Trajectories of Affective Response as Warning Signs for Suicide Attempts

Trajectories of Affective Response as Warning Signs for Suicide Attempts
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情感反应轨迹作为自杀未遂的警告信号

DOI:
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发表时间:
2017
期刊:
影响因子:
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通讯作者:
C. Glenn
C. Glenn
中科院分区:
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文献类型:
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作者:
C. Bagge;Andrew K. Littlefield;C. Glenn

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情感的变化被广泛认为是自杀行为的警告信号。然而,迄今为止还没有研究直接研究自杀企图发生前几个小时内的这种人内变化。本研究的目的是确定亚组区分情感模式导致他们的自杀企图,确定类型的影响是否可以被认为是这些亚组之间的警告信号,并确定亚组的临床相关性。参与者包括216名自杀未遂者,他们在自杀后24小时内到医院就诊。使用时间轴追踪方法来评估尝试前的近期行为和影响,并通过一系列措施评估远端临床相关性和尝试特征。确定了四个情感亚组,并通过特定的情感警告信号和临床相关因素进行区分。研究结果表明,情感变化是一些但不是所有自杀者的警告信号,并强调了预测即将发生的自杀风险的特殊挑战。
Change in affect is widely considered a warning sign for suicidal behavior. However, no study to date has directly examined such within-person changes during the hours preceding a suicide attempt. This study aimed to identify subgroups differentiated by affective patterns leading up to their suicide attempt, determine whether types of affect can be considered warning signs among these subgroups, and identify subgroup clinical correlates. Participants included 216 suicide attempters presenting to the hospital within 24 hours of their attempt. A timeline follow-back methodology was used to assess near-term behaviors and affect prior to the attempt, and a battery of measures assessed distal clinical correlates and attempt characteristics. Four affective subgroups were identified and were distinguished by specific affective warning signs and clinical correlates. Findings indicate that affective changes are warning signs for some, but not all, suicide attempters and highlight the exceptional challenge of predicting imminent risk for suicide.
揭示自我伤害思想和行为的形式和功能:青少年和年轻人的实时生态评估研究。
DOI: 10.1037/a0016948
发表时间: 2009-11
影响因子: 4.6
作者:
Nock MK;Prinstein MJ;Sterba SK
通讯作者: Sterba SK
DOI: 10.1016/j.amepre.2014.06.004
发表时间: 2014-09
影响因子: 5.5
作者:
Glenn CR;Nock MK
通讯作者: Nock MK
DOI: 10.1093/oxfordjournals.aje.a115853
发表时间: 1991-01-15
影响因子: 5
作者:
MACLURE, M
通讯作者: MACLURE, M
DOI: 10.1056/nejm199312023292301
发表时间: 1993-12-02
影响因子: 158.5
作者:
MITTLEMAN, MA;MACLURE, M;MULLER, JE
通讯作者: MULLER, JE