Impulse control difficulties while distressed: A facet of emotion dysregulation links to Non-Suicidal Self-Injury among psychiatric inpatients at military treatment facilities
Impulse control difficulties while distressed: A facet of emotion dysregulation links to Non-Suicidal Self-Injury among psychiatric inpatients at military treatment facilities
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DOI：
10.1016/j.psychres.2018.08.082
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发表时间：
2018-11-01
影响因子：
11.3
通讯作者：
Ghahramanlou-Holloway, Marjan
中科院分区：
文献类型：
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作者：
Baer, Margaret M.;LaCroix, Jessica M.;Ghahramanlou-Holloway, Marjan
在军事样本中，人们对情绪失调、自杀意念以及自杀与非自杀自伤 (NSSI) 之间的联系知之甚少。美国军人和受益人 (N = 186)，在自杀危机后住进精神病院，完成了情绪调节困难量表 (DERS; Gratz & Roemer, 2004)，并报告了终生自杀意念、企图和 NSSI。我们预计情绪失调与一生中最糟糕的自杀意念、多次自杀企图状态和一生 NSSI 呈正相关。自杀意念的严重程度和多次自杀企图与 DERS 成分无关。值得注意的是，冲动控制困难（痛苦时感觉失控）与 NSSI 病史呈正相关。需要清晰地描述情绪失调在自杀念头中的作用、其向自杀行为的进展以及 NSSI 的理论模型，以推进对这一高度脆弱群体的临床护理。纵向和微观纵向研究设计需要进一步研究。
Links between emotion dysregulation, suicide ideation, and suicidal versus non-suicidal self-injury (NSSI) are poorly understood within military samples. United States service members and beneficiaries (N = 186), psychiatrically hospitalized following a suicidal crisis, completed the Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004), and reported lifetime suicide ideation, attempts, and NSSI. We expected that emotion dysregulation would positively associate with worst lifetime suicide ideation, multiple suicide attempt status, and lifetime NSSI. Suicide ideation severity and multiple suicide attempts did not associate with DERS components. Notably, difficulties with impulse control (feeling out of control while distressed) was positively associated with NSSI history. Theoretical models that clearly describe the role of emotion dysregulation in suicidal thoughts, its progression to suicidal actions, and NSSI are needed to advance clinical care for this highly vulnerable group. Longitudinal and micro-longitudinal study designs require further investigation.