Adolescent attachment security, family functioning, and suicide attempts.

Adolescent attachment security, family functioning, and suicide attempts.
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DOI:
10.1080/14616734.2013.782649
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发表时间:
2013
影响因子:
3.2
通讯作者:
Dougherty DM
Dougherty DM
中科院分区:
心理学2区
文献类型:
--
作者:
Sheftall AH;Mathias CW;Furr RM;Dougherty DM

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自杀行为理论表明,自杀的欲望可能是由于人际关系的破坏而产生的。自杀研究通常从个人社交互动的质量/频率的角度来研究这一问题。然而,依恋领域可能为理解个人的社会模式和自杀风险提供另一种视角。这项研究调查了 236 名有(n = 111)和没有(n = 125)自杀企图史的青少年精神病住院患者的依恋以及更广泛的家庭功能(家庭适应性和凝聚力)。青少年平均年龄为 14 岁,为西班牙裔 (69%)。与那些没有自杀企图的人相比,青少年自杀企图者自我报告的母系和父系依恋较低,家庭适应性和凝聚力也较低。在预测自杀未遂状态的逻辑回归模型中同时比较所有 3 种类型的依恋时,父亲依恋是唯一显着的预测因素。自评凝聚力和适应性也显着预测了自杀未遂组;父母对家庭功能的评价都不是重要的预测因素。这些发现与自杀人际理论关于社会功能的预测一致,并支持开发基于依恋的干预措施作为预防自杀的新途径的努力。
Theories of suicidal behavior suggest that the desire to die can arise from disruption of interpersonal relationships. Suicide research has typically studied this from the individual's perspective of the quality/frequency of their social interactions; however, the field of attachment may offer another perspective on understanding an individual’s social patterns and suicide risk. This study examined attachment along with broader family functioning (family adaptability and cohesion) among 236 adolescent psychiatric inpatients with (n = 111) and without (n = 125) histories of suicide attempts. On average, adolescents were 14 years of age and Hispanic (69%). Compared to those without suicide attempts, adolescent attempters had lower self-reported maternal and paternal attachment and lower familial adaptability and cohesion. When comparing all 3 types of attachment simultaneously in the logistic regression model predicting suicide attempt status, paternal attachment was the only significant predictor. Suicide attempt group was also significantly predicted by self-rated Cohesion and Adaptability; neither of the parent ratings of family functioning were significant predictors. These findings are consistent with the predictions of the Interpersonal Theory of Suicide about social functioning and support the efforts to develop attachment-based interventions as a novel route towards suicide prevention.
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