关键词: addictive behavior depression emotion regulation impulsivity inmates mindfulness self-harm suicide

来  源:   DOI:10.3389/fpsyt.2024.1448711   PDF(Pubmed)

Abstract:
UNASSIGNED: The behavioral addiction model posits that repetitive suicidal behaviors can serve as maladaptive strategies for managing stress and negative emotional states, akin to substance addiction. Both behaviors involve negative emotions, offer temporary psychological relief, and persist, indicating shared neurobiological mechanisms. This study explored psychometric differences among major repeaters, occasional attempters, and non-suicidal prisoners.
UNASSIGNED: A multi-centre cross-sectional survey of 363 inmates across four prisons assessed depression, cognitive-emotional regulation, impulsivity, perceived stress, lifetime non-suicidal self-injury and suicide attempts.
UNASSIGNED: Mild depression, moderate suicidal ideation, and moderate impulsivity were common, with nearly half of the participants having attempted suicide at least once. Hierarchical multiple regression analyses revealed that repeated suicidal behavior in the past increases susceptibility to future suicidal thoughts, with suicide attempts serving as a maladaptive emotion regulation strategy among repeated attempters.
UNASSIGNED: The results reveal differences in emotional dysregulation, impulsivity, and stress coping strategies among the studied groups, reinforcing the idea of suicidality as a form of behavioral addiction. The addiction approach helps explain the sensitivity to later suicidal thoughts in former attempters and self-harmers, offering valuable insights for tailored interventions within correctional settings.
摘要:
行为成瘾模型认为,重复的自杀行为可以作为管理压力和负面情绪状态的适应不良策略,类似于物质成瘾。这两种行为都涉及负面情绪,提供暂时的心理救济,并坚持,表明共同的神经生物学机制。这项研究探讨了主要中继器之间的心理测量学差异,偶尔尝试,非自杀囚犯。
一项针对四所监狱的363名囚犯的多中心横断面调查评估了抑郁症,认知情绪调节,冲动,感知压力,终生非自杀性自伤和自杀未遂。
轻度抑郁症,中度自杀意念,中等程度的冲动很常见,将近一半的参与者至少尝试过一次自杀。分层多元回归分析显示,过去反复的自杀行为会增加对未来自杀念头的易感性,在反复尝试者中,自杀尝试是一种适应不良的情绪调节策略。
结果揭示了情绪失调的差异,冲动,以及被研究群体中的压力应对策略,强化自杀作为一种行为成瘾的观念。成瘾的方法有助于解释以前的尝试者和自我保护者对后来的自杀想法的敏感性,为惩教环境中量身定制的干预措施提供有价值的见解。
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