背景:尽管有证据表明参与自杀研究与观念恶化无关,行为,或意图,密集的纵向方法来评估观念和行为的兴起需要进一步研究潜在的医源性影响。本研究在10天的每日日记研究中评估了自杀意念(SI)的变化率。
方法:72名患有持续SI的成年参与者参加了10次每日日记调查和3次随访评估。包括一个开放式项目,以解决研究中的参与者经验。
结果:多级分段增长模型显示参与者在10天内SI稳步下降。然而,后续评估期间SI率增加,这表明参与日常调查与SI的普遍减少有关。Further,对研究中的经验进行定性分析,揭示了以下主题:有用的(n=34),意识增强(n=21),功能(n=6),没有用(n=6),和效益(n=4)。
结论:这项研究表明,参与自杀研究,包括密集的纵向方法,如每日日记研究,对SI参与者没有医源性影响。定性结果表明,参与本研究的参与者获得了许多好处。
BACKGROUND: Despite evidence that participation in suicide research is not associated with worsening ideation, behaviors, or intent, the rise of intensive longitudinal methods to assess ideation and behaviors necessitates further investigation for potential
iatrogenic effects. The present study assessed rates of change in suicide ideation (SI) in a 10-day daily diary study.
METHODS: Seventy-two adult participants with ongoing SI participated in 10 daily diary surveys and three follow-up assessments. One open-ended item was included to address participant experiences in the study.
RESULTS: A multilevel piecewise growth model revealed steady declines in SI for participants over the 10 days. However, rates of SI increased during the follow-up assessments, indicating that participation in the daily surveys was associated with general reductions in SI. Further, qualitative analyses of experiences in the study revealed the following themes: Useful (n = 34), Heightened Awareness (n = 21), Functional (n = 6), Not Useful (n = 6), and Beneficence (n = 4).
CONCLUSIONS: This study demonstrated that participation in suicide research, including intensive longitudinal methods such as daily diary studies, did not have
iatrogenic effects on participants with SI. Qualitative results demonstrated the numerous benefits participants derived while taking part in this study.