Motivations for Suicide Attempts amongst Psychiatric Inpatients: Associations with Risk Factors and Recent Suicide Attempt Characteristics.

Motivations for Suicide Attempts amongst Psychiatric Inpatients: Associations with Risk Factors and Recent Suicide Attempt Characteristics.
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DOI:
10.1016/j.psychres.2020.113574
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发表时间:
2021-01
影响因子:
11.3
通讯作者:
Bagge CL
Bagge CL
中科院分区:
医学2区
文献类型:
--
作者:
Suzuki T;Comtois KA;Dickens H;Bagge CL

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自杀是一个主要的和可预防的公共卫生问题,研究已经确定了几个远端风险因素,以确定个人的自杀企图的风险。然而,了解即将发生的过程可以提高个性化的安全计划的制定和干预。自杀企图动机(MfSA)反映了为什么一个人从事特定的企图。研究表明,这些动机可以被组织成主要因素,但对数量及其相关因素尚未达成共识。样本包括190名在住院后24小时内企图自杀的患者,并在自杀企图-自我伤害访谈中完成了MfSA。探索性因素和相关性分析,以确定MfSA的基础因素。进行回归分析,以检查MfSA因素与远端自杀危险因素和自杀相关企图特征的关系。确定了两个潜在的MfSA因素。人际MfSA与较低的年龄和较高的问题酒精使用有关。自我MfSA与既往自杀企图、过去一年负性生活事件和抑郁症状有关。改良的MfSA易于管理,其因子与重要的自杀相关结构显示出独特的关联。研究结果可以为安全规划程序提供信息,以防止未来的自杀死亡。
Suicide is a major and preventable public health issue and research has identified several distal risk factors for determining individuals at risk for a suicide attempt. However, understanding imminent processes could enhance individualized safety plan formulations and interventions. Motivation for suicide attempt (MfSA) reflects why an individual engages in a specific attempt. Research indicates such motives can be organized into major factors, but consensus on the number, and their correlates, has not been reached. The sample consisted of 190 patients who attempted suicide within 24 hours of hospitalization and completed the MfSA within the Suicide Attempt-Self Injury Interview. Exploratory factor and correlational analyses were conducted to identify the factors that underlie MfSA. Regression analyses were conducted to examine the relations of MfSA factors to distal suicide risk factors and suicide-related attempt characteristics. Two underlying MfSA factors were identified. Interpersonal MfSA was associated with lower age and higher problematic alcohol use. Intrapersonal MfSA was related to having previous suicide attempts, more past year negative life events, and higher depressive symptoms. The modified MfSA is easy to administer, and its factors show unique associations with important suicide-related constructs. The results could inform safety planning procedures to prevent future death by suicide.
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