Daily patterns in nonsuicidal self-injury and coping among recently hospitalized youth at risk for suicide
Daily patterns in nonsuicidal self-injury and coping among recently hospitalized youth at risk for suicide
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DOI：
10.1016/j.psychres.2019.112588
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发表时间：
2019-11-01
影响因子：
11.3
通讯作者：
King, C. A.
中科院分区：
文献类型：
--
作者：
Czyz, E. K.;Glenn, C. R.;King, C. A.
在自杀风险高的青少年中，采用每日日记设计，本研究检查：（1）非自杀性自伤（NSSI）和自杀意念之间的共同发生，（2）NSSI和应对之间的联系，（3）使用NSSI科普自杀意念（抗自杀功能）的认可。34名因自杀风险住院的青少年（76%为女性;年龄13-17岁）在出院后接受了为期四周的每日调查（n = 650次观察）。在分析的人与人之间（即相对于他人）和人与人之间（相对于青少年自己的平均水平），NSSI与自杀意念呈正相关。当NSSI和自杀念头同时发生时，青少年几乎在所有情况下都使用NSSI来科普自杀念头。虽然青少年没有使用较少的适应性应对时，他们从事的NSSI（即人内），青年谁利用更多的应对策略，一般（即人与人之间）有较低的概率NSSI。当青少年认为应对是有帮助的，而对于一般倾向于认为应对是有帮助的青年，NSSI的概率也下降了。研究结果提供了关于NSSI，自杀想法和应对高风险青少年的交叉点的细粒度的见解，增加了研究的主体，强调扩大青少年的应对策略的好处，以及评估他们的感知效用。
Among adolescents at high suicide risk, using a daily diary design, this study examined: (1) the co-occurrence between nonsuicidal self-injury (NSSI) and suicidal ideation, (2) the link between NSSI and coping, and (3) endorsement of using NSSI to cope with suicidal ideation (anti-suicide function). Thirty-four adolescents hospitalized due to suicide risk (76% female; ages 13-17) responded to daily surveys for four weeks after discharge (n = 650 observations). NSSI was positively associated with suicidal ideation at the between- (i.e. relative to others) and within-person (relative to adolescents' own average) levels of analysis. When NSSI and suicidal thoughts co-occurred, adolescents used NSSI to cope with thoughts of suicide on nearly all occasions. While adolescents did not use less adaptive coping when they engaged in NSSI (i.e. within-person), youth who utilized more coping strategies in general (i.e. between-person) had lower probability of NSSI. The probability of NSSI also decreased when adolescents perceived coping to be helpful and for youth who generally tended to perceive coping as helpful. Findings offer fine-grained insights about the intersection of NSSI, suicidal thoughts, and coping among high-risk adolescents, adding to the body of research highlighting the benefit of broadening adolescents' coping strategies as well as assessing their perceived utility.