Rumination, Brooding, and Reflection: Prospective Associations with Suicide Ideation and Suicide Attempts.
Rumination, Brooding, and Reflection: Prospective Associations with Suicide Ideation and Suicide Attempts.
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DOI：
10.1111/sltb.12507
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发表时间：
2019-08
影响因子：
3.2
通讯作者：
King CA
中科院分区：
文献类型：
--
作者：
Horwitz AG;Czyz EK;Berona J;King CA
反刍经常被认为是自杀的一个危险因素，但很少有反刍的研究利用临床样本，也没有研究探讨其与自杀企图的前瞻性关联。本研究的目的是探讨同时和前瞻性的沉思和反思（反刍的两个组成部分）与自杀意念和自杀企图之间的高风险的临床样本。参与者是286名寻求精神病紧急服务的13-25岁青少年和年轻人（77%白人，59%女性）。大多数（71%）的主要主诉是自杀意念或近期自杀企图。参与者在索引访问时完成了基线评估; 226名参与者（79%）完成了为期4个月的自杀想法和行为的随访评估。沉思与一生中有一次或多次自杀企图有关，但与同时发生的自杀意念无关。反思与终生自杀企图或并发自杀意念无关。此外，沉思和反思与自杀意念和自杀企图的前瞻性关联在程度上是弱到小的，并且在统计学上不显著。在高风险的临床样本中，反刍似乎与自杀相关结局的相关性有限。为了更好地理解这些关联，迫切需要利用临床样本进行额外的纵向研究。
Rumination is often cited as a risk factor for suicide, yet few studies of rumination have utilized clinical samples, and no studies have examined its prospective association with suicide attempts. The purpose of this study was to examine concurrent and prospective associations of brooding and reflection (the two components of rumination) with suicidal ideation and suicide attempts among a high-risk clinical sample. Participants were 286 adolescents and young adults (77% Caucasian, 59% female) ages 13–25 seeking psychiatric emergency services. A majority (71%) were presenting with a primary complaint of suicidal ideation or recent suicide attempt. Participants completed a baseline assessment at the index visit; 226 participants (79%) completed a 4-month follow-up assessment of suicidal thoughts and behaviors. Brooding was associated with lifetime history of one or more suicide attempts, but not concurrent suicidal ideation. Reflection was not associated with lifetime suicide attempts or concurrent suicidal ideation. Furthermore, prospective associations of brooding and reflection with suicidal ideation and suicide attempts were weak-to-small in magnitude and statistically nonsignificant. Rumination appears to have a limited association with suicide-related outcomes within a high-risk clinical sample. Additional longitudinal studies utilizing clinical samples are critically needed to better understand these associations.
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