Exploring suicide-related disclosure motivation and the impact on mechanisms linked to suicide

Exploring suicide-related disclosure motivation and the impact on mechanisms linked to suicide
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DOI:
10.1080/07481187.2018.1504349
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发表时间:
2019-10-21
期刊:
影响因子:
3.8
通讯作者:
Frey, Laura M.
Frey, Laura M.
中科院分区:
医学4区
文献类型:
--
作者:
Fulginiti, Anthony;Frey, Laura M.

文献摘要

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与自杀相关的信息披露有助于改善风险管理,但披露的动机尚未得到充分研究。这项研究在44名接受精神病治疗的患者中确定了表达自杀想法和反对表达自杀想法的原因,并研究了他们与未来表达和人际关系需求的联系。最受认可的披露原因(方法动机)包括寻求帮助、分享背景和宣泄。最被认可的反对披露的理由(回避动机)包括害怕被拒绝、羞耻和住院治疗。较高的平均接近动机与更多的披露意图和较少的负担相关。没有观察到与回避动机的关联。试图引导人们接近动机的编程有望降低自杀风险。
Suicide-related disclosure enables improved risk management but disclosure motivations are understudied. This study identified reasons for and against disclosing suicidal thoughts and examined their link to future disclosure and interpersonal needs among 44 people receiving psychiatric care. The most endorsed reasons for disclosure (approach-motivations) included help-seeking, shared background, and catharsis. The most endorsed reasons against disclosure (avoidance-motivations) included fear of rejection, shame, and hospitalization. Higher mean approach motivation was associated with more disclosure intent and less burdensomeness. No associations with avoidance motivation were observed. Programming that seeks to orient people toward approach motivation holds promise for attenuating suicide risk.