摘要
目的:探索自杀性心理表象对心境障碍住院大学生自杀未遂与否及自杀行为水平的区分作用。方法:选取近一年内有自杀意念或自杀未遂、自知力完整且未进行电休克治疗的心境障碍住院大学生143人,采用抑郁自评量表、自我伤害想法和行为访谈及自杀性心理表象问卷进行调查。比较自杀意念组(n=103)与自杀未遂组(n=40)在自杀性心理表象及其特征上的差异,并分析自杀性心理表象对自杀未遂与否及自杀行为水平的区分作用。结果:与自杀意念者相比,自杀未遂者的自杀性表象频率更高,在过去自杀行为、未来自杀过程、他人反应和其他表象内容上得分更高,其表象伴随的舒适感和麻木感更高,而痛苦感更低,在表象真实感上得分也更高。在控制抑郁和自杀意念的影响后,被试的自杀性表象内容越多关于过去自杀行为(OR=3.76/2.71)和未来自杀过程(OR=2.76/2.47),伴随越多的舒适感(OR=1.77/1.48)或麻木感(OR=1.84/1.41),其在过去一年内有自杀未遂/自杀行为次数增加的可能性越高。结论:在心境障碍住院大学生中,对过去自杀行为和未来自杀过程的心理表象及其伴随的舒适感和麻木感,既能将自杀未遂者与自杀意念者区分开,且对不同的自杀行为水平具有区分作用。
Objective:To explore whether suicidal mental imagery can differentiate suicide attempt and suicidal behavior level in inpatient undergraduates with mood disorders.Methods:A total of 143 hospitalized undergraduates with intact insight who had suicidal ideation or suicide attempt in the past year and didn’t receive electroconvulsive therapy were investigated by questionnaires.The Self-rating Depression Scale,independent items taken from Self-Injurious Thoughts and Behaviors Interview and a questionnaire designed to measure suicidal mental imagery were used to assess participants’depression,suicidal ideation and behavior,the frequency of suicidal mental imagery,and its related characteristics.The differences in suicidal mental imagery and related features between the suicide ideation group(n=103)and the suicide attempt group(n=40)were analyzed,as well as their effects in differentiating suicideattemptersfrom suicide ideators and distinguishing different levels of suicidal behavior.Results:The frequency of suicidal imagery was higher in the suicide attempt group than that in the suicide ideation group.Mentalimagery of past suicidal behavior,future suicidal process,other people's reactions towards one’s suicide,and other categories were also higher in the suicide attempt group than that in the suicide ideation group.Compared to suicide ideators,suicideattempters had higher scores of associated comfort and numbness as well as lower scores of associated distress.They also scored higher on perceived realness of suicidal images.In addition,after controlling for depression and suicidal ideation,individuals reporting higher levels of suicidal mental imagery about past suicidal behavior(OR=3.76/2.71)andfuturesuicidal process(OR=2.76/2.47),along with feelings of comfort(OR=1.77/1.48)or numbness(OR=1.84/1.41)were more likely to have made a suicide attemptand had higher levels of suicidal behavior inthepastyear.Conclusion:Among inpatient undergraduates with mood disorders,suicidal mental imagery about past suicidal behavi
作者
应梦婷
江光荣
于丽霞
鲁婷
王磊
YING Mengting;JIANG Guangrong;YU Lixia;LU Ting;WANG Lei(Department of Psychology,Wuhan Sports University,Wuhan 430079,China;School of Psychology,Central China Normal University,Key Laboratory of Human Development and Mental Health of Hubei Province;Faculty of Education,Hubei University)
出处
《中国健康心理学杂志》
北大核心
2023年第11期1623-1629,共7页
China Journal of Health Psychology
基金
国家社会科学基金重大项目(编号:16ZDA232)
湖北省社会科学基金一般项目(编号:2021319)
湖北省教育厅科学研究计划中青年人才项目(编号:Q20214101)
武汉体育学院青年教师自科基金项目(编号:2021Z02)
武汉体育学院中青年科研团队项目(编号:21KT09)。
关键词
自杀性心理表象
自杀意念者
自杀未遂者
自杀行为
心境障碍住院大学生
Suicidal mental imagery
Suicide ideators
Suicide attempters
Suicidal behavior
Inpatient undergraduates with mood disorders
