自杀倾向的认知行为治疗

doi:10.6040/j.issn.1671-7554.0.2021.0016

摘要/Abstract

摘要：

个体的自杀倾向或自杀行为是生物、心理、社会因素共同作用于个体的结果。通常个体自杀倾向的生物易感性和社会因素无法或很难改变，但可以通过认知行为治疗(CBT)教授有自杀倾向的个体(患者)学着改变功能不良性的认知和行为，使患者的认知和行为更具适应性和帮助性，从而让患者感到有方法可以缓解痛苦和逐步远离自杀。认知行为治疗在预防和干预高危人群自杀方面的效果已被研究所证实。

关键词: 自杀倾向, 自杀行为, 认知行为治疗

Abstract:

An individual's suicidality or suicidal behavior is caused by biological, psychological, and sociological factors. Usually, the biological susceptibility and social factors of individual's suicidality are unable or quite difficult to be changed, but the individuals with suicidality (patients) can learn to change their dysfunctional cognition or behavior and make their cognition and behavior more adaptive and helpful after accepting cognitive behavior therapy(CBT). Then the patients can gradually feel that they have a way to alleviate pain and stay away from suicide. The effectiveness of cognitive behavioral therapy in suicide prevention and intervention among the people with high risk factors has been confirmed by research.

Key words: Suicidality, Suicidal behavior, Cognitive behavioral therapy

中图分类号:

R749.055

李献云,杨甫德. 自杀倾向的认知行为治疗[J]. 山东大学学报 (医学版), 2022, 60(4): 1-9.

Xianyun LI,Fude YANG. Cognitive behavioral therapy of suicidality[J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 1-9.

