When the solution is part of the problem: problem solving in elderly suicide attempters.
When the solution is part of the problem: problem solving in elderly suicide attempters.
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当解决方案是问题的一部分时：在老年人自杀案中解决问题。
DOI：
10.1002/gps.2276
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发表时间：
2009-12
影响因子：
4
通讯作者：
Szanto, Katalin
中科院分区：
文献类型：
--
作者：
Gibbs, Lawrence M.;Dombrovski, Alexandre Y.;Morse, Jennifer;Siegle, Greg J.;Houck, Patricia R.;Szanto, Katalin
抑郁、失落和身体疾病与老年人自杀有关。然而，对个人脆弱性的性质仍然知之甚少。解决问题能力差被认为是年轻人自杀的危险因素。未解决的问题可能会造成压力源的积累。因此，那些在解决问题能力方面有明显缺陷的人可能倾向于自杀行为。为了验证这一假设，我们调查了老年自杀者是否认为他们的问题解决能力不足。64名年龄在60岁及以上的人参加了这项研究，包括抑郁的自杀者，抑郁的非自杀者和非抑郁的对照组。社会问题解决量表修订版：简短版被用来衡量参与者的感知社会问题解决，评估适应性问题解决的维度（积极的问题导向和理性的问题解决）和功能失调的维度（消极的问题导向，冲动/粗心，和回避）。与非自杀抑郁症和非抑郁症老年人相比，曾试图自杀的抑郁症老年人认为他们的整体问题解决能力不足。自杀者对他们的问题更加消极，并且以更冲动的方式接近他们。在理性问题解决和回避风格分量表上，自杀倾向者与非自杀倾向的抑郁者没有差异。然而，这两个抑郁症组报告较低的理性解决问题和较高的回避相比，非抑郁症的控制。认为生活问题具有威胁性和无法解决，以及解决问题的冲动方法似乎使易受伤害的老年人更容易自杀。
Depression, loss, and physical illness are associated with suicide in the elderly. However, the nature of individual vulnerability remains poorly understood. Poor problem solving has been suggested as a risk factor for suicide in younger adults. Unresolved problems may create an accumulation of stressors. Thus, those with perceived deficits in problem-solving ability may be predisposed to suicidal behavior. To test this hypothesis, we investigated whether elderly suicide attempters perceived their problem solving as deficient. Sixty-four individuals aged 60 and older participated in the study including depressed suicide attempters, depressed non-attempters, and non-depressed controls. The social problem solving inventory-revised: short-version was used to measure participants' perceived social problem solving, assessing both adaptive problem-solving dimensions (positive problem orientation and rational problem solving) and dysfunctional dimensions (negative problem orientation, impulsivity/carelessness, and avoidance). Depressed elderly who had attempted suicide perceived their overall problem solving as deficient, compared to non-suicidal depressed and non-depressed elderly. Suicide attempters perceived their problems more negatively and approached them in a more impulsive manner. On rational problem solving and avoidant style sub-scales, suicide attempters did not differ from non-suicidal depressed. However, both depressed groups reported lower rational problem solving and higher avoidance compared to non-depressed controls. A perception of life problems as threatening and unsolvable and an impulsive approach to problem solving appear to predispose vulnerable elderly to suicide attempts.
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影响因子：
120.7
作者：
Bruce, ML;Ten Have, TR;Alexopoulos, GS
通讯作者：
Alexopoulos, GS
影响因子：
5.9
作者：
LEVENSON, M;NEURINGER, C
通讯作者：
NEURINGER, C
影响因子：
3.7
作者：
DZURILLA, TJ;MAYDEUOLIVARES, A
通讯作者：
MAYDEUOLIVARES, A
影响因子：
4.8
作者：
FOLSTEIN, MF;FOLSTEIN, SE;MCHUGH, PR
通讯作者：
MCHUGH, PR
影响因子：
3.1
作者：
Howat, S;Davidson, K
通讯作者：
Davidson, K