国外自杀心理学研究与理论评介

以自杀致病理论、自杀评估理论、自杀治疗理论为线索,回顾与总结了国外近十年来的自杀心理学理论与研究概况,同时重点介绍了致病理论中的应激—易感模型、逃避自我理论、杀死自我理论;自杀评估理论中的SSF评估、四阶段过程模式;自杀治疗理论中的SATIR理论和荣格艺术治疗理论等,并做了简短评论     

国外自杀评估方法的研究进展

回顾与总结了国外近十年来自杀心理学中自杀危险因素的研究进展,并在此基础上评述性的介绍了国外自杀危险性评估方法的研究概况.重点介绍了自杀评估方法中的危险因素一保护因素核查法、七方面甄选法这两种针对群体的自杀危险性筛查方法;自杀状况表格评估法、四阶段过程评估法、自杀事件的编年体评估法这三种针对个体的自杀危险性进行细致评估的方法.最后做了简要评论,并结合现状提出了一些对我国自杀评估研究领域的启示.     

新生代员工自杀意念的产生机理

新生代员工的自杀意念正在引起研究者的关注.本研究立足于职业健康心理学和积极心理学视野,汲取自我决定理论和生命意义理论的思想精髓以构建“动机-生命意义”模型,系统考察社会、组织和个体因素对自杀意念的综合影响,对揭示无精神疾患员工自杀意念产生的影响机制和心理动力机制、促进研究范式从病理取向转向积极取向具有重要的理论价值;此外,还有望开发出一套“社会-组织情境→动机→生命意义”干预方案,引导企业与政府反思其现有管理体系,帮助管理者审视其管理哲学并改善其管理行为,针对尚无自杀意念或意念处于萌芽期的员工,多层次、多途径构建员工自杀的一级防控体系和心理援助机制,促进员工与企业、社会的整体和谐发展.     

中学生自伤、自杀意念的"双高"与"双低"模式:基于潜剖面分析方法

当下中学生自伤、自杀意念流行率较高,本研究旨在通过个体中心方法探讨中学生自伤、自杀意念的模式与关联因素.选取初高中生843人,调查了自伤行为、自杀意念与预测因素,进行潜剖面探索和Logistic回归.结果发现:(1)中学生自伤-自杀意念存在两个亚组,分别为"低自伤-低自杀意念组"(双低组)和"高自伤-高自杀意念组"(双...     

大学生抗挫折心理能力对自杀意念影响的研究

为了探讨大学生抗挫折心理能力对自杀意念的影响,采用《抗挫折心理能力问卷》和《自杀意念自评量表》对882名大学生进行调查研究.结果发现:(1)大学生抗挫折心理能力在性别、年级、生源、学校类型等因素上存在显著差异;(2)大学生抗挫折心理能力与自杀意念之间呈显著的负相关,抗挫折心理能力的多个因素与自杀意念各因素之间的负相关显著;(3)大学生的挫折容忍力、意志品质、挫折复原力、信心、挫折认知水平、挫折经验是自杀意念的有效预测变量.     

关怀哲学视阈下的自杀防控探究

自杀问题是当下社会中存在的精神卫生症候之一,从关怀哲学的视角探究自杀防控理念的历史源流、现实境遇、临床困境与价值诉求,经由医患关怀的和谐转化,医务人员可以在防控自杀病人的进程中达到“关怀”与“防控”的知行统一,一方面为自杀病人提供文化关怀的防控脉相,另一方面为医护人员在自杀防控的实践运用层面提供参考.     

美国人口自杀状况分析

自杀不仅是个人和家庭的灾难,而且成为重要的社会问题,也是目前发达国家造成死亡的主要因素之一.尽管美国的自杀率在世界各国中不是最高的,但同其他发达国家一样所造成的社会问题最为突出.通过美国不同性别、年龄、种族、区域等自杀人群的分析,了解美国自杀人群的特点,以期采取相应的措施.     

自杀高危人群的识别及预防研究

自杀是由严重心理危机导致的行为.通过描述自杀高危人群存在的时代状况,从社会学与心理-精神病学的维度分析了高危人群的自杀成因,进而对其自杀前的异常言行表现、自杀的方式及当前各种预防措施进行讨论.同时,对中国文化语境下的自杀及其预防展开了反思与展望.     

