Two sides of the same coin? Empirical examination of two proposed characterizations of acute suicidal crises: Suicide crisis syndrome and acute suicidal affective disturbance.
Two sides of the same coin? Empirical examination of two proposed characterizations of acute suicidal crises: Suicide crisis syndrome and acute suicidal affective disturbance.
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同一枚硬币的两面？
DOI：
10.1016/j.jpsychires.2023.05.001
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发表时间：
2023
影响因子：
4.8
通讯作者：
Galynker,Igor
中科院分区：
文献类型：
--
作者：
Rogers,MeganL;Jeon,MinEun;Zheng,Sifan;Richards,JenelleA;Joiner,ThomasE;Galynker,Igor
两个建议的自杀特异性诊断，积累的研究支持，表征急性自杀危机的现象学：自杀危机综合征（SCS）和急性自杀情感障碍（ASAD）。尽管概念重叠和一些类似的标准，这两种综合征从来没有进行过经验比较。本研究通过利用网络分析方法研究SCS和ASAD来解决这一差距。在美国，1568名社区成年人（87.6%为顺性别女性，90.7%为白色，法师= 25.60岁，SD= 6.59）完成了一系列在线自我报告测量。首先在单独的网络模型中检查SCS和ASAD，然后通过组合网络来确定网络结构的变化，以及识别连接SCS和ASAD的桥接症状。SCS和ASAD的建议标准形成稀疏的网络结构，在很大程度上不受组合网络中其他综合征的影响。社交断开/退缩和过度觉醒的表现-特别是激越、失眠和易怒-作为可能连接SCS和ASAD的桥梁症状出现。我们的研究结果表明，SCS和ASAD的网络结构表现出独立的模式，以及重叠症状域之间的相互依赖性（即，社交退缩、过度兴奋）。未来的工作应该前瞻性地检查SCS和ASAD，以更好地了解它们的时间动态和与即将发生的自杀风险相关的预测效用。
Two proposed suicide-specific diagnoses, with accumulating research support, characterize the phenomenology of acute suicidal crises: Suicide Crisis Syndrome (SCS) and Acute Suicidal Affective Disturbance (ASAD). Despite conceptual overlap and some similar criteria, the two syndromes have never been compared empirically. The present study addressed this gap by examining SCS and ASAD utilizing a network analysis approach. A sample of 1568 community-based adults (87.6% cisgender women, 90.7% White,Mage= 25.60 years,SD= 6.59) in the United States completed an online battery of self-report measures. SCS and ASAD were first examined in individual network models, followed by a combined network to determine changes in network structure, as well as identify bridge symptoms that connected SCS and ASAD. The proposed criteria of SCS and ASAD formed sparse network structures that were largely unaffected by the influence of the other syndrome in a combined network. Social disconnection/withdrawal and manifestations of overarousal—particularly agitation, insomnia, and irritability—emerged as bridge symptoms that may connect SCS and ASAD. Our findings indicate the network structures of SCS and ASAD exhibit patterns of independence, alongside interdependence between overlapping symptom domains (i.e., social withdrawal, overarousal). Future work should examine SCS and ASAD prospectively to better understand their temporal dynamics and predictive utility in relation to imminent suicide risk.
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