关键词: Suicide Crisis Syndrome narrative‐crisis model of suicide risk assessment suicide suicide risk suicide trigger state

Mesh : Humans Suicidal Ideation Suicide / psychology Syndrome

来  源:   DOI:10.1111/sltb.13065

Abstract:
BACKGROUND: The objective of this systematic review is to describe the scientific evidence for the Suicide Crisis Syndrome (SCS), a presuicidal cognitive and affective state consisting of five symptomatic dimensions: entrapment, affective disturbance, loss of cognitive control, hyperarousal, and social withdrawal. The aim of this article is to summarize the emerging literature on the SCS and to assess the extent to which a uniform syndrome can be assumed.
METHODS: A systematic literature search was conducted in three different databases (PubMed, PsycInfo, and Google Scholar) using the search terms \"Suicide Crisis Inventory,\" \"Suicide Crisis Syndrome,\" \"Narrative Crisis Model of Suicide,\" and \"Suicide Trigger State.\"
RESULTS: In total, 37 articles from 2010 to 2022 were identified by search criteria. Twenty-one articles published between 2017 and 2022 were included in the systematic review. All but three studies were conducted in the United States and examined clinical samples of adult high-risk psychiatric in- and outpatients. Sample sizes ranged from N = 170 to 4846. The findings confirm the unidimensional structure of the proposed disorder and support the predictive validity for short-term suicidal behavior above and beyond suicidal ideation.
CONCLUSIONS: Despite the promising predictive validity of the SCS, a precise prediction of future suicidal behavior remains difficult.
摘要:
背景:本系统评价的目的是描述自杀危机综合症(SCS)的科学证据,一种由五个症状维度组成的自杀前认知和情感状态:诱捕,情感干扰,失去认知控制,过度觉醒,社会撤退。本文的目的是总结有关SCS的新兴文献,并评估可以认为统一综合征的程度。
方法:在三个不同的数据库中进行了系统的文献检索(PubMed,PsycInfo,和谷歌学者)使用搜索词“自杀危机清单”,\"\"自杀危机综合症,自杀的叙事危机模型,\"和\"自杀触发状态。\"
结果:总计,通过搜索标准确定了2010年至2022年的37篇文章。2017年至2022年发表的21篇文章被纳入系统评价。除三项研究外,所有研究均在美国进行,并检查了成年高风险精神病患者和门诊患者的临床样本。样本量范围从N=170到4846。研究结果证实了所提出的疾病的一维结构,并支持了超出自杀意念的短期自杀行为的预测有效性。
结论:尽管SCS的预测有效性很有希望,准确预测未来的自杀行为仍然很困难。
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