Health-risk behaviors and suicidal ideation: A preliminary study of cognitive and developmental factors
Health-risk behaviors and suicidal ideation: A preliminary study of cognitive and developmental factors
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DOI：
10.1521/suli.2008.38.3.251
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发表时间：
2008-06-01
影响因子：
3.2
通讯作者：
Trumpower, David
中科院分区：
文献类型：
--
作者：
Ellis, Thomas E.;Trumpower, David
各种理论家认为，不健康的行为，如吸烟和酗酒，可能是自杀的微妙形式。与这一观点相一致，先前的研究表明健康风险行为和自杀意念之间存在关联。在本研究中，我们探讨了自杀意念，健康相关的态度和行为，以及不良的童年事件之间的关系。我们假设，不健康的态度，也许是由不良的童年事件形成的，将有助于解释自杀现象和不健康行为之间的联系。318名大学生完成了调查，内容包括健康风险行为、抑郁、自杀意念和健康相关态度。结果支持这些变量之间的假设关联。然而，与我们的假设相反，自杀意念和健康危害行为之间的关联主要限于与物质相关的行为。此外，自杀意念和健康相关的态度之间的关联介导抑郁症。儿童期不良事件与健康相关的态度，但这种关系是由抑郁介导的。这些结果表明，不健康行为的概念是微妙的自杀行为，而不是一个模型，其中自杀行为与精神病理状态，如抑郁症和药物滥用。治疗和预防方案的影响进行了讨论。
Various theorists have suggested that unhealthy beh aviors such as cigarette smoking and problem drinking may be subtle forms of suicidality. Consistent with this view, prior research has shown an association between health risk behaviors and suicidal ideation. In the present study we examined relationships among suicidal ideation, health-related attitudes and behaviors, and adverse childhood events. We hypothesized that unhealthy attitudes, perhaps shaped by adverse childhood events, would help explain the association between suicidal phenomena and unhealthy behaviors. Three-hundred eighteen college students completed surveys covering health risk behaviors, depression, suicidal ideation, and health-related attitudes. Results supported the hypothesized associations among these variables. However, contrary to our hypotheses, the association between suicidal ideation and health-compromising behaviors was limited largely to substance-related behaviors. Moreover, the association between suicidal ideation and health-related attitudes was mediated by depression. Adverse childhood events were associated with health-related attitudes, but this relationship was mediated by depression. These results are less suggestive of the notion of unhealthy behaviors as subtle suicidality than a model in which suicidality associates specifically with psychopathological states such as depression and substance abuse. Implications for treatment and prevention programs are discussed.