Most studies aimed at understanding suicidal behavior have focused on quantifying the associations between putative risk factors and suicidal behavior in comparative studies of cases and controls. The current study, in comparison, exclusively focused on cases-89 Army soldiers presenting for hospital care following a suicide attempt-and attempted to reveal the antecedents of, reasons for, and consequences of suicide attempts. This mixed-methods study using qualitative interviews and self-report surveys/interviews revealed that in most cases, the most recent onset of suicidal thoughts began shortly before the suicide attempt and were not disclosed to others, limiting opportunities for intervention via traditional approaches. The primary reason given for attempting suicide was to escape from psychologically aversive conditions after concluding that no other effective strategies or options were available. Participants reported both negative (e.g., self-view, guilt) and positive (e.g., learning new skills, receiving support) consequences of their suicide attempt-and described things they believe would have prevented them from making the attempt. These findings provide new insights into the motivational and contextual factors for suicidal behavior and highlight several novel directions for prevention and intervention efforts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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自杀未遂的前因、原因和后果：对陆军士兵中 89 例自杀未遂的定性研究结果。


大多数旨在了解自杀行为的研究都侧重于在病例和对照的比较研究中量化假定的危险因素与自杀行为之间的关联。相比之下，目前的研究只关注案例——89名陆军士兵在自杀未遂后前往医院接受治疗——并试图揭示自杀未遂的前因、原因和后果。这项使用定性访谈和自我报告调查/访谈的混合方法研究表明，在大多数情况下，最近的自杀念头在自杀企图之前不久就开始出现，并且没有向其他人透露，从而限制了通过传统方法进行干预的机会。尝试自杀的主要原因是在断定没有其他有效的策略或选择可用后，为了逃避心理厌恶的状况。参与者报告了自杀企图的消极（例如，自我看法、内疚）和积极（例如，学习新技能、接受支持）后果，并描述了他们认为会阻止他们自杀的事情。这些发现为自杀行为的动机和背景因素提供了新的见解，并强调了预防和干预工作的几个新方向。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。