本研究评估了社会支持和社会困扰测量是否具有与自杀风险相关的一般因素和测量特异性因素:最近自杀未遂或主动 SI 后入住精神科住院病房的成年人(N = 455,60.0% 为女性)完成了社会支持(情感支持、工具支持、友谊、感知到的来自重要他人、朋友和家人的支持)和社会困扰(孤独、感知到的排斥、感知到的负担、归属感受挫)的评估。双因素模型研究了社会支持和痛苦的一般因素和特殊因素与SI(住院前一周,通过贝克SI量表)和SAs(过去30天,通过哥伦比亚自杀严重程度评定量表)的关系:SI与一般社会支持(B=-1.51)、一般社会痛苦(B=1.67)和特定感知负担(B=1.57)因素有明显关联。SA与特定的 "感知到的拒绝"(OR = 1.05)和 "归属感受挫"(OR = 0.91)因素明显相关:结论:一般社会支持和社会困扰与 SI 相关,但与最近的 SAs 无关。具体的社会困扰因素也与SI和SA有关,但与一般社会困扰无关,这表明了未来干预的领域。
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Do measures of social support and social distress share general factors associated with suicidal ideation and attempts?

Introduction: Aspects of social relationships have variably been associated with suicidal ideation (SI) and suicide attempts (SAs). This study assessed whether social support and social distress measures have general factors versus measure-specific factors that are associated with suicide risk.

Methods: Adults (N = 455, 60.0% female), admitted to psychiatric inpatient units following a recent suicide attempt or active SI, completed assessments of social support (emotional support, instrumental support, friendship, perceived support from significant others, friends, family) and social distress (loneliness, perceived rejection, perceived burdensomeness, thwarted belongingness). Bifactor modeling examined general and specific factors of social support and distress in relation to SI (week prior to hospitalization, via the Beck Scale for SI) and SAs (past 30 days, via the Columbia Suicide Severity Rating Scale).

Results: SI was significantly associated with the general social support (B = -1.51), the general social distress (B = 1.67), and the specific perceived burdensomeness (B = 1.57) factors. SAs were significantly associated with the specific Perceived Rejection (OR = 1.05) and Thwarted Belongingness (OR = 0.91) factors.

Conclusion: General social support and social distress were associated with SI but not recent SAs. Specific social distress factors were also related to SI and SAs controlling for general social distress, suggesting areas for future interventions.

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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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