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从自杀意念到自杀尝试:自杀行动转变的理论模型与风险因素

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自杀意念是自杀尝试的先决条件,但大多数思考自杀的人并不会进一步采取行动.近十年,学术界基于自杀"意念-行动"框架,关注自杀意念向自杀行动的转变,以自杀人际理论、动机-意志整合模型和三阶段理论为代表的理论模型推动了对自杀风险因素的重新探索.在区分自杀意念与自杀尝试方面,自杀能力及其影响因素的研究成果最为丰富,此外还有自杀意念相关因素、精神障碍/症状因素、其他心理社会因素以及认知神经功能因素.基于现有研究进展和存在的问题,文章对未来研究方向进行了展望.
From Suicide Ideation to Suicide Attempt:Theoretical Models and Risk Factors for the Transition of Suicidal Action
Suicide ideation is a prerequisite for suicide attempts.However,most people who think about suicide do not take further action.In the past decade,researchers have proposed an ideation-to-action framework which focuses on the transition from suicide ideation to suicidal action.Within this framework,the theoretical models represented by Interperson-al Theory of Suicide,Integrated Motivational-Volitional Model of Suicidal Behaviour and Three-Step Theory of Suicide have promoted the reexploration of suicide risk factors.Among factors that distinguish suicide attempters from suicide ide-ators,research findings on suicide capability and its related factors are the most abundant.In addition,there are risk factors associated with suicide ideation,psychopathological factors,additional psychosocial factors,as well as neurocognitive and neural connectivity factors.Based on some unsolved issues in this field,directions for future research are proposed.

Suicide ideationSuicide attemptIdeation-to-action frameworkTheoretical modelsRisk factors

应梦婷、江光荣、鲁婷、王磊

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武汉体育学院心理学系,武汉 430079

华中师范大学心理学院,武汉 430079

湖北大学教育学院心理学系,武汉 430062

自杀意念 自杀尝试 "意念-行动"框架 理论模型 风险因素

湖北省社会科学基金一般项目湖北省教育厅科学研究计划中青年人才项目"十四五"湖北省高等学校优势特色学科群资助项目武汉体育学院中青年科研团队项目

2021319Q2021410120210521KT09

2024

中国临床心理学杂志
中国心理卫生协会

中国临床心理学杂志

CSTPCDCSSCI北大核心
影响因子:1.474
ISSN:1005-3611
年,卷(期):2024.32(2)
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