负性情绪对自杀危险的影响:自伤行为的中介作用
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摘要
目的:基于自杀人际关系理论和情绪管理理论,探讨负性情绪和自杀危险的关系,在此基础上探讨自伤行为中介作用并比较不同自伤指标的中介效应大小。方法:采用正性负性情绪量表(PANAS)、青少年自我伤害量表(ASHS)和贝克自杀意念量表(BSI-CV)对2292名大学生进行施测。结果:一是负性情绪正向预测自杀危险;二是自伤行为在负性情绪和自杀危险间起中介作用;三是自伤方法数量的中介作用强于自伤总分的中介作用。
Based on the interpersonal theory of suicide and emotional management theory, this study explores the relationship between negative emotion and suicide risk. On this basis, it discusses the mediating role of self-injury and compares the mediating effects of different self-injury index. Methods: 2292 college students were tested with Positive and Negative Affect scale(PANAS), Adolescents Self-Harm Scale(ASHS) and Beck Scale for Suicide Ideation-Chinese Version(BSI-CV). Results are as follows:(1) Negative emotions positively predict suicide risk;(2) Self-injury mediate the relationship between negative emotions and suicide risk;(3) The mediating effect of the number of self-injury method is stronger than the total score of self-injury.
Based on the interpersonal theory of suicide and emotional management theory, this study explores the relationship between negative emotion and suicide risk. On this basis, it discusses the mediating role of self-injury and compares the mediating effects of different self-injury index. Methods: 2292 college students were tested with Positive and Negative Affect scale(PANAS), Adolescents Self-Harm Scale(ASHS) and Beck Scale for Suicide Ideation-Chinese Version(BSI-CV). Results are as follows:(1) Negative emotions positively predict suicide risk;(2) Self-injury mediate the relationship between negative emotions and suicide risk;(3) The mediating effect of the number of self-injury method is stronger than the total score of self-injury.
引文
[1]WHO.(2018).Suicide Fact[EB/OL].http://www.who.int/mediacentre/factsheets/fs398/en/.
[2]杨振斌,李焰.中国大学生自杀现象探讨[J].清华大学教育研究,2012(5):59-63.
[3]赵丽彩,尹训宝,孙宏伟.抑郁症患者抑郁水平、生活质量与自杀风险关系[J].中国健康心理学杂志,2016(7):983-986.
[4]Watson,D.,Clark,L.A.,& Tellegen,A..Development and validation of brief measures of positive and negative affect:the PANAS scales[J].Journal of Personality and Social Psychology,1998(6):1063-1070.
[5]Matthew K.Nock ,G.B..Cross-national prevalence and risk factors for suicidal ideation plans and attempts[J].British Journal of Psychiatry,2008(2):98-105.
[6][26]Zhang,X.,Ren,Y.,You,J.,Huang,C.,Jiang,Y.,Lin,M.P.,& Leung,F..Distinguishing Pathways from Negative Emotions to Suicide Ideation and to Suicide Attempt:the Differential Mediating Effects of Nonsuicidal Self-Injury[J].Journal of Abnorm Child Psychology,2017(8):1609-1619.
[7]Cynthia,A.Y.,Karen,R.S.,& James,R.R.The Role of Affect in Suicidal Thoughts and Behaviors[J].Suicide and Life-Threat Behavior,2011(2):160-169.
[8][30]江光荣,等.自伤行为研究:现状、问题与建议[J].心理科学进展,2011(6):861-873.
[9]Guan,K.,Fox,K.R.,& Prinstein,M.J.Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample[J].Journal of Consult Clinical Psychology,2012(5):842-849.
[10]Hamza,C.A.Nonsuicidal Self-Injury and Suicidal Risk Among Emerging Adults[J].Journal of Adolescent Health,2016(4):411-415.
[11]Asarnow,J.R.Suicide Attempts and Non-suicidal Self Injury in the Treatment of Resistant Depression in Adolescents[J].Journal of Lifelong Learning in Psychiatry,2012(2):324-333.
