Alcohol use, depressive symptoms, and impulsivity as risk factors for suicide proneness among college students.
Alcohol use, depressive symptoms, and impulsivity as risk factors for suicide proneness among college students.
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DOI：
10.1016/j.jad.2013.01.046
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发表时间：
2013-07
影响因子：
6.6
通讯作者：
Malone, Patrick S.
中科院分区：
文献类型：
--
作者：
Dvorak, Robert D.;Lamis, Dorian A.;Malone, Patrick S.
酗酒、抑郁和自杀是重要的公共卫生问题，特别是在大学生中。冲动与所有这些因素有关。此外，冲动增加了负面情绪和酒精使用对适应不良行为的影响。目前的横断面研究探讨了冲动性的四因素模型（紧迫性，（缺乏）毅力，（缺乏）预谋和感觉寻求），抑郁症状和酒精使用之间的关联作为大学生自杀倾向的预测因子。参与者（n = 1100）完成了人口统计学，冲动，抑郁症状和自杀倾向的在线评估。所有预测因子均与自杀倾向呈正相关。抑郁症状和自杀倾向之间的关系受到（缺乏）毅力、饮酒以及紧迫感×饮酒和感觉寻求×饮酒的联合交互作用的调节。尽管当只有一个危险因素升高时，关于抑郁症与自杀倾向的关系有一些矛盾的发现，但自杀倾向的平均水平随着危险因素的增加而增加。这个横断面的自我报告数据来自一个非临床样本的大学生从一个同质的背景，限制了概括性和因果关系的预测。总的来说，这些研究结果表明，抑郁症状和自杀倾向之间的关联因冲动和饮酒的不同方面而有很大差异。结果表明，临床风险评估应该权衡两种形式的冲动（紧迫感和感觉寻求），因为在大量饮酒的情况下特别重要。这些发现强调了考虑和探索情绪自杀关系的调节因素的重要性。
Alcohol use, depression, and suicide are significant public health problems, particularly among college students. Impulsivity is associated with all of these factors. Additionally, impulsivity increases the effects of negative mood and alcohol use on maladaptive behavior. The current cross-sectional study examined the association between the four-factor model of impulsivity (urgency, (lack of) perseverance, (lack of) premeditation, and sensation seeking), depressive symptoms, and alcohol use as predictors of suicide proneness among college students. Participants (n =1100) completed online assessments of demographics, impulsivity, depressive symptoms, and suicide proneness. All predictors were positively related to suicide proneness. The relation between depressive symptoms and suicide proneness was moderated by (lack of) perseverance, alcohol use, and joint interactions of urgency × alcohol use and sensation seeking × alcohol use. Despite some paradoxical findings regarding the depressive symptoms-suicide proneness relation when only one risk factor was elevated, the average level of suicide proneness increased as risk factors increased. This cross-sectional self-report data comes from a non-clinical sample of college students from a homogeneous background, limiting generalizability and causal predictions. Overall, these findings indicate that the association between depressive symptoms and suicide proneness varies considerably by different facets of impulsivity and alcohol use. The results suggest that clinical risk-assessments should weigh two forms of impulsivity (urgency and sensation seeking) as particularly vital in the presence of heavy alcohol use. These findings highlight the importance of considering and exploring moderators of the mood-suicide relationship.
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影响因子：
3.4
作者：
Dick DM;Smith G;Olausson P;Mitchell SH;Leeman RF;O'Malley SS;Sher K
通讯作者：
Sher K
DOI：
10.15288/jsa.2004.65.477
发表时间：
2004-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Dawson, DA;Grant, BF;Chou, PS
通讯作者：
Chou, PS
影响因子：
10.5
作者：
Farmer, A;Redman, K;McGuffin, P
通讯作者：
McGuffin, P
影响因子：
22.4
作者：
Cyders, Melissa A.;Smith, Gregory T.
通讯作者：
Smith, Gregory T.
影响因子：
6.6
作者：
Corruble, E;Damy, C;Guelfi, JD
通讯作者：
Guelfi, JD