A Mixed Methods Approach to Identify Cognitive Warning Signs for Suicide Attempts
A Mixed Methods Approach to Identify Cognitive Warning Signs for Suicide Attempts
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DOI：
10.1080/13811118.2015.1136717
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发表时间：
2016-01-01
影响因子：
2.8
通讯作者：
Brown, Gregory K.
中科院分区：
文献类型：
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作者：
Adler, Abby;Bush, Ashley;Brown, Gregory K.
本研究采用混合方法，通过识别自杀企图后1天内发生的认知警告信号来检查自杀行为的途径。采用改良的扎根理论方法分析了35例自杀未遂患者的认知治疗记录。这些文字记录中出现的认知主题包括：状态绝望、专注于逃避、自杀作为解决方案、对自杀的执着和孤独。在人口统计学和基线诊断和症状数据的差异进行了探讨与每个认知主题。我们提出了一个潜在的概念模型的认知警告信号自杀企图，需要进一步的测试。
This study used a mixed methods approach to examine pathways to suicidal behavior by identifying cognitive warning signs that occurred within 1 day of a suicide attempt. Transcripts of cognitive therapy sessions from 35 patients who attempted suicide were analyzed using a modified grounded theory approach. Cognitive themes emerging from these transcripts included: state hopelessness, focus on escape, suicide as a solution, fixation on suicide, and aloneness. Differences in demographic and baseline diagnostic and symptom data were explored in relation to each cognitive theme. We propose a potential conceptual model of cognitive warning signs for suicide attempts that requires further testing.