[12][29]Willoughby,T.,Heffer,T.,& Hamza,C.A..The link between nonsuicidal self-injury and acquired capability for suicide:A longitudinal study[J].Journal of Abnormal Psychology,2015(4):1110-1115.
[13]Anne C.Knorr B.A.The Interactive Effect of Major Depression and Nonsuicidal Self-Injury on Current Suicide Risk and Lifetime Suicide Attempts[J].Archives of Suicide Research,2016(4):539-552.
[14]Victor,S.E.,& Klonsky,E.D.Daily emotion in non-suicidal self-injury[J].Journal of Clinical Psychology,2014(4):364-375.
[15][18]Ammerman,B.A.,Berman,M.E.,& McCloskey,M.S.,Assessing Non-Suicidal Self-Injury in the Laboratory[J].Archives of Suicide Research,2018(2):193-233.
[16]Hamza,C.A.& Willoughby,T.A lab-based study exploring the associations among non-suicidal self-injury,pain,and emotion among university students[J].Psychiatry Research,2018(1):462-468.
[17]Joiner,T.Why people die by suicide[M].Cambridge,MA:Harvard University Press,2005.
[19]Anestis,M.D.,Khazem,L.R.,& Law,K.C.How many times and how many ways:the impact of number of nonsuicidal self-injury methods on the relationship between nonsuicidal self-injury frequency and suicidal behavior[J].Suicide and Life-Threat Behavior,2015(2):164-177.
[20]Matney,J.,Westers,N.J.,Horton,S.E.,King,J.D.,Eaddy,M.,Emslie,G.J.,Stewart,S.M.Frequency and Methods of Nonsuicidal Self-Injury in Relation to Acquired Capability for Suicide Among Adolescents[J].Archives of Suicide Research,2018(1):91-105.
[21]Nock,M.K.,Joiner,T.E.,Jr.,Gordon,K.H.,Lloyd-Richardson,E.,& Prinstein,M.J.Non-suicidal self-injury among adolescents:diagnostic correlates and relation to suicide attempts[J].Psychiatry Research,2006(1):65-72.
[22]李献云,等.Beck自杀意念量表中文版在大学学生中应用的信效度[J].中国心理卫生杂志,2011(11):862-866.
[23]黄丽,杨廷忠,季忠民.正性负性情绪量表的中国人群适用性研究[J].中国心理卫生杂志,2003(1):54-56.
[24]冯玉.青少年自我伤害行为与个体情绪因素和家庭环境因素的关系[D].武汉:华中师范大学硕士学位论文,2013.
[25][27]温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014(5):731-745.
[28]Kang,N.,You,J.,Huang,J.,Ren,Y.,Lin,M.P.,& Xu,S.(2018).Understanding the Pathways from Depression to Suicidal Risk from the Perspective of the Interpersonal-Psychological Theory of Suicide[J].Suicide and Life-Threat Behavior.DOI:10.1111/sltb.12455.
[31]Wester,K.L.,Ivers,N.,Villalba,J.A.,Trepal,H.C.,& Henson,R.The Relationship Between Nonsuicidal Self-Injury and Suicidal Ideation[J].Journal of Counseling & Development,2016(1):3-12.
[2]杨振斌,李焰.中国大学生自杀现象探讨[J].清华大学教育研究,2012(5):59-63.
[3]赵丽彩,尹训宝,孙宏伟.抑郁症患者抑郁水平、生活质量与自杀风险关系[J].中国健康心理学杂志,2016(7):983-986.
[4]Watson,D.,Clark,L.A.,& Tellegen,A..Development and validation of brief measures of positive and negative affect:the PANAS scales[J].Journal of Personality and Social Psychology,1998(6):1063-1070.
[5]Matthew K.Nock ,G.B..Cross-national prevalence and risk factors for suicidal ideation plans and attempts[J].British Journal of Psychiatry,2008(2):98-105.
[6][26]Zhang,X.,Ren,Y.,You,J.,Huang,C.,Jiang,Y.,Lin,M.P.,& Leung,F..Distinguishing Pathways from Negative Emotions to Suicide Ideation and to Suicide Attempt:the Differential Mediating Effects of Nonsuicidal Self-Injury[J].Journal of Abnorm Child Psychology,2017(8):1609-1619.
