Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults.

Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults.
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DOI:
10.1037/a0016500
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发表时间:
2009-08
影响因子:
4.6
通讯作者:
Rudd, M. David
Rudd, M. David
中科院分区:
心理学1区
文献类型:
--
作者:
Joiner, Thomas E., Jr.;Van Orden, Kimberly A.;Witte, Tracy K.;Selby, Edward A.;Ribeiro, Jessica D.;Lewis, Robyn;Rudd, M. David

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自杀行为的人际 - 心理理论做出了两个总体预测:1)认为自己是他人的负担以及社会疏离感相结合,会灌输死亡的欲望;2)个体不会依据死亡的欲望采取行动,除非他们已经具备了这样做的能力——这种能力是通过接触并因此习惯痛苦和/或可怕的经历而形成的,并且该理论假定这种能力对于克服强大的自我保护压力是必要的。两项研究对这些预测进行了检验。在研究1中,(低)家庭社会支持(参照社会疏离或低归属感)与觉得自己无关紧要(参照感知到的负担感)之间的相互作用,在超出抑郁指标的情况下,预测了当前的自杀意念。在研究2中,低归属感的测量值、感知到的负担感的测量值以及终生自杀尝试次数(被视为获得自杀能力水平的一个强有力预测指标)之间的三方相互作用,在超出抑郁指标和其他关键协变量的情况下,预测了有自杀倾向的年轻成年人临床样本中当前的自杀尝试(相对于自杀意念)情况。对自杀行为的理解、治疗和预防的启示进行了讨论。
The interpersonal-psychological theory of suicidal behavior makes two overarching predictions: 1) that perceptions of burdening others and of social alienation combine to instill the desire for death; and 2) that individuals will not act on the desire for death unless they have developed the capability to do so – a capability that develops through exposure and thus habituation to painful and/or fearsome experiences, and which is posited by the theory to be necessary to overcome powerful self-preservation pressures. Two studies test these predictions. In Study 1, the interaction of (low) family social support (cf. social alienation or low belonging) and feeling like one does not matter (cf. perceived burdensomeness) predicted current suicidal ideation, beyond depression indices. In Study 2, the three-way interaction between a measure of low belonging, a measure of perceived burdensomeness, and lifetime number of suicide attempts (viewed as a strong predictor of the level of acquired capability for suicide) predicted current suicide attempt (vs. ideation) among a clinical sample of suicidal young adults, again beyond depression indices and other key covariates. Implications for the understanding, treatment, and prevention of suicidal behavior are discussed.
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