Emotional suppression mediates the relation between adverse life events and adolescent suicide: implications for prevention.
Emotional suppression mediates the relation between adverse life events and adolescent suicide: implications for prevention.
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DOI：
10.1007/s11121-013-0367-9
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发表时间：
2014-04
影响因子：
3.5
通讯作者：
King, Cheryl A.
中科院分区：
文献类型：
--
作者：
Kaplow, Julie B.;Gipson, Polly Y.;Horwitz, Adam G.;Burch, Bianca N.;King, Cheryl A.
自杀意念大大增加了未来自杀企图的几率，自杀是青少年死亡的第二大原因。不良生活事件史与未来的自杀意念和企图有关，尽管研究潜在的中介变量的研究很少。一个可能的中介机制是个体如何应对不利的生活事件。例如，某些应对策略似乎比其他应对策略在增加未来的精神病理学方面更有问题，特别是情绪抑制与成人和儿童的不良心理健康结果有关。然而，迄今为止，还没有研究探讨情绪抑制在不良生活事件与青春期自杀想法/行为之间的关系中的潜在中介作用。本研究的目的是探讨情绪抑制作为一个中介儿童逆境和未来的青年自杀想法/行为之间的关系。共有625名参与者，年龄在14-19岁，寻求急诊室服务的管理措施，评估不良生活事件，应对策略，自杀意念在过去2周，自杀企图在过去一个月。结果表明，情绪抑制介导逆境和（1）自杀想法和（2）自杀企图之间的关系，超过人口统计学变量和抑郁症状。这项研究对预防有逆境史的青少年自杀想法和行为的干预措施具有重要意义。
Suicidal ideation substantially increases the odds of future suicide attempts, and suicide is the second leading cause of death among adolescents. A history of adverse life events has been linked with future suicidal ideation and attempts, although studies examining potential mediating variables have been scarce. One probable mediating mechanism is how the individual copes with adverse life events. For example, certain coping strategies appear to be more problematic than others in increasing future psychopathology, and emotional suppression in particular has been associated with poor mental health outcomes in adults and children. However, no studies to date have examined the potential mediating role of emotional suppression in the relation between adverse life events and suicidal thoughts/behavior in adolescence. The goal of the current study was to examine emotional suppression as a mediator in the relation between childhood adversity and future suicidal thoughts/behaviors in youth. A total of 625 participants, aged 14–19 years, seeking ER services were administered measures assessing adverse life events, coping strategies, suicidal ideation in the last 2 weeks, and suicide attempts in the last month. The results suggest that emotional suppression mediates the relation between adversity and both (1) suicidal thoughts and (2) suicide attempts above and beyond demographic variables and depressive symptoms. This study has important implications for interventions aimed at preventing suicidal thoughts and behavior in adolescents with histories of adversity.
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