Abstract：
Mental health officers (MHO) in the military often encounter soldiers expressing distress, manifested in threats and attempts at self-harm and suicide. While these behaviors are a significant stressor for therapists, they may also be an opportunity for posttraumatic growth (PTG). We aimed to examine whether the relatively frequent exposure of MHO to soldiers who report thoughts, intentions, and attempts at self-harm and suicide is related to their PTG, as well as tested the contribution of cognitive variables (the centrality of the event and the challenge to core beliefs), and a trait not previously considered in this context, i.e. self-compassion to PTG. Self-report questionnaires were completed by130 Israeli army MHO. Of these, 98.5% reported that they are exposed to self-harm. The questionnaires were collected between the years 2020-2021. The findings show a positive linear relationship, as well as a curvilinear relationship, between PTG and exposure to expressions of self-harm and suicide, the centrality of the event, and the challenge to core beliefs. In addition, self-compassion served as a moderator in the association between exposure and PTG. The study validates the PTG model in a population that has not previously been studied in this context, and may lead to a broader understanding of PTG in this context. They may help in designing dedicated training programs for therapists dealing with reports of self-harm and suicidal behavior.
摘要：
军队中的精神卫生官员（MHO）经常遇到士兵表达痛苦，表现为威胁和自我伤害和自杀的企图。虽然这些行为对治疗师来说是一个重要的压力源，它们也可能是创伤后成长(PTG)的机会。我们的目的是检查MHO是否相对频繁地暴露于报告思想的士兵，意图,自我伤害和自杀的尝试与他们的PTG有关，以及测试认知变量的贡献（事件的中心性和对核心信念的挑战），和以前在这种情况下没有考虑的特征，即对PTG的自我同情。130名以色列军队MHO完成了自我报告问卷。其中,98.5％的人报告说他们遭受了自我伤害。问卷是在2020-2021年间收集的。研究结果表明呈正线性关系，以及曲线关系，在PTG和暴露于自我伤害和自杀的表达之间，事件的中心,以及对核心信念的挑战。此外,自我同情是暴露与PTG之间关联的调节者。这项研究验证了PTG模型在以前没有在这种情况下进行过研究的人群中，并可能导致在这种情况下对PTG有更广泛的理解。他们可能有助于为治疗师设计专门的培训计划，以处理自我伤害和自杀行为的报告。