日本对自杀的心理学研究

20世纪 50年代以来 ,日本青少年自杀率急剧上升 ,为了更好地实施危机干预 ,日本学者对自杀行为进行了广泛的研究。研究呈现出由关注宏观的社会因素转向更加关注个体的心理和个性特征的趋势 ,取得了一些很有价值的研究成果。本文综述了日本学者对自杀的内涵、分类、年龄特征、性别特征、动机、手段、自杀前的心理特征和自杀预防的研究成果。     

《价值观念冲突问卷》的编制及信度和效度检验

为评估不同受教育程度和文化水平的个体是否存在中国传统价值观念冲突的压力,编制价值观念冲突问卷,用以筛查价值观念冲突的压力对个体自杀行为的影响.通过对240例农村青年自杀死亡者及正常对照者的心理解剖访谈研究,验证此问卷具有较好的信度和效度,可用于甄别高应激群体价值观念冲突的压力,是自杀研究和干预的实用筛查工具.     

Feasibility of a Web‐based Gatekeeper Training: Implications for Suicide Prevention

Web‐based training programs have advantages such as increased scheduling flexibility and decreased training costs. Yet the feasibility of applying them to injury prevention programs such as suicide prevention gatekeeper training has not been empirically verified. Two studies were conducted to assess the feasibility and effectiveness of a web‐based version of the Question, Persuade, and Refer (QPR) gatekeeper training program. Results of Study 1 revealed that participants in a web‐based training demonstrated significant gains in knowledge of suicide prevention, self‐efficacy for suicide prevention, and behavioral intentions to engage in suicide prevention, as compared to those in a control group. Results of Study 2 further showed that the web‐based training may be as effective as the face‐to‐face QPR training across pre‐ (T1) and post training (T2); however, knowledge, self‐efficacy, and behavioral intentions in both groups generally declined from T2 to 6‐months after the training. Overall, these results provide initial evidence to support the feasibility of adopting web‐based media to deliver gatekeeper training. Moreover, the present findings suggest the need to understand how to maintain gatekeepers’ knowledge, confidence, motivation, and skills after training.     

Suicide Intervention Training for K–12 Schools: A Quasi‐Experimental Study on ASIST

This quasi‐experimental study investigated differences between 104 school personnel who received a standardized suicide awareness and prevention training (i.e., Applied Suicide Intervention Skills Training) and 45 control group participants. Pre‐ and posttraining data included experimental and control group participants' (a) suicide intervention skills; (b) attitudes toward suicide; (c) knowledge of suicide; and (d) comfort, competence, and confidence in responding to individuals at risk of suicide. Results indicated a significant positive effect for training on all measures. Implications for training of school personnel and future research are discussed.     

Does a Gatekeeper Suicide Prevention Program Work in a School Setting? Evaluating Training Outcome and Moderators of Effectiveness

The current study sought to evaluate the suicide prevention gatekeeper training program QPR (Question, Persuade, and Refer) among school personnel using a non‐equivalent control group design. Substantial gains were demonstrated from pre‐ to post‐test for attitudes, knowledge, and beliefs regarding suicide and suicide prevention. Exploratory analyses revealed the possible moderating effects of age, professional role, prior training, and recent contact with suicidal youth on QPR participants' general knowledge, questioning, attitudes toward suicide and suicide prevention, QPR quiz scores, and self‐efficacy. The need for replication using a more rigorous experimental design in the context of strong community collaboration is discussed.     

Telephone counseling and crisis intervention: A review

The empirical research pertaining to the effectiveness of telephone counseling and referral systems personnel was critically reviewed. The assessment was organized according to several evaluation strategies that researchers have utilized to evaluate effectiveness. These strategies included, for example, client self-reports, client "shows" versus "no-shows" following referral, data pertaining to suicide rates, counselor ratings of personal effectiveness, and phone workers' ability to offer empathy to clients. It was concluded that discussions of effectiveness should be constrained by a careful consideration of the specific index of efficacy chosen by investigators as well as methodological issues associated with current research in this area. There is reason to believe that the availability of telephone crisis services may be related to reduced suicide rates among young white females. Also, there is a significant need to empirically associate counseling technique and indices of effectiveness with substantive measures of client outcome in future research. Additional topics reviewed include the probable differential effectiveness of lay workers with various presenting problems of clients, and the role that training and maturity seem to play in successful interventions. Guidelines for the use of evaluation techniques which coincide with service goals are also offered.     

