Mental imagery of suicide and non-suicidal self-injury: A meta-analysis and systematic review.
Mental imagery of suicide and non-suicidal self-injury: A meta-analysis and systematic review.
复制标题
自杀和非自杀性自残的心理意象：荟萃分析和系统评价。
DOI：
10.1016/j.cpr.2023.102302
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发表时间：
2023
影响因子：
12.8
通讯作者：
Liu,RichardT
中科院分区：
文献类型：
--
作者：
Lawrence,HannahR;Balkind,EmmaG;Ji,JulieL;Burke,TaylorA;Liu,RichardT
背景绝大多数关于自杀和非自杀性自伤（NSSI）的认知的研究和临床评估都集中在语言思维上。然而，心理意象是更现实和情感唤起比口头thoughts.MethodsWe进行了系统的回顾和荟萃分析记录自杀和NSSI心理意象的患病率，并描述自杀和NSSI心理意象的内容和特点，自杀和NSSI心理意象和自杀和NSSI行为之间的联系，以及如何干预自杀和NSSI心理意象。通过MEDLINE和PsycINFO.Results23篇文章的系统检索，确定了2022年12月17日发表的研究。临床样本中自杀和非自杀性精神病性症状的检出率较高（分别为73.56%和84.33%）。自我伤害心理意象通常描述自我伤害行为的参与，并被体验为生动，现实和令人担忧。当实验诱导时，自我伤害心理意象会降低生理和情感唤醒。初步证据表明，自杀心理意象与自杀行为。ConclusionsSuicidal和NSSI心理意象是非常普遍的，可能与自我伤害行为的风险增加。自我伤害的评估和干预措施应考虑纳入和解决自杀和NSSI心理意象，以减轻风险。
BackgroundThe vast majority of research on, and clinical assessment of, cognitions related to suicide and non-suicidal self-injury (NSSI) has focused on verbal thoughts. And yet, mental imagery is more realistic and emotionally arousing than verbal thoughts.MethodsWe conducted a systematic review and meta-analysis documenting the prevalence of suicidal and NSSI mental imagery and describing the content and characteristics of suicidal and NSSI mental imagery, links between suicidal and NSSI mental imagery and suicidal and NSSI behavior, and how to intervene on suicidal and NSSI mental imagery. Studies published through December 17, 2022 were identified through a systematic search of MEDLINE and PsycINFO.ResultsTwenty-three articles were included. Prevalence rates of suicidal (73.56%) and NSSI (84.33%) mental imagery were high among clinical samples. Self-harm mental imagery commonly depicts engagement in self-harm behavior and is experienced as vivid, realistic, and preoccupying. When experimentally induced, self-harm mental imagery reduces physiological and affective arousal. Preliminary evidence suggests that suicidal mental imagery is associated with suicidal behavior.ConclusionsSuicidal and NSSI mental imagery are highly prevalent and may be associated with heightened risk for self-harm behavior. Assessments and interventions for self-harm should consider incorporating and addressing suicidal and NSSI mental imagery to mitigate risk.