Anxiety sensitivity cognitive concerns predict suicide risk
Anxiety sensitivity cognitive concerns predict suicide risk
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DOI：
10.1016/j.psychres.2014.12.057
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发表时间：
2015-03-01
影响因子：
11.3
通讯作者：
Schmidt, Norman Bradley
中科院分区：
文献类型：
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作者：
Oglesby, Mary Elizabeth;Capron, Daniel William;Schmidt, Norman Bradley
焦虑敏感性（AS）认知问题，反映了对精神失能的恐惧，以前与自杀意念和行为有关。第一项研究的目的是复制和扩展以前的研究，通过调查AS认知问题是否可以区分自杀行为的低风险与高风险。其次，我们的目的是测试AS认知问题的增量预测能力，超越已知的自杀风险因素（即，抑郁和失眠）。样本包括106个人（75%符合轴I障碍的现行标准）从社区招募。结果显示，AS认知问题是一个强大的预测自杀风险升高后，协变的负面影响，而AS的社会和身体的关注。那些高，相对于低，AS认知得分的人是高自杀风险组的3.67倍。此外，AS认知问题显着预测自杀风险高于相关自杀风险因素。这项研究的结果增加了越来越多的文献证明AS认知问题和自杀倾向增加之间的关系。将AS认知问题改善方案纳入现有的自杀行为干预措施可能是有益的。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Anxiety sensitivity (AS) cognitive concerns, which reflects fears of mental incapacitation, have been previously associated with suicidal ideation and behavior. The first study aim was to replicate and extend upon previous research by investigating whether AS cognitive concerns can discriminate between those at low risk versus high risk for suicidal behavior. Secondly, we aimed to test the incremental predictive power of AS cognitive concerns above and beyond known suicide risk factors (i.e., thwarted belongingness and insomnia). The sample consisted of 106 individuals (75% meeting current criteria for an Axis I disorder) recruited from the community. Results revealed that AS cognitive concerns were a robust predictor of elevated suicide risk after covarying for negative affect, whereas AS social and physical concerns were not. Those with high, relative to low, AS cognitive scores were 3.67 times more likely to be in the high suicide risk group. Moreover, AS cognitive concerns significantly predicted elevated suicide risk above and beyond relevant suicide risk factors. Results of this study add to a growing body of the literature demonstrating a relationship between AS cognitive concerns and increased suicidality. Incorporating AS cognitive concerns amelioration protocols into existing interventions for suicidal behavior may be beneficial. (C) 2015 Elsevier Ireland Ltd. All rights reserved.