Social Problem-Solving and Suicidal Ideation Among Homeless Youth Receiving a Cognitive Therapy Intervention: A Moderated Mediation Analysis.
Social Problem-Solving and Suicidal Ideation Among Homeless Youth Receiving a Cognitive Therapy Intervention: A Moderated Mediation Analysis.
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DOI：
10.1016/j.beth.2020.07.005
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发表时间：
2021-05
期刊：
影响因子：
3.7
通讯作者：
Slesnick N
中科院分区：
文献类型：
--
作者：
Zhang J;Wu Q;Slesnick N
尽管无家可归的年轻人中自杀意念和自杀企图的发生率很高，但很少有研究调查自杀预防干预如何影响与自杀相关的风险和保护因素，并最终在这一人群中产生积极的自杀结果。本研究利用素质-压力模型和自杀的人际关系理论，考察了参与自杀预防认知疗法（CTSP）是否调节了社会问题解决、感知负担和受挫归属感与自杀意念之间的中介联系。社会问题解决是指面对压力情境时的一系列认知、情绪和行为应对反应，它被认为是减轻感知负担和挫败归属感以及减少自杀意念的有效保护因素。参与者包括150名无家可归的青年（M年龄= 20.99，范围= 18-24；41%为女性），他们被随机分配到自杀预防认知治疗(CTSP) +常规治疗（TAU） （n = 75）或单独治疗（n = 75）。在基线后3、6和9个月对参与者进行评估。研究结果显示，仅在参与CTSP条件的青少年中，感知负担介导了社会问题解决与自杀意念的关联。这些发现为CTSP通过感知负担的中介作用增强社会问题解决对自杀意念的保护作用提供了证据。研究结果还对提高社区自杀高风险人群的干预效果具有启示意义。
Despite the high prevalence of suicidal ideation and attempts among homeless youth, little research has examined how suicide prevention interventions influence suicide-related risk and protective factors, and ultimately produce positive outcome in suicidality in this population. Drawing on the Diathesis-Stress Model and the Interpersonal Theory of Suicide, the current study examined whether participation in Cognitive Therapy for Suicide Prevention (CTSP) moderated the mediation link between social problem-solving, perceived burdensomeness and thwarted belongingness, and suicidal ideation among a sample of homeless youth experiencing suicidal ideation. Social problem-solving refers to a set of cognitive, emotional, and behavioral coping responses in the face of stressful situations, and it is identified as a potent protective factor in alleviating perceived burdensomeness and thwarted belongingness, and reducing suicidal ideation. Participants included 150 homeless youth (M age = 20.99, range = 18–24; 41% female) who were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) (n = 75) or Treatment as Usual alone (n = 75). Participants were assessed at baseline, 3, 6, and 9 months post-baseline. Findings showed that perceived burdensomeness mediated the association of social problem-solving with suicidal ideation only among youth participating in the CTSP condition. These findings provide evidence to support the promising effects of CTSP in enhancing the protective effects of social problem-solving on suicidal ideation through the mediating effects of perceived burdensomeness. Findings also have implications for improving intervention effectiveness with a community-based population at high risk of suicide.
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