Suicide ideation severity is associated with severe suicide attempts in a military setting
Suicide ideation severity is associated with severe suicide attempts in a military setting
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DOI：
10.1016/j.eurpsy.2019.06.005
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发表时间：
2019-09-01
影响因子：
7.8
通讯作者：
Zalsman, Gil
中科院分区：
文献类型：
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作者：
Shelef, Leah;Klomek, Anat Brunstein;Zalsman, Gil
背景：军队中关于自杀行为预防措施的有效性的争论正在进行中。方法：采用自杀意念量表、自杀意向量表和哥伦比亚自杀严重程度评定量表对39名以色列军人(平均年龄19岁)在服兵役期间自杀未遂分为重度(n=14；35.9%)和中度(35.9%)两组进行评估。结果：自杀意念量表中的7个条目(p=0.008)、自杀意向量表中的2个条目和C-SSRS中的1个条目与严重自杀企图有关。Kendall的tau-b与Bootstrap的相关性证明了这些相关性的稳定性。结论：自杀意念越严重，自杀企图越严重。在军事环境中，男性性别、可用枪支和目前严重的自杀意念的组合是高风险危险信号，即使报告的死亡意图很低。(C)2019爱思唯尔·马森SAS。版权所有。
Background: There is an ongoing debate on the effectiveness of suicidal behavior prevention measures in the military. The association of three widely used tools with severe suicide attempts was assessed in this setting.Methods: Thirty-nine Israeli soldiers (59% males), mean age 19 yrs., who attempted suicide during military service were divided into two groups: severe (n = 14; 35.9%) and moderate suicide attempts, and were assessed using the Scale for Suicide Ideation (SSI), Suicide Intent Scale (SIS) and the Columbia Suicide Severity Rating Scale (C-SSRS).Results: Seven items from the SSI (p = 0.008), two items from SIS and one item from C-SSRS were associated with severe suicide attempts. Kendall's tau-b correlation with bootstrap demonstrated stability of these correlations.Conclusion: Greater severity of suicidal ideation was associated with more severe suicide attempts. The combination of male gender, available firearms and current severe suicide ideation is high-risk danger sign in a military setting, even when reported intent to die is low. (C) 2019 Elsevier Masson SAS. All rights reserved.