题名

影響自殺企圖者的自殺危險性發生路徑之檢驗

并列篇名

Testing the Path of Influencing Suicidal Attempter s Suicidal Risk

DOI

10.6129/CJP.2006.4801.01

作者

許文耀(Wen-Yau Hsu);王德賢(Te-Hsien Wang);陳喬琪(Chiao-Chicy Chen);陳明輝(Ming-Hui Chen)

关键词

自殺企圖 ; 自殺危險性 ; 對未來的正向期待 ; 逃避 ; suicidal attempt ; risk of committing suicide ; positive expectation about the future ; escape

期刊名称

中華心理學刊

卷期/出版年月

48卷1期(2006 / 03 / 01)

页次

1 - 12

内容语文

繁體中文

中文摘要

自殺企圖者的自殺危險性之提高是因對未來的正向期待少,或是對未來的負向期待多,或者二者均會造成影響,乃過去探討無望感與自殺間的一項重要議題。本研究依循Williams與Pollock(2000, 2002)之觀點推導出影響自殺企圖者發生自殺危險性的可能路徑,以探討此議題。Williams 與Pollock認為自殺是由挫敗、脫困、及拯救三個因素交織而成。本研究以資源流失、控制及無望來表徵這三個因素。 在研究理念上,本研究認為當自殺企圖者遇及資源流失時,如採用不同的因應策略,會對自殺危險性有不同的影響性。本研究的受試來自中部某社區心理衛生中心,該中心自921地震後成立自殺通報系統,本研究選取半年內通報的個案,經同意後納入樣本群,共收集到146位自殺企圖者。測量工具包含資源流失調查問卷,控制調節策略問卷,無望感量表,及自殺危險程度量表等四份量表。首次因徑分析先刪除路徑係數不顯著者,再進行因徑分析,其結果指出,直接影響自殺企圖者的自殺危險性之路徑有二:一為對未來的正向期待,而非對未來的負向期待,另一為逃避。本研究於討論中說明這些結果的意涵及預防自殺企圖者自殺危險性發生的可能介入方法。

英文摘要

An important issue in the studies of the relationship between the sense of hopelessness and suicide is whether suicide is encouraged by a diminished positive anticipation about the future, by an increased negative anticipation about the future, or by both. Williams and Pollock (2000, 2002) claimed that suicide was the result of the interaction of three factors, namely, defeat, no escape, and no rescue. In the present study, we translated the three factors into loss of resource, control, and hopelessness to evaluate Williams and Pollock s claim. We hypothesized that when suicide attempters experienced a loss of resource, the different coping strategies they adopted would have different consequences on their risk of committing suicide. One hundred and forty six suicide attempters, referred through the suicide prevention report system established for the survivors of the 921 Chi-Chi major earthquake, were administered the Loss of Resources Scale, the Control Regulation Questionnaire, the Hopelessness Scale, and the Degree of Suicide Scale. Path analysis of the data revealed two paths showing direct influence on suicide attempter s risk of committing suicide. One of them was positive anticipation, rather than negative anticipation, about the future. The other was escape. The implication of these findings for suicide interventions is discussed.