[7]Cynthia,A.Y.,Karen,R.S.,& James,R.R.The Role of Affect in Suicidal Thoughts and Behaviors[J].Suicide and Life-Threat Behavior,2011(2):160-169.
[8][30]江光荣,等.自伤行为研究:现状、问题与建议[J].心理科学进展,2011(6):861-873.
[9]Guan,K.,Fox,K.R.,& Prinstein,M.J.Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample[J].Journal of Consult Clinical Psychology,2012(5):842-849.
[10]Hamza,C.A.Nonsuicidal Self-Injury and Suicidal Risk Among Emerging Adults[J].Journal of Adolescent Health,2016(4):411-415.
[11]Asarnow,J.R.Suicide Attempts and Non-suicidal Self Injury in the Treatment of Resistant Depression in Adolescents[J].Journal of Lifelong Learning in Psychiatry,2012(2):324-333.
[12][29]Willoughby,T.,Heffer,T.,& Hamza,C.A..The link between nonsuicidal self-injury and acquired capability for suicide:A longitudinal study[J].Journal of Abnormal Psychology,2015(4):1110-1115.
[13]Anne C.Knorr B.A.The Interactive Effect of Major Depression and Nonsuicidal Self-Injury on Current Suicide Risk and Lifetime Suicide Attempts[J].Archives of Suicide Research,2016(4):539-552.
[14]Victor,S.E.,& Klonsky,E.D.Daily emotion in non-suicidal self-injury[J].Journal of Clinical Psychology,2014(4):364-375.
[15][18]Ammerman,B.A.,Berman,M.E.,& McCloskey,M.S.,Assessing Non-Suicidal Self-Injury in the Laboratory[J].Archives of Suicide Research,2018(2):193-233.
[16]Hamza,C.A.& Willoughby,T.A lab-based study exploring the associations among non-suicidal self-injury,pain,and emotion among university students[J].Psychiatry Research,2018(1):462-468.
[17]Joiner,T.Why people die by suicide[M].Cambridge,MA:Harvard University Press,2005.
[19]Anestis,M.D.,Khazem,L.R.,& Law,K.C.How many times and how many ways:the impact of number of nonsuicidal self-injury methods on the relationship between nonsuicidal self-injury frequency and suicidal behavior[J].Suicide and Life-Threat Behavior,2015(2):164-177.
[20]Matney,J.,Westers,N.J.,Horton,S.E.,King,J.D.,Eaddy,M.,Emslie,G.J.,Stewart,S.M.Frequency and Methods of Nonsuicidal Self-Injury in Relation to Acquired Capability for Suicide Among Adolescents[J].Archives of Suicide Research,2018(1):91-105.
[21]Nock,M.K.,Joiner,T.E.,Jr.,Gordon,K.H.,Lloyd-Richardson,E.,& Prinstein,M.J.Non-suicidal self-injury among adolescents:diagnostic correlates and relation to suicide attempts[J].Psychiatry Research,2006(1):65-72.
[22]李献云,等.Beck自杀意念量表中文版在大学学生中应用的信效度[J].中国心理卫生杂志,2011(11):862-866.
[23]黄丽,杨廷忠,季忠民.正性负性情绪量表的中国人群适用性研究[J].中国心理卫生杂志,2003(1):54-56.
[24]冯玉.青少年自我伤害行为与个体情绪因素和家庭环境因素的关系[D].武汉:华中师范大学硕士学位论文,2013.
[25][27]温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014(5):731-745.
[28]Kang,N.,You,J.,Huang,J.,Ren,Y.,Lin,M.P.,& Xu,S.(2018).Understanding the Pathways from Depression to Suicidal Risk from the Perspective of the Interpersonal-Psychological Theory of Suicide[J].Suicide and Life-Threat Behavior.DOI:10.1111/sltb.12455.
[31]Wester,K.L.,Ivers,N.,Villalba,J.A.,Trepal,H.C.,& Henson,R.The Relationship Between Nonsuicidal Self-Injury and Suicidal Ideation[J].Journal of Counseling & Development,2016(1):3-12.