A longitudinal examination of cultural risk factors of suicide and emotion regulation.
A longitudinal examination of cultural risk factors of suicide and emotion regulation.
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DOI：
10.1037/ort0000629
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发表时间：
2022
影响因子：
3.3
通讯作者：
Blanchard, Brittany E
中科院分区：
文献类型：
--
作者：
Mata-Greve, Felicia;Johnson, Morgan;Blanchard, Brittany E
目前的研究是一项二次分析，旨在测试情绪调节困难（DER）是否会在统计上介导a)黑人、土著和有色人种（BIPOC）和b)女同性恋、男同性恋、双性恋、变性人和酷儿（LGBTQ）个体中自杀和抑郁症状或自杀行为的文化风险因素。BIPOC （n = 246）和LGBTQ （n = 203）参与者在一个更大的远程随机对照试验的三个时间点完成了自杀、DER、抑郁症状和自杀行为的文化风险因素测量。简单平行中介探讨自杀文化风险对抑郁或自杀行为是否有间接影响。假设得到部分支持：简单中介显示，在BIPOC中，时间1的文化风险因素仅通过时间2的DER预测时间3的抑郁症状(间接效应= 0.09，SE= 0.04, 95% CI[。]01。[17])和LGBTQ个体(间接效应= 0.05，SE= 0.02, 95% CI[。02年,08年])。平行中介揭示了自杀和抑郁文化压力源通过情感意识缺失、目标导向行为困难和情绪调节策略获取困难间接影响BIPOC，而LGBTQ通过目标导向行为困难间接影响自杀和抑郁文化压力源。通过重复研究，这些发现支持了文化风险因素在筛查自杀时的重要性，并为针对BIPOC和LGBTQ个体的情绪调节进行心理社会干预提供了信息。
The current study is a secondary analysis that tested whether difficulties with emotion regulation (DER) would statistically mediate cultural risk factors of suicide and depression symptoms or suicidal behaviors among a) Black, Indigenous, and People of Color (BIPOC) and b) lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals. BIPOC (n = 246) and LGBTQ (n = 203) participants completed measures on cultural risk factors of suicide, DER, depression symptoms, and suicidal behaviors at three time-points from a larger remote randomized controlled trial. Simple and parallel mediation explored whether there were indirect effects of cultural risk of suicide on depression or suicidal behaviors via DER. Hypotheses were partially supported: simple mediation revealed that cultural risk factors of suicide at time 1 predicted only depression symptoms at time 3 via DER at time 2 among BIPOC (indirect effect=.09, SE=.04, 95% CI [.01, .17]) and LGBTQ individuals (indirect effect=.05, SE=.02, 95% CI [.02, 08]). Parallel mediation revealed an indirect effect of cultural stressors of suicide and depression via lack of emotional awareness, difficulty with goal-directed behavior, and difficulty accessing emotion regulation strategies for BIPOC, whereas it was via difficulties with goal-directed behavior for LGBTQ persons. With replication, these findings support the importance of cultural risk factors when screening for suicide and inform tailoring of psychosocial interventions targeting emotion regulation with BIPOC and LGBTQ individuals.