Shame, guilt, and suicidal thoughts: The interaction matters
Shame, guilt, and suicidal thoughts: The interaction matters
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DOI：
10.1111/bjc.12291
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发表时间：
2021-04-09
影响因子：
3.1
通讯作者：
Rice, Simon M.
中科院分区：
文献类型：
--
作者：
Kealy, David;Treeby, Matt S.;Rice, Simon M.
目的探讨一般羞耻感、负罪感与自杀意念之间的关系。方法对100名门诊精神卫生服务对象在同一时间点完成研究。相关和回归分析检验了近期自杀意念与一般羞耻和内疚之间的关系，包括同时和交互作用，控制抑郁症状和既往自杀未遂的历史。结果当同时检查时，在考虑抑郁症状和既往自杀未遂的影响后，内疚-而不是羞耻-仍然与自杀意念显著相关。一个显著的羞耻×内疚的交互作用揭示了内疚和自杀意念之间的联系，这种联系随着羞耻感的增加而加强。结论研究结果强调了在与有自杀想法的患者合作时，普遍的羞耻和内疚及其相互作用。实践者指出，羞耻和内疚是自我意识的情绪，当被概括和过度时，可能会增加自杀想法的风险。笼统的内疚可能与自杀想法唯一地联系在一起，但这种联系也可能被羞耻放大。羞耻和内疚--及其相互作用--在与有自杀想法的患者合作时都是重要的考虑因素
Objectives This study examined associations between generalized shame and guilt, and suicidal ideation.Methods Individuals attending outpatient mental health services (N = 100) completed study measures at a single time point. Correlation and regression analyses examined associations between recent suicidal ideation and generalized shame and guilt, both concurrently and interacting, controlling for depressive symptoms and history of previous suicide attempt.Results When examined concurrently, guilt - but not shame - remained significantly associated with suicidal ideation, after accounting for effects of depressive symptoms and past suicide attempt. A significant shame x guilt interaction revealed the association between guilt and suicidal ideation intensified with higher shame.Conclusions Findings emphasize consideration of generalized shame and guilt - and their interaction - when working with patients exhibiting suicidal thoughts.Practitioner pointsShame and guilt are self-conscious emotions that, when generalized and excessive, may confer risk for suicidal ideationGeneralized guilt may be uniquely linked with suicidal ideation, yet this association may also amplified by shameBoth shame and guilt - and their interaction - are important to consider when working with patients exhibiting suicidal thoughts