主题分类 社會科學 > 心理學
参考文献
  1. 許文耀(2003)。資源流失、因應、社會支持與九二一地震災民心理症狀之關係。中華心理學刊,45(3),263-277。
    連結:
  2. 許文耀、陳明輝(2004)。社區自殺企圖者的預測因子。台灣臨床心理學刊,1,40-48。
    連結:
  3. Abramson, L. Y.,Metalsky, G. l.,Alloy, L. B.(1989).Hopelessness depression: A theory-based subtype of depression.Psychological Review.
  4. Baumeister, R. F.(1990).Suicide as escape from self.Psychological Review.
  5. Beck, A. T.,Kovacs, M.,Weissman, A.(1975).Hopelessness and suicidal behavior.Journal of American Medical Association,234,1146-1149.
  6. Beck, A. T.,Weissman, A.,Lester, D.,Trexler, L.(1974).The measurement of pessimism: The Hopelessness Scale.Journal of Consulting and Clinical Psychology,42,861-965.
  7. Bedrosian, R. C.,Beck, A. T.(1979).Suicide and Life-Threatening Behavior.
  8. Brown, G. W.,Harris, T. O.(1978).Social origins of depression.London:Tavistock.
  9. Coats, E. J.,Janoff-Bulman, R.,Alpert, N.(1996).Approach versus avoidance goals: Differences in self-evaluation and well-being.Personality and Social Psychology Bulletin.
  10. Cropley, M.,MacLeod, A. K.(2003).Dysphoria, attributional reasoning and future event probability.Clinical Psychology and Psychotherapy.
  11. Dickson, J. M.,MacLeod, A. K.(2004).Approach and avoidance goals and plans: Their relationship to anxiety and depression.Cognitive Therapy and Research.
  12. Dixon, W. A.,Heppner, P. P.,Anderson, W. P.(1991).Problem-solving appraisal, stress, hopelessness, and suicide ideation in a college population.Journal of Counseling Psychology,38,51-56.
  13. Elliot, A. J.,Sheldon, L. M.,Church, M. A.(1997).Avoidance personal goals and subjective wellbeing.Personality and Social Psychology Bulletin.
  14. Freedy, J. R.,Shaw, D. L.,Jarrell, M. P.,Masters, C. R.(1992).Towards and understanding the psychological impact of natural disasters: An application of the conservation of resources stress model.Journal of Traumatic Stress,5,441-454.
  15. Fremouw, W. J.,de Perczal, M.,Ellis, T. E.(1990).Suicide risk: assessment and response guidelines.New York:Pergamon Press, Inc.
  16. Greene, S. M.(1989).The relationship between depression and hopelessness: implications for current theories of depression.British Journal of Psychiatry,154,650-659.
  17. Hatton, C. L.,Valente, S. M.(1984).Suicide: Assessment and intervention.New York:Appleton-Century-Crofts.
  18. Heckhausen, J.(1999).Developmental regulation in adulthood: Age-normative and socio-structural constraints as adaptive challenges.
  19. Heckhausen, J.(1997).Developmental regulation across adulthood: primary and secondary control of agerelated challenges.Developmental Psychology.
  20. Hobfoll, S. E.(2001).The influence of culture, community, and the nested-self in the stress process: Advancing conservation of resources theory.Applied Psychology: An International Review.
  21. Hobfoll, S. E.,Dunahoo, C. A.,Monnier, J.(1995).Traumatic stress: From theory to practice.New York:Plenum Press.
  22. Holahan, C. J.,Moos, R. H.,Holahan, C. K.,Cronkite, R. C.(1999).Resource loss, resource gain, and depressive symptoms: A 10-year model.Journal of Personality and Social Psychology,77,620-629.
  23. Holahan,C. J.,Moos, R. H.(1987).Personal and contextual determinants of coping strategies.Journal of Personality and social psychology,52,946-955.
  24. Jacobsen, N. S.,Dobson, K. S.,Truax, P. A.,Addis, M. E.,Koerner, K.,Gollan, J. K.,Grortner, E.,Prince, S. E.(1996).A competent analysis of cognitive-behavioral treatment for depression.Journal of Consulting and Clinical Psychology,64,295-304.
  25. Kagan, L. J.,MacLeod, A. K.,Pote, H. L.(2004).Accessibility of causal explanations for future positive and negative events in adolescents with anxiety and depression.Clinical Psychology and Psychotherapy.
