Provocative work experiences predict the acquired capability for suicide in physicians
Provocative work experiences predict the acquired capability for suicide in physicians
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DOI：
10.1016/j.psychres.2015.07.055
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发表时间：
2015-09-30
影响因子：
11.3
通讯作者：
Fink-Miller, Erin L.
中科院分区：
文献类型：
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作者：
Fink-Miller, Erin L.
自杀行为的人际心理学理论（IPTS）为解释医生的自杀行为提供了一种潜在的方法。 IPTS 提出了自杀死亡的三个必要且充分的先兆：归属感受挫、感知到的负担和获得的能力。本研究旨在探讨医生特有的挑衅性工作经历（例如，缝合、撤回生命维持系统）是否可以预测获得的能力水平，同时控制性别以及工作环境之外的痛苦和挑衅性经历。数据来自 7723 名招募的医生中的 376 名。研究指标包括获得性自杀能力量表、人际需求问卷、痛苦和刺激性事件量表以及生活事件量表医生版本。工作之外的痛苦和刺激性事件可以预测能力的获得（beta = 0.23，t = 3.82，p < 0.001，f（2） = 0.09），刺激性工作经历也是如此（beta = 0.12，t = 2.05，p < 0.05，f（2） = 0.07）。这是第一项评估独特工作经历对医生自杀倾向的潜在影响的研究。局限性包括白人参与者的代表性过多、各个医学专业的代表性有限以及缺乏有关个体差异的信息。 (C) 2015 Elsevier Ireland Ltd. 保留所有权利。
The interpersonal psychological theory of suicidal behavior (IPTS) offers a potential means to explain suicide in physicians. The IPTS posits three necessary and sufficient precursors to death by suicide: thwarted belongingness, perceived burdensomeness, and acquired capability. The present study sought to examine whether provocative work experiences unique to physicians (e.g., placing sutures, withdrawing life support) would predict levels of acquired capability, while controlling for gender and painful and provocative experiences outside the work environment. Data were obtained from 376 of 7723 recruited physicians. Study measures included the Acquired Capability for Suicide Scale, the Interpersonal Needs Questionnaire, the Painful and Provocative Events Scale, and the Life Events Scale Medical Doctors Version. Painful and provocative events outside of work predicted acquired capability (beta = 0.23, t = 3.82, p < 0.001, f(2) = 0.09) as did provocative work experiences (beta = 0.12, t = 2.05, p < 0.05, f(2) = 0.07). This represents the first study assessing the potential impact of unique work experiences on suicidality in physicians. Limitations include over-representation of Caucasian participants, limited representation from various specialties of medicine, and lack of information regarding individual differences. (C) 2015 Elsevier Ireland Ltd. All rights reserved.