The risk of suicidal intention in severe mental illness: An ecological perspective

被引:1
|
作者
Lin, Yawen [1 ]
Wei, Qinfei [1 ]
Luo, Suping [1 ]
Ye, Xiaoying [1 ]
Zheng, Fuhao [1 ,2 ]
Zheng, Liuyan [1 ]
Lu, Xinyue [1 ]
Li, Huangyuan [3 ]
Wu, Siying [1 ]
机构
[1] Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Minhou County, Peoples R China
[2] Fujian Med Univ, Dept Sci Res Management, Fujian Prov Hosp, Fuzhou, Peoples R China
[3] Fujian Med Univ, Sch Publ Hlth, Dept Prevent Med Stat, Fuzhou, Minhou County, Peoples R China
关键词
family; psychology; severe mental illness; society; suicidal intention; BIPOLAR DISORDER; EMPLOYMENT STATUS; RATING-SCALE; FAMILY; IDEATION; DEPRESSION; ANXIETY; RESILIENCE; BEHAVIORS; SYMPTOMS;
D O I
10.1111/papt.12495
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Guided by the ecosystem theory model framework, we aimed to explore the influence of three ecological dimensions (social, family and psychological factors) on suicidal intention in people with severe mental illness (SMI). We hypothesized that three factors influence suicidal intention, and that psychological factors may play a mediating role in the influence of social and family factors on suicidal intention.Methods: We collected 994 patients with SMI aged 18 and above from May 2021 to March 2022 in the Fourth Hospital of Fuzhou City. We used logistic regression to analyse the association between social, family, psychological factors and suicidal intention. Furthermore, we explored the mediating effects among the influencing factors.Results: Younger male patients with schizophrenia were more likely to have suicidal intention due to psychosocial family factors (p < .05). Social factors (poor interpersonal relations, social retreat, social activities outside the home), family factors (parental functions, activities within the family, family functions), psychological factors (anxiety, depression, interest in the outside world, overt aggression, lack of accountability and planning) were all independent risk factors for suicidal intention in patients. Mediation analysis showed anxiety and depression mediated the role of social and family factors on suicidal intention (p < .05).Conclusion: Social, family and psychological factors were important risk factors for suicidal intention, with anxiety and depression being partial mediators for suicidal intention. Therefore, interventions that enhance family and social functioning and reduce anxiety and depression may be effective in reducing suicidal intention in SMI.
引用
收藏
页码:1044 / 1061
页数:18
相关论文
共 50 条
  • [1] A SOCIAL ECOLOGICAL PERSPECTIVE FOR PROMOTING CARDIOVASCULAR HEALTH AMONG INDIVIDUALS WITH SEVERE MENTAL ILLNESS
    Baines, C.
    Johnson, J.
    [J]. CANADIAN JOURNAL OF CARDIOLOGY, 2010, 26 : 161D - 161D
  • [2] GENOMICS OF SUICIDAL IDEATION AND BEHAVIOR IN VETERANS WITH SEVERE MENTAL ILLNESS
    Harvey, Philip
    Bigdeli, Tim
    Fanous, Ayman
    Aslan, Mihaela
    Sun, Ning
    Zhao, Hongyu
    [J]. EUROPEAN NEUROPSYCHOPHARMACOLOGY, 2019, 29 : S34 - S34
  • [3] Cardiometabolic risk in severe mental illness
    Kang, Seema
    [J]. LANCET PSYCHIATRY, 2017, 4 (01): : 25 - 25
  • [4] One-third of children of parents with severe mental illness are at risk of developing severe mental illness
    Foster, Kim
    [J]. EVIDENCE-BASED MENTAL HEALTH, 2014, 17 (03) : 73 - 73
  • [5] Recovery from severe mental illness, a gender perspective
    Schon, Ulla-Karin
    [J]. SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2010, 24 (03) : 557 - 564
  • [6] Cardiac risk management in severe mental illness
    Ho, PM
    Rumsfeld, JS
    [J]. LANCET, 2006, 367 (9521): : 1469 - 1471
  • [7] Severe mental illness and risk of cardiovascular disease
    Newcomer, John W.
    Hennekens, Charles H.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (15): : 1794 - 1796
  • [8] MENTAL-DISORDERS AND SUICIDAL INTENTION
    LITMAN, RE
    [J]. SUICIDE AND LIFE-THREATENING BEHAVIOR, 1987, 17 (02) : 85 - 92
  • [9] Psychosocial Interventions in People with Severe Mental Illness: A Bleulerian Perspective
    Becker, Thomas
    Koesters, Markus
    [J]. NEUROPSYCHOBIOLOGY, 2012, 66 (01) : 70 - 75
  • [10] Building a neurocognitive profile of suicidal risk in severe mental disorders
    Anna Comparelli
    Valentina Corigliano
    Benedetta Montalbani
    Adele Nardella
    Antonella De Carolis
    Lorenzo Stampatore
    Paride Bargagna
    Francesca Forcina
    Dorian Lamis
    Maurizio Pompili
    [J]. BMC Psychiatry, 22