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心向生活:正念是否通过增加对生活的热爱来增强韧性从而预防自杀?

Mind full of life: Does mindfulness confer resilience to suicide by increasing zest for life?

机构信息

University of Western Australia, Australia.

University of Western Australia, Australia.

出版信息

J Affect Disord. 2018 Jan 15;226:100-107. doi: 10.1016/j.jad.2017.09.043. Epub 2017 Sep 27.

Abstract

BACKGROUND

Mindfulness is a trainable skill that may enhance resilience to suicidality among vulnerable groups such as young people. The current study examined whether mindfulness protects against suicidal desire in the face of heightened risk and adversity by increasing zest for life in a sample of university students.

METHODS

In a prospective design, participants (N = 233) were assessed at two time points over eight weeks. Online surveys included the Mindful Attention and Awareness Scale, Zest for Life Scale, Interpersonal Needs Questionnaire, Kessler Psychological Distress Scale, and items assessing suicidal ideation and suicidal intent.

RESULTS

Baseline mindfulness was associated with lower suicidal ideation and intent at follow-up. Moderated mediation analyses confirmed the effects of mindfulness on ideation and intent were mediated by zest for life and these indirect effects were stronger at higher versus lower levels of general (psychological distress) and suicide-specific (perceived burdensomeness and thwarted belongingness) risk.

LIMITATIONS

Single item assessments of suicidal desire.

CONCLUSIONS

Findings suggest that mindfulness protects against suicidal desire in conditions of heightened risk and adversity by enhancing one's orientation towards a life worth living. Theories of suicide should consider the dynamic interplay between risk and life-sustaining resilience, while clinicians treating suicidality could use mindfulness strategies to strengthen the desire to (re)engage with life, thereby complementing direct amelioration of suicide risk factors.

摘要

背景

正念是一种可训练的技能,可增强弱势群体(如年轻人)对自杀意念的抵抗力。本研究通过在大学生样本中增加对生活的热情,检验了正念是否通过增加生活热情来保护处于高风险和逆境中的人免受自杀欲望的影响。

方法

在一项前瞻性设计中,参与者(N=233)在八周内分两次进行评估。在线调查包括正念注意和意识量表、生活热情量表、人际需求问卷、凯斯勒心理困扰量表以及评估自杀意念和自杀意图的项目。

结果

基线正念与随访时较低的自杀意念和意图相关。中介调节分析证实,正念对意念和意图的影响是通过生活热情来介导的,并且在更高的一般(心理困扰)和特定自杀(感知负担和受挫归属感)风险水平下,这些间接效应更强。

局限性

对自杀欲望的单一项目评估。

结论

研究结果表明,正念通过增强人们对有价值的生活的取向,在高风险和逆境条件下保护自杀欲望。自杀理论应该考虑风险和维持生命的适应力之间的动态相互作用,而治疗自杀意念的临床医生可以使用正念策略来增强与生活重新联系的欲望,从而补充对自杀风险因素的直接改善。

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