Do suicide attempters and suicide ideators differ in capability for suicide?
Do suicide attempters and suicide ideators differ in capability for suicide?
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DOI：
10.1016/j.psychres.2019.03.038
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发表时间：
2019-05-01
影响因子：
11.3
通讯作者：
Teismann, Tobias
中科院分区：
文献类型：
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作者：
Paashaus, Laura;Forkmann, Thomas;Teismann, Tobias
自杀念头是自杀企图的先决条件。然而，大多数理想家永远不会按照他们的想法行事。因此，了解考虑自杀的人和企图自杀的人的区别是至关重要的。本研究的目的是探讨自杀能力的不同方面(对死亡的无畏、主观疼痛耐受性、客观疼痛持续性)在区分自杀意念者与自杀未遂者、来自多个未遂者的单个未遂者和最近来自远方的未遂者的作用。对308例有自杀意念的精神病住院患者(女性53.6%，年龄：男性36.92，SD=14.30)进行了对死亡的无畏心理、主观疼痛耐受性和客观疼痛持续性(用压力测痛仪评定)的比较。自杀意念者与诱惑者、单次与多次尝试者、近期与远距离尝试者在对死亡的无畏、主观疼痛耐受性和客观疼痛持续性上没有差异。可以假定，对死亡的无畏、主观的疼痛耐受性和客观的疼痛持久性并不能为区分自杀意念者和未遂者提供有用的信息，然而，有几个局限性需要考虑。需要进一步的努力才能更清楚地了解自杀意想者和自杀未遂者的区别。
Suicide ideation is a prerequisite for suicide attempts. However, the majority of ideators will never act on their thoughts. It is therefore crucial to understand what differentiates those who consider suicide from those who attempt suicide. The aim of this study was to investigate the role of different aspects of capability for suicide (fearlessness about death, subjective pain tolerance, objective pain persistence) in differentiating suicide ideators from suicide attempters, single attempters from multiple attempters and recent attempters from distant at tempters. A total of 308 psychiatric inpatients (53.6% female; age: M = 36.92, SD = 14.30) suffering from suicide ideation with or without lifetime suicide attempts were compared regarding fearlessness about death, subjective pain tolerance and objective pain persistence (assessed with a pressure algometer). No differences in fearlessness about death, subjective pain tolerance and objective pain persistence were found in suicide ideators vs. at tempters, single vs. multiple attempters and recent vs. distant attempters. It might be presumed that fearlessness about death, subjective pain tolerance and objective pain persistence do not offer useful information for the differentiation between suicide ideators and attempters, however, there are several limitations to take into account. Further effort is needed to understand more clearly what differentiates suicide ideators from suicide attempters.