Interpersonal stress and suicidal ideation in adolescence: An indirect association through perceived burdensomeness toward others
Interpersonal stress and suicidal ideation in adolescence: An indirect association through perceived burdensomeness toward others
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DOI：
10.1016/j.jad.2015.09.077
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发表时间：
2016-01-15
影响因子：
6.6
通讯作者：
Sharp, Carla
中科院分区：
文献类型：
--
作者：
Buitron, Victor;Hill, Ryan M.;Sharp, Carla
背景：已有研究表明，生活压力，尤其是人际压力与青少年的自杀意念之间存在显著关联。然而，对于解释人际压力与自杀意念之间联系的变量，我们知之甚少。
方法：本研究对一个概念模型进行了评估。该模型中，在180名年龄在12 - 17岁（平均年龄14.72岁，标准差1.49）的住院青少年（其中65.0%为女孩）中，人际压力（慢性和偶发性）通过受挫的归属感和感知到的累赘感间接预测自杀意念。同时还对非人际压力进行了考察，以确定该模型是特定适用于人际压力，还是普遍适用于一般压力。
结果：结构方程模型显示，慢性人际压力通过感知到的累赘感对自杀意念产生显著的间接影响。偶发性人际压力与受挫的归属感及自杀意念显著相关，但在控制了抑郁和焦虑症状的模型中，它并非自杀意念的显著预测因子。未发现非人际压力与自杀意念之间存在显著关联。
局限性：青少年是唯一的信息来源，缺乏精神疾病诊断数据，且考察压力的最佳时间间隔仍不明确。横断面研究设计无法得出关于因果方向的结论。
结论：这些研究结果凸显了慢性人际压力在青少年自杀意念中的作用，以及将感知到的累赘感作为旨在预防或减少自杀意念项目的目标的潜在前景。（C）2015爱思唯尔公司版权所有。
Background: Research has documented significant associations between life stress, especially interpersonal stress, and suicidal ideation in adolescents. Little is known about variables that explain the association between interpersonal stress and suicidal ideation.Methods: The present study evaluated a conceptual model in which interpersonal stress (chronic and episodic) predicted suicidal ideation indirectly via thwarted belongingness and perceived burden-someness among 180 inpatients (65.0% girls) ages 12-17 years (M=14.72, SD=1.49). Non-interpersonal stress was also examined to determine whether the model was specific to interpersonal stress or common to stress in general.Results: Structural equation modeling identified a significant indirect effect of chronic interpersonal stress on suicidal ideation via perceived burdensomeness. Episodic interpersonal stress was significantly correlated with thwarted belongingness and suicidal ideation, but was not a significant predictor of suicidal ideation in a model that controlled for depressive and anxious symptoms. No significant associations were found between non-interpersonal stress and suicidal ideation.Limitations: Adolescents were the sole informant source, data on psychiatric diagnoses were not available, and the optimal time interval for examining stress remains unclear. The cross-sectional study design prevents conclusions regarding directionality.Conclusions: These findings highlight the role of chronic interpersonal stress in suicidal ideation in adolescents, as well as the potential promise of perceived burdensomeness as a target for programs designed to prevent or reduce suicidal ideation. (C) 2015 Elsevier B.V. All rights reserved.