Positive mental health moderates the association between suicide ideation and suicide attempts
Positive mental health moderates the association between suicide ideation and suicide attempts
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DOI：
10.1016/j.jad.2018.11.005
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发表时间：
2019-02-15
影响因子：
6.6
通讯作者：
Teismann, Tobias
中科院分区：
文献类型：
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作者：
Brailovskaia, Julia;Forkmann, Thomas;Teismann, Tobias
背景：积极的心理健康(PMH)已被证明能够增强对自杀意念的韧性。然而，目前还不清楚PMH是否也缓冲了自杀意念和自杀企图之间的关系。目前的研究旨在确定PMH是否缓和了终生自杀意念和终生自杀企图之间的联系。方法：共有199名终生自杀未遂的精神科住院患者(女性：109例；年龄：M=37.56，SD=14.38，范围：18-81岁)，调查对象为终生自杀意念/行为，并完成了PMH的测量。结果：PMH调节了终生自杀意念对终生自杀企图的影响：对于那些报告终生自杀意念水平较高的个体，即使在经历终生自杀意念的频繁发作时，终生自杀未遂的比率也会降低。限制：鉴于数据的横截面性质，关于因果关系的结论应谨慎处理。结论：PMH似乎具有韧性，在评估个体的自杀风险时应考虑到这一点。
Background: Positive mental health (PMH) has been shown to confer resilience against suicide ideation. However, it is unclear, whether PMH also buffers the relationship between suicide ideation and suicide attempts. The current study aimed to determine whether PMH moderates the association between lifetime suicide ideation and lifetime suicide attempts.Methods: A total of 199 psychiatric inpatients with lifetime suicide attempts (female: n = 109; age: M = 37.56, SD = 14.38, range: 18-81) were interviewed on lifetime suicide ideation/behavior and completed a measure on PMH.Results: PMH moderated the impact of lifetime suicide ideation on lifetime suicide attempts: For those individuals who reported high levels of PMH, the rate of lifetime suicide attempts was reduced even when experiencing frequent episodes of lifetime suicide ideation.Limitations: Given the cross-sectional nature of the data, conclusions on causality should be handled carefully.Conclusion: PMH seems to confer resilience and should be taken into account, when assessing individuals for suicide risk.