图/表 1

图1

参考文献 47

1	李献云, 费立鹏. 自杀和自杀干预的研究方法.//王声湧, 林汉生. 主编. 伤害流行病学现场研究方法[M]. 北京: 人民卫生出版社, 2007: 143-218.
2	世界卫生组织. 预防自杀: 全球要务[M]. 日内瓦: 世界卫生组织出版社, 2014: 7- 73.
3	Jin S , Liu Y , Hennessy DA , et al. Physical illnesses and medically serious suicide attempts in Rural China[J]. Crisis, 2020, 41 (1): 15- 23. doi: 10.1027/0227-5910/a000597
4	Tang F , Mehlum L , Mehlum IS , et al. Physical illness leading to absence from work and the risk of subsequent suicide: a national register-based study[J]. Eur J Public Health, 2019, 29 (6): 1073- 1078. doi: 10.1093/eurpub/ckz101
5	李献云, 杨荣山, 张迟, 等. 自杀未遂危险因素的病例对照研究[J]. 中华流行病学杂志, 2001, 22 (4): 281- 283. doi: 10.3760/j.issn:0254-6450.2001.04.015
	LI Xianyun , YANG Rongshan , ZHANG Chi , et al. A case-control study on attempted suicide[J]. Chinese Journal of Epidemiology, 2001, 22 (4): 281- 283. doi: 10.3760/j.issn:0254-6450.2001.04.015
6	张艳萍, 李献云, 王黎君, 等. 自杀与其它伤害死亡全国性对照研究[J]. 中国心理卫生杂志, 2004, 18 (12): 861- 864. doi: 10.3321/j.issn:1000-6729.2004.12.014
	ZHAGN Yanping , LI Xianyun , WANG Lijun , et al. National case-control study of suicide and accidental death[J]. Chinese Mental Health Journal, 2004, 18 (12): 861- 864. doi: 10.3321/j.issn:1000-6729.2004.12.014
7	李献云, 费立鹏, 王玉萍, 等. 冲动性与非冲动性自杀未遂的比较[J]. 中国神经精神疾病杂志, 2003, 29 (1): 27- 31. doi: 10.3969/j.issn.1002-0152.2003.01.008
	LI Xianyun , PHILLIPS Michael R , WANG Yuping , et al. The comparison of impulsive and non-impulsive attempted suicide[J]. Chinese Journal of Nervous and Mental Diseases, 2003, 29 (1): 27- 31. doi: 10.3969/j.issn.1002-0152.2003.01.008
8	Temes CM , Frankenburg FR , Fitzmaurice GM , et al. Deaths by suicide and other causes among patients with borderline personality disorder and personality-disordered comparison subjects over 24 years of prospective follow-up[J]. J Clin Psychiatry, 2019, 80 (1): 18m12436. doi: 10.4088/JCP.18m12436
9	Cole AB , Littlefield AK , Gauthier JM , et al. Impulsivity facets and perceived likelihood of future suicide attempt among patients who recently attempted suicide[J]. J Affect Disord, 2019, 257, 195- 199. doi: 10.1016/j.jad.2019.07.038
10	Liu RT , Trout ZM , Hernandez EM , et al. A behavioral and cognitive neuroscience perspective on impulsivity, suicide, and non-suicidal self-injury: Meta-analysis and recommendations for future research[J]. Neurosci Biobehav Rev, 2017, 83, 440- 450. doi: 10.1016/j.neubiorev.2017.09.019
11	李献云, 费立鹏, 张艳萍. 负性生活事件与自杀行为研究[J]. 中国神经精神疾病杂志, 2008, 34 (3): 156- 160. doi: 10.3969/j.issn.1002-0152.2008.03.008
	LI Xianyun , PHILLIPS Michael R , ZHANG Yanping , et al. The study on the validity of a suicide-specific life event scale and suicide behavior[J]. Chinese Journal of Nervous and Mental Diseases, 2008, 34 (3): 156- 160. doi: 10.3969/j.issn.1002-0152.2008.03.008
12	Wilks CR , Morland LA , Dillon KH , et al. Anger, social support, and suicide risk in U.S. military veterans[J]. J Psychiatr Res, 2019, 109, 139- 144. doi: 10.1016/j.jpsychires.2018.11.026
13	Gauvin G , Labelle R , Daigle M , et al. Coping, social support, and suicide attempts among homeless adolescents[J]. Crisis, 2019, 40 (6): 390- 399. doi: 10.1027/0227-5910/a000579
14	Otsuka T , Tomata Y , Zhang S , et al. The association between emotional and instrumental social support and risk of suicide death: a population-based cohort study[J]. J Psychiatr Res, 2019, 114, 141- 146. doi: 10.1016/j.jpsychires.2019.04.012
15	Kang GE , Patriquin MA , Nguyen H , et al. Objective measurement of sleep, heart rate, heart rate variability, and physical activity in suicidality: a systematic review[J]. J Affect Disord, 2020, 273, 318- 327. doi: 10.1016/j.jad.2020.03.096
