자살생각자와 자살시도자를 구분해주는 심리적 특성: 습득된 자살잠재력과 기질 변인을 중심으로
Psychological Characteristics Differentiating Suicide Attempters from Ideators: An Examination of Acquired Capability for Suicide and Temperament
0
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
자살 잠재력은 자신에게 심각한 상해를 입힐 수 있는 능력을 말한다. 본 연구에서는 자살생각자와 자살시도자가 가진 심리적 특성의 차이를 자살 잠재력과 기질변인을 중심으로 알아보았다. 온라인 설문조사를 통해 국내 성인을 대상으로 자살잠재력을 측정하는 자살잠재력- 죽음에 대한 공포감소 척도(ACSS-FAD), 독일판 자살잠재력 척도(GCSQ), 리허설을 포함한 자살잠재력 척도(ACWRSS)와 자살잠재력과관련이 있다고 보고된 기질변인인 공격성과 충동성을 측정하는 한국판 다차원적 충동성 척도(UPPS-P), 공격성 척도(AQ)를 실시하고 자살행동력을 조사하였다. 연구결과 자살잠재력 변인 중에는 지각된 자살잠재력과 자살에 대한 준비성만이 자살생각 집단과 자살시도 집단을 구분해 주는 변인인 것으로 나타났다. 반면 자살잠재력의 주요 하위 요인인 죽음에 대한 공포감소와 통증감내력은 자살생각 집단과 자살시도 집단을 구분해주지 못하였다. 충동성 및 공격성과 같은 기질 변인은 자살생각 집단과 자살시도 집단을 구분해주지는 못하였지만자살생각 집단과 자살시도 집단 모두 대조집단에 비해 부정적인 긴급성과 신체적 공격성이 높게 나타났다. 본 연구의 결과는 자살을 생각해 본 적은 있으나 자살을 시도해 본 적은 없는 사람에 비해 자살을 시도해 본 적이 있는 성인은 스스로 자살을 행할 수 있는 능력이 있다는주관적인 지각 수준이 높고 자살행동에 대한 정신적 표상행동을 더 많이 해 본 사람들임을 시사한다. 본 연구의 결과는 자살위험평가에서정신적 리허설을 포함한 자살에 대한 준비행동과 개인의 지각된 자살잠재력 수준을 고려할 필요성을 시사한다.
Abstract
Acquired capability for suicide refers to the ability to act on lethal self-injury. The aim of the study was to examine psychological factors differentiating suicide attempters from suicide ideators, with a particular focus on acquired capability of suicidality and temperament. In this cross-sectional study, a community sample of Korean adults completed self-report measures of acquired capability for suicide using the ACSS-FAD, GCSQ, and ACWRSS, impulsivity, and aggression, along with questions of lifetime history of suicidal behavior. Among the subfactors of acquired capability for suicide derived from three self-report measures, only perceived capability of the GCSQ and preparation of the ACWRSS differentiated suicide attempters from suicide ideators. The factors of fearlessness about death and pain tolerance from the ACSS-FAD and GCSQ did not predict suicide attempt among suicidal ideators. Of the temperamental factors, none was able to differentiate suicide attempters from ideators, while both suicide ideators and attempters reported higher levels of negative urgency, a tendency to act impulsively upon negative emotions, and physical aggression compared to healthy controls. The results of the study indicated that people who act on their suicidal desires have a higher level of self-perception of acquired capability of suicide, and they tend to engage in planning activities using mental rehearsal strategies. These findings highlight the need for considering one’s planning behavior and perceived capability for suicide in suicide risk assessment and follow-up.
참고문헌 (44)
- Anestis, M. D., "Clarifying the role of emotion dysregulation in the interpersonalpsychological theory of suicidal behavior in an undergraduate sample", Journal of Psychiatric Research, 45, pp.603~611 (2011)
- Anestis, M. D., "Sex and emotion in the acquired capability for suicide", Archives of Suicide Research, 15, pp.172~182 (2011)
- Anestis, M. D., "An investigation of persistence through pain and distress as an amplifier of the relationship between suicidal ideation and suicidal behavior", Journal of Affective Disorders, 196, pp.78~82 (2016)
- Anestis, M. D., "Examining the role of emotion in suicidality: Negative urgency as an amplifier of the relationship between components of the interpersonal–psychological theory of suicidal behavior and lifetime number of suicide attempts", Journal of Affective Disorders, 129, pp.261~269 (2011)
- Anestis, M. D., "Preliminary results from an examination of episodic planning in suicidal behavior", Crisis, 35, pp.186~192 (2014)
- Anestis, M. D., "Reconsidering the link between impulsivity and suicidal behavior", Personality and Social Psychology Review, 18, pp.366~386 (2014)
- Bender, T. W., "Impulsivity and suicidality: The mediating role of painful and provocative experiences", Journal of Affective Disorders, 129, pp.301~307 (2011)
- Brackman, E. H., "Predicting risk for suicide: A preliminary examination of non-suicidal self-injury and the acquired capability construct in a college sample", Archives of Suicide Research, 20, pp.663~676 (2016)
- Bryan, C. J., "A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample", Personality and Individual Differences, 48, pp.347~350 (2010)
- Buss, A. H., "The aggression questionnaire", Journal of Personality and Social Psychology, 63, pp.452~459 (1992)
- Calmels, C., "Competitive strategies among elite female gymnasts: An exploration of the relative influence of psychological skills training and natural learning experiences", International Journal of Sport and Exercise Psychology, 1, pp.327~352 (2003)
- "Web-Based Inquiry Statistics Query and Reporting System (WISQARS)" (2015)[URL]
- Davidson, C. L., "Racial disparities in risk and protective factors for suicide", Journal of Black Psychology, 37, pp.499~516 (2011)
