Attachment style and history of childhood abuse in suicide attempters

Attachment style and history of childhood abuse in suicide attempters
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DOI:
10.1016/j.psychres.2018.11.006
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发表时间:
2019-01-01
影响因子:
11.3
通讯作者:
Safa, Mitra
Safa, Mitra
中科院分区:
医学2区
文献类型:
--
作者:
Boroujerdi, Fatemeh Ghassem;Kimiaee, Sayed Ali;Safa, Mitra

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在一些有自杀企图史的人群中观察到不安全依恋类型。此外,儿童时期的某些类型的虐待可能预示着成年后的自杀企图。本研究的目的是评估自杀企图者的依恋类型、虐待史、人口统计信息和自杀企图次数。这项横断面研究是2017年在德黑兰对80名自杀未遂者进行的。在心理访谈中使用修订成人依恋量表评估了人口统计信息、自杀行为、依恋类型和童年虐待史。其中,38.8%的人曾尝试过一次自杀,45%的人在童年时遭受过严重的虐待。自杀未遂次数与依恋类型之间无显著相关性。虐待史可以预测自杀企图的人数(17.3%),但不显著;78.8%为回避型依恋。在童年经历过虐待的自杀未遂者中,回避型和矛盾型依恋类型的频率更高。考虑到依恋类型和虐待史在企图自杀中的重要作用,这方面的知识对那些有自杀风险的人尤其重要,他们可以计划早期的心理干预和预防自杀。
Insecure attachment style has been observed in some people with a history of suicide attempt. Furthermore, some types of abuse in childhood may predict suicide attempt in adulthood. The purpose of this study was to assess the attachment style, history of abuse, demographic information and number of suicide attempts in suicide attempters. This cross-sectional study was performed on 80 suicide attempters in Tehran in 2017. Demographic information, suicide behavior, attachment style and history of childhood abuse were assessed in a psychological interview using the Revised Adult Attachment Scale. Of all, 38.8% had attempted suicide once and 45% had experienced heavy maltreatment in childhood. There was no significant correlation between the number of suicide attempts and the attachment style. History of abuse could predict the number of suicide attempts in 17.3%, which was not significant; 78.8% had avoidant attachment style. The frequency of avoidant and ambivalent attachment styles was higher in suicide attempters who had experienced maltreatment in childhood. Considering the important role of attachment style and history of abuse in attempting suicide, knowledge in this regard is important especially in those at risk of suicide attempt to plan early psychological intervention and prevent suicide.