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首页> 外文期刊>Comprehensive psychiatry. >The pursuit of death versus escape from negative affect: An examination of the nature of the relationship between emotion dysregulation and both suicidal behavior and non-suicidal self-injury
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The pursuit of death versus escape from negative affect: An examination of the nature of the relationship between emotion dysregulation and both suicidal behavior and non-suicidal self-injury

机译：追求死亡与逃避负面影响：情绪失调与自杀行为和非自杀性自我伤害之间关系的性质研究

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Across three studies, we tested a model in which the relationship between emotion dysregulation and suicidal behavior is accounted for by non-suicidal self-injury (NSSI). Whereas some models posit that suicide attempts serve as an escape from acute aversive states, our model proposes that NSSI accounts for the relationship between emotion dysregulation and suicide attempts. To test our model, we recruited two large nonclinical samples of adults and a clinical sample of adults seeking inpatient treatment for substance use disorders. To increase generalizability, we used four different measures of emotion dysregulation across the three studies: broad emotion regulation, distress tolerance, negative urgency, and grit (i.e., the persistent, passionate pursuit of long-term goals). Results were largely supportive of our hypothesized model, revealing significant indirect effects of emotion dysregulation on suicide attempts through NSSI in all three samples. Specifically, NSSI fully mediated the relationship between emotion dysregulation and suicide attempts in three of six analyses, and partially mediated this relation in the other three. Overall, findings are supportive of an emotion regulation model of NSSI and suggest that the relation between certain aspects of emotion dysregulation and suicide attempts may be indirect through NSSI. (C) 2014 Elsevier Inc. All rights reserved.
机译：在三项研究中，我们测试了一种模型，其中情绪失调与自杀行为之间的关系是由非自杀性自我伤害（NSSI）引起的。尽管一些模型认为自杀未遂是逃避急性厌恶状态的一种手段，但我们的模型提出NSSI应对了情绪失调与自杀未遂之间的关系。为了测试我们的模型，我们收集了两个成年人的大型非临床样本和一个寻求针对药物滥用疾病进行住院治疗的成年人的临床样本。为了提高可推广性，我们在三项研究中使用了四种不同的情绪失调指标：广泛的情绪调控，苦恼容忍度，消极紧迫感和勇气（即长期目标的持久而热情的追求）。结果在很大程度上支持了我们的假设模型，揭示了所有三个样本中情绪失调对通过NSSI自杀未遂的显着间接影响。具体而言，NSSI在六项分析中的三项中完全调节了情绪失调与自杀未遂之间的关系，而在其他三项分析中部分地调节了这种关系。总体而言，研究结果支持了NSSI的情绪调节模型，并暗示情绪失调和自杀企图之间某些方面的关系可能是通过NSSI间接实现的。 （C）2014 Elsevier Inc.保留所有权利。

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