  26. Kerkhof, Ad J. F. M.,Arensman, E.(2001).Pathways to suicide: The epidemiology of the suicidal process.Understanding suicidal behavior: The suicidal process approach to research, treatment and prevention,Chichester:
  27. Lachman, M, E.,Weaverk, S. L.(1998).The sense of control as a moderator of social class differences in health and well-being.Journal of Personality and Social Psychology,74,763-773.
  28. MacLeod, A. K.,Cropley, M. L.(1995).Depressive future-thinking: the role of valance and specificity.Cognitive Therapy and Research.
  29. MacLeod, A. K.,Pankhania, B.,Lee, M.,Mitchell, D.(1997).Parasuicide, depression and the anticipation of positive and negative future experiences.Psychological Medicine.
  30. MacLeod, A. K.,Rose, G. S.,Williams, J. M.(1993).Components of hopelessness about the future in parasuicide.Cognitive Therapy and Research.
  31. MacLeod, A. K.,Salaminiou, E.(2001).Reduced positive future-thinking in depression: cognitive and affective factors.Cognition and Emotion.
  32. MacLeod, A. K.,Tarbuck, A. F.(1994).Explaining why negative events will happen to oneself: Parasuicides are pessimistic because they can t see any reason not to be.British Journal of Clinical Psychology,33,317-326.
  33. Mann, J. J.,Waternaux, C. W.,Haas, G. L.,Malone, K. M.(1999).Toward a clinical model of suicidal behavior in psychiatric patients.American Journal of Psychiatry,156(2),181-189.
  34. Melges, T.,Bowlby, J.(1969).Types of hopelessness in psychopathological process.Archives of General Psychiatry.
  35. Peng, Y.,Lachman, M. E.(1994).Paper presented at the 13(superscript th) Biennial Meeting of Instittional Society for the Study of Behavioural Development.Primary and secondary control: Cross-cultural and life-span developmental perspectives.
  36. Rothbaum, F.,Weisz, J. R.,Snyder, S. S.(1982).Changing the world and changing the self: A twoprocess model of perceived control.Journal of Personality and Social Psychology,42(1),5-37.
  37. Rudd, M. D. Rajab, M. H.,Dahm, P. F.(1994).Problem-solving appraisal in suicide ideators and attempters.American Journal of Orthopsychiatry,164,149.
  38. Schotte, D. E.,Clum, G. A.(1987).Problem-solving skills in suicidal psychiatric patients.Journal of Consulting and Clinical Psychology,55,49-54.
  39. Van Herringen, K.(2001).The suicidal process and related concepts.Understanding Suicidal Behavior: The suicidal process approach to research, treatment and prevention,Chichester; New York:
  40. Weissman, A.,Beck, A. T.,Kovacs, M.(1979).Drug abuse, hopelessness, and suicidal behavior.International Journal of Addictions,14,451-464.
  41. Wells, J.,Hobfoll, S. E.,Lavin, J.(1999).When it rains, it pours: The greater impact of resource loss compared to gain on psychological distress.Personality and Social Psychology Bulletin.
  42. Wetzel, R. D.,Margulies, T.,Davis, R.,Karan, E.(1980).Hopelessness, depression, and suicidal intent.Journal of Clinical Psychiatry,41,159-160.
  43. Williams, J. M. G.(1997).Cry of pain: Understanding suicidal and self-harm.London:Penguin Books.
  44. Williams, J. M. G.,Pollock, L. R.(2000).The international handbook of suicide and attempted suicide.New York:Wiley.
  45. Williams, J. M. G.,Pollok, L. R.(2002).Psychological aspects of the suicidal process.Understanding suicidal behavior,New York:
  46. Wrosch, C.,Heckhausen, J.,Lachman, M. E.(2000).Primary and secondary control strategies for managing health and financial stress across adulthood.Psychology and Aging.
  47. 許文耀、吳英璋(1996)。自殺行為徵兆評估量表第三年計畫報告。
  48. 許文耀、林宜旻(1999)。自殺危險性發生模式驗證。中華心理學刊,41(1),87-108。
  49. 許文耀、鍾瑞玫(1997)。「自殺危險程度量表」的編製及其信、效度考驗。中華心理學刊,10,1-17。
  50. 葉啓政(1986)。社會行為科學研究法。台北:東華書局。
被引用次数
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  2. 劉彥君、陳畹蘭(2014)。運用模擬病人/個案於自殺衡鑑晤談之教學訓練。中華心理衛生學刊,27(2),283-313。
  3. 顏正芳、吳純儀、余麗樺(2007)。青少年自殺危險因子之後設分析。臺灣精神醫學,21(4),271-281。
  4. 鐘明勳、蔣欣欣、張達人、杜家與(2015)。幻想式的人際糾結-自殺企圖憂鬱症患者的人際模式。醫學與健康期刊,4(1),35-44。