Abstract：
Several patient and setting characteristics have been found to predict disclosure of suicidality to clinicians versus researchers. Less understood, however, is whether differential disclosure of suicidality predicts concurrent indirect indicators of suicide risk and future suicide-related outcomes. The present study examined differential disclosure of suicidal intent in clinical versus research settings as a predictor of (1) concurrent symptoms of the Suicide Crisis Syndrome (SCS); and (2) suicidal ideation and attempts within one month in patients (n = 1039) and their clinicians (n = 144), who completed a battery of self-report and interview measures at baseline. Patients who reported suicidal intent to anyone had higher concurrent SCS symptoms than those who denied suicidal intent, with no differences between those who reported intent to clinicians versus researchers only. Severity of suicidal ideation and rates of suicide attempts at one-month follow-up were higher among those who disclosed suicidal intent to a research assistant than among those who did not-regardless of whether suicidal intent was disclosed to their clinician. Overall, an improved understanding of the factors contributing to differential disclosure will improve both scientific inquiry and patient safety.
摘要：
已经发现一些患者和环境特征可以预测向临床医生和研究人员披露自杀倾向。不太了解，然而,是自杀倾向的差异披露是否可以预测自杀风险和未来自杀相关结局的间接指标。本研究检查了在临床和研究环境中自杀意图的差异披露，作为（1）自杀危机综合征（SCS）的并发症状的预测因子；（2）患者（n=1039）及其临床医生（n=144）在一个月内的自杀意念和尝试，他在基线时完成了一系列自我报告和访谈措施。向任何人报告有自杀意图的患者比否认有自杀意图的患者有更高的并发SCS症状，向临床医生报告意向的人与仅向研究人员报告意向的人之间没有差异。在一个月的随访中，向研究助理透露自杀意图的人的自杀意念严重程度和自杀未遂率高于未透露自杀意图的人，无论是否向临床医生透露了自杀意图。总的来说,更好地理解导致差异披露的因素将提高科学调查和患者安全.