- Dhingra, K., "Differentiating suicide attempters from suicide ideators using the Integrated Motivational–Volitional model of suicidal behaviour", Journal of Affective Disorders, 186, pp.211~218 (2015)
- George, S. E., "Multi-facet assessment of capability for suicide: Development and prospective validation of the acquired capability with rehearsal for suicide scale", Psychological Assessment, 28, pp.1452~1464 (2016)
- Gvion, Y., "Aggression, impulsivity, and suicide behavior: A review of the literature", Archives of Suicide Research, 15, pp.93~112 (2011)
- Jeon, H. J., "Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean nationwide study", The Journal of Nervous and Mental Disease, 198, pp.643~646 (2010)
- Joiner, T. E., "Why people die by suicide" (2005), Harvard University Press
- Kendall, G., "The effects of an imagery rehearsal, relaxation, and self-talk package on basketball game performance", Journal of Sport and Exercise Psychology, 12, pp.157~166 (1990)
- Khazem, L. R., "Thinking or doing? An examination of well-established suicide correlates within the ideation-to-action framework", Psychiatry Research, 245, pp.321~326 (2016)
- Klonsky, E. D., "The Three-Step Theory (3ST):A new theory of suicide rooted in the “ideation-to-action” framework", International Journal of Cognitive Therapy, 8, pp.114~129 (2015)
- Klonsky, E. D., "Differentiating suicide attempters from suicide ideators: A critical frontier for suicidology research", Suicide and Life-Threatening Behavior, 44, pp.1~5 (2014)
- "The Survey on the Actual Conditions of Older Person in Korea" (2014)[URL]
- 임선영, "한국판 다차원적 충동성 척도(UPPS-P)의 타당화 연구: 대학생 집단을 대상으로", Korean Journal of Clinical Psychology, 33(1), pp.51~71 (2014), 한국임상심리학회
- The UPPS-P: Assessing five personality pathways to impulsive behavior, "Lynam, D. R.", Purdue University, ~ (2006)
- Mann, J. J., "Neurobiology of suicidal behaviour", Nature Reviews Neuroscience, 4, pp.819~828 (2003)
- Martin, R., "A three-factor model of trait anger: Dimensions of affect, behavior, and cognition", Journal of Personality, 68, pp.869~897 (2000)
- Monteith, L. L., "Examining the interpersonal–psychological theory of suicide in an inpatient veteran sample", Suicide and Life-Threatening Behavior, 43, pp.418~428 (2013)
- O’Connor, R. C., "The integrated motivational-volitional model of suicidal behavior", Crisis, 32, pp.295~298 (2011)
- Öhman, A., "Fears, phobias, and preparedness:Toward an evolved module of fear and fear learning", Psychological Review, 108, pp.483~522 (2001)
- Olatunji, B. O., "Efficacy of cognitive behavioral therapy for anxiety disorders: A review of metaanalytic findings", Psychiatric Clinics of North America, 33, pp.557~577 (2010)
- Ortin, A., "Sensation seeking as risk factor for suicidal ideation and suicide attempts in adolescence", Journal of Affective Disorders, 143, pp.214~222 (2012)
- Ribeiro, J. D., "Fearlessness about death: The psychometric properties and construct validity of the revision to the Acquired Capability for Suicide Scale", Psychological Assessment, 26, pp.115~126 (2014)
- 서수균, "한국판 공격성 질문지의 타당화 연구", Korean Journal of Clinical Psychology, 21(2), pp.487~501 (2002), 한국임상심리학회
- Smith, A. R., "An examination of environmental and genetic contributions to the determinants of suicidal behavior among male twins", Psychiatry Research, 197, pp.60~65 (2012)
- Smith, P. N., "The acquired capability for suicide: A comparison of suicide attempters, suicide ideators, and non‐suicidal controls", Depression and Anxiety, 27, pp.871~877 (2010)
- Smith, P. N., "An aspect of the capability for suicide—Fearlessness of the pain involved in dying—Amplifies the association between suicide ideation and attempts", Archives of Suicide Research, 20, pp.650~662 (2016)
- 성근혜, "The Associations between Aggression, Acquired Capability for Suicide and Suicidal Behavior in Male Alcohol Use Disorders", 한국심리학회지: 건강, 20(1), pp.253~265 (2015), 한국건강심리학회[DOI]
- Van Gelder, M. M., "Webbased questionnaires: the future in epidemiology?", American Journal of Epidemiology, 172, pp.1292~1298 (2010)
- Van Orden, K. A., "The interpersonal theory of suicide", Psychological Review, 117, pp.575~600 (2010)
- Van Orden, K. A., "Suicidal desire and the capability for suicide:Tests of the interpersonal-psychological theory of suicidal behavior among adults", Journal of Consulting and Clinical Psychology, 76, pp.72~83 (2008)
- Wachtel, S., "Validation and psychometric properties of the German Capability for Suicide Questionnaire", Comprehensive Psychiatry, 55, pp.1292~1302 (2014)
- Weinberg, R., "Does imagery work? Effects on performance and mental skills", Journal of Imagery Research in Sport and Physical Activity, 3, pp.1~21 (2008)
- Whiteside, S. P., "The five factor model and impulsivity: Using a structural model of personality to understand impulsivity", Personality and Individual Differences, 30, pp.669~689 (2001)