期刊论文详细信息
PSYCHIATRY RESEARCH 卷:241
What bridges the gap between self-harm and suicidality? The role of forgiveness, resilience and attachment
Article
Nagra, Gurmokh S.1  Lin, Ashleigh1,2  Upthegrove, Rachel1,3 
[1] Univ Birmingham, Edgbaston B15 2TT, W Midlands, England
[2] Univ Western Australia, Telethon Kids Inst, 6008 POB 855, Perth 6872, Australia
[3] Birmingham & Solihull Mental Hlth NHS Fdn Trust, 50 Summer Hill Rd, Birmingham B1 3RB, W Midlands, England
关键词: Psychological factors;    Self-injury;    Suicide;    Self-harm;   
DOI  :  10.1016/j.psychres.2016.04.103
来源: Elsevier
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【 摘 要 】

Self-harm is the most robust risk for completed suicide. There is a lack of understanding of why some people who self-harm escalate to suicidal behaviour when others do not. Psychological factors such as attachment, self-forgiveness and self-appraisal may be important. To determine whether factors from the Interpersonal Theory and Schematic Appraisals models are useful to identify suicidal behaviour in populations that self-harm. Specifically we investigate whether resilience factors of secure attachment, self-forgiveness and positive self-appraisals significantly influence suicidality in people who self-harm. A cross-sectional online study of 323 participants recruited from self-harm support forum. Validated self report measures were used to assess appraisals, relationships, self-forgiveness, attachment style, suicidality and self-harm. Emotion coping and support seeking self-appraisals and self-forgiveness were negatively associated with suicidality in participants with a history of self-harm. Dismissing attachment was positively associated with suicidality. The perceived ability to cope with emotions, the perceived ability to gain support and self-forgiveness may protect against suicide in people who self-harm. Conversely the presence of dismissing attachment may increase the risk of suicidality. Findings provide therapeutic targets to reduce risk of suicidality in this high risk group. (C) 2016 Published by Elsevier Ireland Ltd.

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