16	Kiwan N , Mahfoud Z , Ghuloum S , et al. Self-reported sleep and exercise patterns in patients with schizophrenia: a cross-sectional comparative study[J]. Int J Behav Med, 2020, 27 (4): 366- 377. doi: 10.1007/s12529-019-09830-2
17	Grasdalsmoen M , Eriksen HR , Lønning KJ , et al. Physical exercise, mental health problems, and suicide attempts in university students[J]. BMC Psychiatry, 2020, 20 (1): 175. doi: 10.1186/s12888-020-02583-3
18	McClatchey K , Murray J , Chouliara Z , et al. Protective factors of suicide and suicidal behavior relevant to emergency healthcare settings: a systematic review and narrative synthesis of post-2007 reviews[J]. Arch Suicide Res, 2019, 23 (3): 411- 427. doi: 10.1080/13811118.2018.1480983
19	Chen YL , Kuo PH . Effects of perceived stress and resilience on suicidal behaviors in early adolescents[J]. Eur Child Adolesc Psychiatry, 2020, 29 (6): 861- 870. doi: 10.1007/s00787-019-01401-w
20	李献云, 费立鹏, 童永胜, 等. Beck自杀意念量表中文版在社区成年人群中应用的信效度[J]. 中国心理卫生杂志, 2010, 24 (4): 250- 255.
	LI Xianyun , PHILLIPS Michael R , TONG Yongsheng , et al. Reliability and validity of the Chinese version of the Beck Suicide Ideation Scale (BSI-CV) in the community residents[J]. Chinese Mental Health Journal, 2010, 24 (4): 250- 255.
21	Rudd MD , Joiner T , Rajab MH , et al. Treating suicidal behavior: an effective, time-limited approach[M]. New York: The Guilford Press, 2001: 15- 250.
22	Bolton JM , Gunnell D , Turecki G . Suicide risk assessment and intervention in people with mental illness[J]. BMJ, 2015, 351, h4978. doi: 10.1136/bmj.h4978
23	李献云. 认知行为治疗在精神科的价值[J]. 神经疾病与精神卫生, 2017, 17 (2): 77- 81. doi: 10.3969/j.issn.1009-6574.2017.02.001
	LI Xianyun . Value of cognitive behavioral therapy in the treatment of mental disorders[J]. Journal of Neuroscience and Mental Health, 2017, 17 (2): 77- 81. doi: 10.3969/j.issn.1009-6574.2017.02.001
24	Beck JS , Beck AT . Cognitve behavior therapy: basics and beyond[M]. (2nd ed) New York: The Guilford Press, 2011: 1- 16.
25	Brown GK , Ten Have T , Henriques GR , et al. Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial[J]. JAMA, 2005, 294 (5): 563- 570. doi: 10.1001/jama.294.5.563
26	Ougrin D , Tranah T , Stahl D , et al. Therapeutic interventions for suicide attempts and self-harm in adolescents: systematic review and meta-analysis[J]. J Am Acad Child Adolesc Psychiatry, 2015, 54 (2): 97- 107. doi: 10.1016/j.jaac.2014.10.009
27	D'Anci KE , Uhl S , Giradi G , et al. Treatments for the prevention and management of suicide: a systematic review[J]. Ann Intern Med, 2019, 171 (5): 334- 342. doi: 10.7326/M19-0869
28	Weinstein SM , Cruz RA , Isaia AR , et al. Child-and family-focused cognitive behavioral therapy for pediatric bipolar disorder: applications for suicide prevention[J]. Suicide Life Threat Behav, 2018, 48 (6): 797- 811. doi: 10.1111/sltb.12416
29	Hetrick SE , Cox GR , Witt KG , et al. Cognitive behavioural therapy (CBT), third-wave CBT and interpersonal therapy (IPT) based interventions for preventing depression in children and adolescents[J]. Cochrane Database Syst Rev, 2016, 9 (8): CD003380. doi: 10.1002/14651858.CD003380
30	Wittouck C , Van Autreve S , Portzky G , et al. A CBT-based psychoeducational intervention for suicide survivors: a cluster randomized controlled study[J]. Crisis, 2014, 35 (3): 193- 201. doi: 10.1027/0227-5910/a000252
31	Stanley B , Brown G , Brent DA , et al. Cognitive-behavioral therapy for suicide prevention (CBT-SP): treatment model, feasibility, and acceptability[J]. J Am Acad Child Adolesc Psychiatry, 2009, 48 (10): 1005- 1013. doi: 10.1097/CHI.0b013e3181b5dbfe
