Anger as a predictor of psychological distress and self-harm ideation in inmates: A structured self-assessment diary study
Anger as a predictor of psychological distress and self-harm ideation in inmates: A structured self-assessment diary study
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DOI：
10.1016/j.psychres.2013.02.011
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发表时间：
2013-11-30
影响因子：
11.3
通讯作者：
Tarrier, Nicholas
中科院分区：
文献类型：
--
作者：
Humber, Naomi;Emsley, Richard;Tarrier, Nicholas
自杀意念和行为在囚犯中很常见。愤怒被发现在夸张的水平，并已与自杀意念和行为的囚犯样本表明其可能的显着性的预测自杀。该研究调查了囚犯之间的愤怒，心理困扰和自我伤害/自杀意念之间的关系。考虑了生态瞬时评估的原则，并利用结构化的自我评估日记来检查感兴趣的变量之间的关系。参与者连续六天完成了一个结构化的自我评估日记，其中包括描述并发影响，思想和评价相关的愤怒，心理困扰和自我伤害/自杀意念的心理状态的项目的瞬时评级。还进行了心理测量评估。预测因素和结果之间的时间关联进行了调查。进行了多水平建模分析。在控制抑郁和绝望的情况下，愤怒的增加与囚犯中同时发生的高水平的自我伤害意念显著相关。时间分析还显示，在一个时间点的愤怒并不能预测下一个时间点的自杀意念。阐明愤怒，心理困扰，自我伤害/自杀意念之间的关系的时间性质有先进的自杀行为的机制的理解，通过证明自杀的风险增加时，男性囚犯是愤怒的。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Suicidal ideation and behaviour are common among inmates. Anger is found at exaggerated levels and has been associated with suicidal ideation and behaviour in inmate samples suggesting its possible salience in the prediction of suicide. The study investigated relationships between anger, psychological distress, and self-harm/suicidal ideation among inmates. The principles of Ecological Momentary Assessment were considered and a structured self-assessment diary was utilised to examine relationships between the variables of interest. Participants completed a structured self-assessment diary for six consecutive days which included momentary ratings of items describing psychological states of concurrent affects, thoughts, and appraisals related to anger, psychological distress, and self-harm/suicidal ideation. Psychometric assessment measures were also conducted. Temporal associations between predictors and outcomes were investigated. Multilevel modelling analyses were performed. Increased anger was significantly associated with concurrent high levels of self-harm ideation in inmates, when controlling for depression and hopelessness. Temporal analyses also revealed that anger at one time point did not predict suicidal ideation at the next time point. Elucidating the temporal nature of the relationship between anger, psychological distress, and self-harm/suicidal ideation has advanced understanding of the mechanisms of suicidal behaviour, by demonstrating an increased risk of suicide when a male inmate is angry. (C) 2013 Elsevier Ireland Ltd. All rights reserved.