Does a Gatekeeper Suicide Prevention Program Work in a School Setting? Evaluating Training Outcome and Moderators of Effectiveness

The suicide prevention gatekeeper training program QPR (Question, Persuade, and Refer) was evaluated among school personnel using a nonequivalent control group design. Substantial gains were demonstrated from pre- to post-test for attitudes, knowledge, and beliefs regarding suicide and suicide prevention. Exploratory analyses revealed the possible moderating effects of age, professional role, prior training, and recent contact with suicidal youth on QPR participants' general knowledge, questioning, attitudes toward suicide and suicide prevention, QPR quiz scores, and self-efficacy. The need for replication using a more rigorous experimental design in the context of strong community collaboration is discussed.     

Benchmarking the “Question,Persuade, Refer” Program Against Evaluations of Established Suicide Prevention Gatekeeper Trainings

Gatekeeper training is a common approach for aiding suicidal youth. This study utilizes comparative effectiveness “benchmarks” from established programs to evaluate the Question, Persuade, Refer (QPR) program. The QPR program was implemented with adults (N = 2,389) working in youth‐serving community agencies. Questionnaires assessed suicide prevention knowledge, attitudes, subjective norms, perceived behavioral control, and behaviors. Consistent with benchmarked studies, participants in QPR demonstrated knowledge and suicide prevention behavior gains compared with control groups. Future research should utilize benchmarking methods as a measure of effectiveness, and more thoroughly assess mechanisms that promote behavior change.     

Proximate outcomes of gatekeeper training for suicide prevention in the workplace

In this pilot study we report on proximate outcomes of a 1-hour community gatekeeper training in-service for 76 nonclinical employees in a university hospital workplace setting. Pre-post analyses resulted in positive changes in participants' knowledge about suicide and attitudes (self-efficacy) about intervening with suicidal individuals. A subset of participants engaged in role play practice of gatekeeper skills following training and rated the experience positively. Fifty-five observations were rated using an observational measure developed for this study and approximately half of these demonstrated satisfactory skills post training. Participants in this workplace gatekeeper training reported sharing new knowledge and skills with family, friends, and coworkers.     

Whole of community suicide prevention forums for Aboriginal Australians

It is well known that Aboriginal Australians are at increased risk of suicide. Contributors to suicide differ for Indigenous and non-Indigenous populations (Westerman, 2003; 2019). This study evaluated whole of community suicide prevention forums conducted across six locations. Attendees were youth (N = 136), service providers (N = 225), and community members (N = 158). The content of the forums was empirically based and, for service providers and community members, covered knowledge of suicide, and depression specific to Aboriginal people, skills relating to working with depressed and suicidal Aboriginal people, and intentions to help an Aboriginal person who is suicidal. Content for youth attendees focused on knowledge of suicide and depression, coping skills, intentions to help a friend, and beliefs about suicide. While the results demonstrated significant gains across most domains, there was a potentiating effect with some skills increases becoming more significant over each phase. This demonstrates that a whole of community approach to Indigenous suicide prevention is required, and that clinical and cultural skills require a longer-term approach for impact and sustainability.     

Utah youth suicide study: psychological autopsy

We conducted a psychological autopsy study to further understand youth suicide in Utah. While traditional psychological autopsy studies primarily focus on the administration of psychometric measures to identify any underlying diagnosis of mental illness for the suicide decedent, we focused our interviews to identify which contacts in the decedent's life recognized risk factors for suicidal behavior, symptoms of mental illness, as well as barriers to mental health treatment for the decedent. Parents and friends recognized most symptoms universally, although friends better recognized symptoms of substance abuse than any other contact. The study results suggest that parents and friends are the most appropriate individuals for gatekeeper training and, in conjunction with other innovative screening programs, may be an effective strategy in reducing adolescent suicide.