32	Wasserman D , Rihmer Z , Rujescu D , et al. The European Psychiatric Association (EPA) guidance on suicide treatment and prevention[J]. Eur Psychiatry, 2012, 27 (2): 129- 141. doi: 10.1016/j.eurpsy.2011.06.003
33	Riblet NBV , Shiner B , Young-Xu Y , et al. Strategies to prevent death by suicide: meta-analysis of randomised controlled trials[J]. Br J Psychiatry, 2017, 210 (6): 396- 402. doi: 10.1192/bjp.bp.116.187799
34	Esposito-Smythers C , Wolff JC , Liu RT , et al. Family-focused cognitive behavioral treatment for depressed adolescents in suicidal crisis with co-occurring risk factors: a randomized trial[J]. J Child Psychol Psychiatry, 2019, 60 (10): 1133- 1141. doi: 10.1111/jcpp.13095
35	Hetrick SE , Yuen HP , Bailey E , et al. Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): a randomised controlled trial[J]. Evid Based Ment Health, 2017, 20 (3): 76- 82. doi: 10.1136/eb-2017-102719
36	Leavey K , Hawkins R . Is cognitive behavioural therapy effective in reducing suicidal ideation and behaviour when delivered face-to-face or via e-health? a systematic review and meta-analysis[J]. Cogn Behav Ther, 2017, 46 (5): 353- 374. doi: 10.1080/16506073.2017.1332095
37	Hawton K , Witt KG , Salisbury TLT , et al. Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis[J]. Lancet Psychiatry, 2016, 3 (8): 740- 750. doi: 10.1016/S2215-0366(16)30070-0
38	Rudd MD , Bryan CJ , Wertenberger EG , et al. Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow-up[J]. Am J Psychiatry, 2015, 172 (5): 441- 449. doi: 10.1176/appi.ajp.2014.14070843
39	Asarnow JR , Berk M , Hughes JL , et al. The SAFETY Program: a treatment-development trial of a cognitive-behavioral family treatment for adolescent suicide attempters[J]. J Clin Child Adolesc Psychol, 2015, 44 (1): 194- 203. doi: 10.1080/15374416.2014.940624
40	Asarnow JR , Hughes JL , Babeva KN , et al. Cognitive-behavioral family treatment for suicide attempt prevention: a randomized controlled trial[J]. J Am Acad Child Adolesc Psychiatry, 2017, 56 (6): 506- 514. doi: 10.1016/j.jaac.2017.03.015
41	Gysin-Maillart A , Schwab S , Soravia L , et al. A novel brief therapy for patients who attempt suicide: a 24-months follow-up randomized controlled study of the attempted suicide short intervention program (ASSIP)[J]. PLoS Med, 2016, 13 (3): e1001968. doi: 10.1371/journal.pmed.1001968
42	Wang Z , Whiteside SPH , Sim L , et al. Comparative effectiveness and safety of cognitive behavioral therapy and pharmacotherapy for childhood anxiety disorders: a systematic review and meta-analysis[J]. JAMA Pediatr, 2017, 171 (11): 1049- 1056. doi: 10.1001/jamapediatrics.2017.3036
43	Babeva KN , Klomhaus AM , Sugar CA , et al. Adolescent suicide attempt prevention: predictors of response to a cognitive-behavioral family and youth centered intervention[J]. Suicide Life Threat Behav, 2020, 50 (1): 56- 71. doi: 10.1111/sltb.12573
44	Gøtzsche PC , Gøtzsche PK . Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review[J]. J R Soc Med, 2017, 110 (10): 404- 410. doi: 10.1177/0141076817731904
45	Tarrier N , Kelly J , Maqsood S , et al. The cognitive behavioural prevention of suicide in psychosis: a clinical trial[J]. Schizophr Res, 2014, 156 (2-3): 204- 210. doi: 10.1016/j.schres.2014.04.029
46	Bryan CJ , Peterson AL , Rudd MD . Differential effects of brief CBT versus treatment as usual on posttreatment suicide attempts among groups of suicidal patients[J]. Psychiatr Serv, 2018, 69 (6): 703- 709. doi: 10.1176/appi.ps.201700452
47	Abdollahi A , LeBouthillier DM , Najafi M , et al. Effect of exercise augmentation of cognitive behavioural therapy for the treatment of suicidal ideation and depression[J]. J Affect Disord, 2017, 219 (2017): 58- 63.

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