摘要
直接询问与自杀相关的问题是自杀筛查与风险评估的常见举措。然而,包括众多临床研究者、实践者在内的许多人担心询问自杀相关的问题会对当事人带来伤害,如诱发不良情绪、自杀意念,甚至实施自杀行为。本文综述了与自杀问题相关的自我报告法、口头询问或评估性访谈、密集纵向的评估方法的医源性影响,发现直接询问自杀相关的问题,可能会使少量当事人出现短暂的负性情绪,但并不会增加长期的情绪困扰和自杀风险,甚至还有可能让当事人产生治疗性获益。
Asking suicide-related questions is a common practice in suicide screening and risk assessment.However,many people,including clinical psychology researchers and practitioners,worry that asking suicide-related questions may cause harm to clients,such as inducing emotional distress,making them more likely to engage in suicidal thoughts or behaviors.In this article,we introduced the iatrogenic effects of asking suicide-related questions through self-reported measurement,oral questioning or interview,and intensive longitudinal methods,which suggests that there were no serious iatrogenic effects such as increased suicidal risks or long-term emotional distress,but there might have some therapeutic benefits,including the feelings of being listened,gaining self-awareness/insight/new perspectives,reduction in suicidal ideation,and improved social functioning.Nevertheless,some participants reported negative emotional experiences after talking about suicide,namely upset,shame,uncomfortable,embarrassment,depression,and so on,but they anticipated that their distress would be transient and won't last long.
作者
吴才智
周忠英
于丽霞
童婷
WU Cai-zhi;ZHOU Zhong-ying;YU Li-xia;TONG Ting(Key Laboratory of Adolescent Cyberpsychology and Behavior(CCNU),Ministry of Education,School of Psychology,Central China Normal University,Key Laboratory of Human Development and Mental Health of Hubei Province,Wuhan 430079,China;Centre for Mental Health Education,Wuhan Sports University,Wuhan 430074,China;N0.1 Middle School Affiliated to Central China Normal University Wuhan 430070,China)
出处
《中国临床心理学杂志》
CSSCI
CSCD
北大核心
2023年第5期1140-1144,1149,共6页
Chinese Journal of Clinical Psychology
基金
国家社科基金项目:国民心理卫生素养及其提升机制与对策(16ZDA232)。
关键词
询问自杀
自杀筛查
自杀风险评估
医源性影响
Asking suicide
Suicide screening
Suicide risk assessment
latrogenic effects
