Family relationships and the interpersonal theory of suicide in a clinically suicidal sample of adolescents.
Family relationships and the interpersonal theory of suicide in a clinically suicidal sample of adolescents.
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临床自杀青少年样本中的家庭关系和自杀的人际理论。
DOI：
10.1111/jmft.12549
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发表时间：
2022
影响因子：
2.2
通讯作者：
Diamond,GuyS
中科院分区：
文献类型：
--
作者：
Hunt,QuintinA;KrauthamerEwing,EStephanie;Weiler,LindseyM;Ogbaselase,FevenA;Mendenhall,Tai;McGuire,JeniferK;Monet,Morgan;Kobak,Roger;Diamond,GuyS
在有自杀倾向的青少年样本(N=1117)中，我们试图从人际自杀理论(IPTS)中确定青少年对父母的依恋与自杀的关键机制之间的关系。我们对母亲和父亲的依恋焦虑和依恋回避都进行了测试，以此作为IPTS结构感知负担(PB)的相关性。此外，我们在路径分析中测试了PB作为这些依恋变量与青少年自杀意念之间的中介变量。路径分析表明，父母依恋焦虑均与自杀意念有关，而与父母有关的依恋焦虑与自杀意念有关。我们还发现与父亲相关的依恋焦虑对自杀意念有间接影响。这项研究为早期的系统性工作提供了经验支持，这些工作提出了家庭关系如何影响青少年的自杀想法。最后，我们提供了实用的临床建议，治疗师可以如何实施一个系统的框架，以解决自杀青少年及其家庭关系。
In a sample of suicidal adolescents (N= 117), we sought to identify how adolescents' attachment to their parents related to a key mechanism of suicide from the Interpersonal Theory of Suicide (IPTS). We tested both attachment‐anxiety and attachment‐avoidance, to both mother‐ and father‐figures as correlates of the IPTS construct, perceived burdensomeness (PB). In addition, we tested PB as a mediator between these attachment variables and adolescent suicide ideation in a path analysis. Our path analysis indicated both mother‐ and father‐related attachment anxiety were associated with PB and PB was related to suicide ideation. We also found an indirect effect of father‐related attachment anxiety on suicide ideation. This study provides empirical support for earlier systemic work that proposes how family relationships may influence an adolescent's suicidal ideation. Finally, we provide practical clinical suggestions for how therapists may implement a systemic framework to address a suicidal adolescent and their family relationships.