青少年对生死的矛盾态度与自杀意念--抑郁症的中介作用。

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-07-19 DOI:10.1111/sltb.13118
N Toukhy, B Raviv, L Haruvi-Catalan, S Fennig, S Barzilay
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引用次数: 0

摘要

背景:青少年对生命和死亡的矛盾态度与自杀意念(SI)有关。然而,以往的研究主要是横断面研究,并没有研究对生死的态度是通过哪种心理病理机制(如抑郁)与自杀意念相关联的:方法:129 名年龄在 10-18 岁、有自杀想法和行为史的青少年(75.2% 为女性)在门诊就诊时和随访 1 个月后(随访保留率为 80%)接受了评估(随访保留率为 80%)。所有参与者都填写了一份调查问卷,在就诊时评估对生命和死亡的态度以及SI的严重程度,在随访1个月时评估抑郁和SI的严重程度:结果:在控制了入院时的SI严重程度后,基线时对生命的吸引力,而不是基线时对死亡的吸引力和排斥力,导致了随访时SI严重程度的升高,而随访时的抑郁则完全调节了这种关联:结论:对生活的态度和抑郁在青少年孤独症的发展过程中起着至关重要的作用。针对生活理由和促进生活意义的干预措施可能有助于预防抑郁和孤独症。
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Ambivalent attitudes toward life and death and suicide ideation among adolescents-The mediating role of depression.

Background: Ambivalence in attitudes towards life and death are associated with suicide ideation (SI) among adolescents. However, previous research was mainly cross-sectional and did not examine through which psychopathological mechanisms (such as depression) attitudes towards life and death are associated with SI.

Objective: The current longitudinal study examined the mediating role of depression at follow-up in the association between attitudes towards life and death at baseline and SI at follow-up among at-risk adolescents referred to an outpatient psychiatric clinic.

Methods: 129 adolescents aged 10-18 years (75.2% females) with a history of suicidal thoughts and behaviors were assessed at clinic intake and 1 month follow-up (80% retention rate at follow-up). All participants completed a questionnaire assessing attitudes towards life and death and SI severity at clinic intake, and depression and SI severity at 1 month follow-up.

Results: While controlling for SI severity at intake, attraction towards life at baseline, rather than attraction and repulsion towards death at baseline, led to higher SI severity at follow-up, while depression at follow-up fully mediated this association.

Conclusions: Attitudes towards life, as well as depression play critical roles in the development of SI among adolescents. Interventions targeting reasons for living and promoting meaning of life may be beneficial in preventing depression and SI.

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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.
期刊最新文献
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