Suicide Risk, Stress Sensitivity, and Self-Esteem among Young Adults Reporting Auditory Hallucinations
Suicide Risk, Stress Sensitivity, and Self-Esteem among Young Adults Reporting Auditory Hallucinations
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DOI：
10.1093/hsw/hlv037
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发表时间：
2015-08-01
影响因子：
1.5
通讯作者：
Hilimire, Matthew R.
中科院分区：
文献类型：
--
作者：
DeVylder, Jordan E.;Hilimire, Matthew R.
有阈下精神病经历的个体有自杀想法和行为的风险增加，类似于精神分裂症和其他精神障碍患者。这可能是由于共同的风险因素，如高度的压力敏感性或低自尊。了解这种关系的性质可以在社会工作实践中预防自杀。在这项研究中，作者研究了自我报告的幻听与自杀想法，计划和企图之间的关系，在年轻人的非临床样本中，控制了心理压力指数和Rosenberg自尊量表的得分。幻听与自杀意念和计划的几率大约是两倍，自杀企图的几率是四倍。这种关系不能用压力敏感性或自尊来解释，它们分别与幻觉和自杀行为独立相关。阈下幻听可能是自杀风险的一个有用指标。这种关联可能代表了一种临床意义上的关系，可以通过旨在缓解压力敏感性或提高自尊的社会工作干预来解决。
Individuals with subthreshold psychotic experiences are at increased risk for suicidal thoughts and behavior, similar to those with schizophrenia and other psychotic disorders. This may be explained by shared risk factors such as heightened stress sensitivity or low self-esteem. Understanding the nature of this relationship could inform suicide prevention in social work practice. In tins study, authors examined the relationship between self-reported auditory hallucinations and suicidal thoughts, plans, and attempts, in a nonclinical sample of young adults, controlling for scores on the Psychological Stress Index and Rosenberg Self-Esteem Scale. Auditory hallucinations were associated with approximately double the odds of suicidal ideation and plans and four times the odds for suicide attempts. This relationship was not explained by stress sensitivity or self-esteem, which were independently related to hallucinations and suicidality, respectively Subthreshold auditory hallucinations may be a useful indicator of suicide risk. Tins association may represent a clinically significant relationship that may be addressed through social work interventions intended to alleviate stress sensitivity or improve self-esteem.