Behind therapists' emotional responses to suicidal patients: A study of the narrative crisis model of suicide and clinicians' emotions.
Behind therapists' emotional responses to suicidal patients: A study of the narrative crisis model of suicide and clinicians' emotions.
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DOI：
10.1111/sltb.12730
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发表时间：
2021-08
影响因子：
3.2
通讯作者：
Galynker I
中科院分区：
文献类型：
--
作者：
Ying G;Chennapragada L;Musser ED;Galynker I
临床医生对自杀患者的负面情绪反应是近期自杀倾向的预测。本研究旨在通过调查临床医生的情绪反应与自杀叙事危机模型之间的潜在关系来探索这种关联的潜在途径，该模型包括自杀想法和行为的长期风险因素（LTRF），自杀叙事和自杀危机综合征（SCS），一种情感前自杀状态。招募了1001名患者参与者和169名临床医生参与者。患者的自杀叙述、SCS和LTRF在入院时分别使用自杀叙述量表（SNI）、自杀危机量表和三个独立量表的复合评分进行评估。临床医生的情绪反应在患者摄入后立即使用治疗师反应量表-自杀表（TRQ-SF）进行测量。控制临床医生差异的多水平回归分析发现，只有患者的SNI总分和感知负担子量表得分与临床医生的TRQ-SF总分显著相关。此外，较高的SNI总分与临床医生较高的痛苦和较低的归属分数显著相关。临床医生似乎对患者的自杀叙述有情感反应，因此，未来对自杀叙述的调查及其改善迫在眉睫的自杀风险评估的潜力是必要的。
Clinicians’ negative emotional responses to suicidal patients are predictive of near-term suicidality. This study aimed to explore the underlying pathway of this association by investigating the potential relationship between clinicians’ emotional responses and the Narrative Crisis Model of suicide, which comprises long-term risk factors (LTRF) of suicidal thoughts and behaviors, Suicidal Narrative, and the Suicide Crisis Syndrome (SCS), a presuicidal affective state. One thousand and One patient participants and 169 clinician participants were recruited. Patients’ Suicidal Narrative, SCS, and LTRF were assessed at intake using the Suicidal Narrative Inventory (SNI), the Suicide Crisis Inventory, and a composite score of three separate scales, respectively. Clinicians’ emotional responses were measured immediately after patient intake using the Therapist Response Questionnaire-Suicide Form (TRQ-SF). Multilevel regression analyses, which controlled for clinician differences, found that only patients’ SNI total score and perceived burdensomeness subscale score were significantly associated with clinicians’ TRQ-SF total score. Furthermore, a higher SNI total score was significantly related to higher distress and lower affiliation scores among clinicians. Clinicians appear to respond emotionally to patients’ Suicidal Narrative, and thus, future investigation of Suicidal Narrative and its potential to improve imminent suicide risk assessment is warranted.
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影响因子：
6.6
作者：
Bloch-Elkouby, Sarah;Gorman, Bernard;Galynker, Igor
通讯作者：
Galynker, Igor
DOI：
10.1177/000306516501300102
发表时间：
1965-01-01
影响因子：
1.2
作者：
KERNBERG, O
通讯作者：
KERNBERG, O
DOI：
10.1007/bf01064915
发表时间：
1990-01-01
期刊：
Psychiatric Quarterly (New York)
影响因子：
--
作者：
GILLIG P M;HILLARD J R;COMBS H
通讯作者：
COMBS H
影响因子：
3.2
作者：
Barzilay, Shira;Yaseen, Zimri S.;Galynker, Igor
通讯作者：
Galynker, Igor
影响因子：
4.7
作者：
Barzilay, Shira;Yaseen, Zimri S.;Galynker, Igor
通讯作者：
Galynker, Igor