The Relationship between Mood Instability and Suicidal Thoughts

The Relationship between Mood Instability and Suicidal Thoughts
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DOI:
10.1080/13811118.2015.1004474
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发表时间:
2015-04-03
影响因子:
2.8
通讯作者:
Baetz, Marilyn
Baetz, Marilyn
中科院分区:
医学4区
文献类型:
--
作者:
Bowen, Rudy;Balbuena, Lloyd;Baetz, Marilyn

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这项研究的目的是确定情感不稳定是否预示着自杀念头。数据来自荷兰小组研究(N=1686)。情感不稳定用7个条目表示情绪突变。自杀念头是通过过去一周发生的自杀念头来评估的。通过因子分析提取焦虑、抑郁和愤怒情绪作为消极情绪的指标。使用Logistic回归模型计算优势比,并对临床和人口统计学变量进行调整。研究发现,男性(OR:1.14;95%CI:1.02-1.28)和女性(OR:1.11;95%CI:1.00-1.23)都更有可能经历自杀念头,情感不稳定性更高。情绪不稳定和消极情绪独立预测自杀念头。在评估自杀风险时,情感不稳定需要更多的关注。
The objective of this study was to determine whether affective instability predicts suicidal thoughts. Data from a Dutch panel study (N=1686) was used. Affective instability was assessed with 7 items representing suddenly shifting moods. Suicidal thoughts were assessed by the occurrence of suicidal thoughts in the past week. Negative affect was indexed by anxious, depressed and angry moods extracted by factor analysis. Odds ratios using logistic regression modeling were calculated, adjusting for clinical and demographic variables. The study found that both males (OR: 1.14; 95% CI: 1.02-1.28) and females (OR: 1.11; 95% CI: 1.00-1.23) were more likely to experience suicidal thinking with higher affective instability. Affective instability and negative affect independently predict suicidal thoughts. Affective instability requires more attention in the assessment of suicide risk.