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Personality, Depression, Social Functioning, and Suicidal Behavior in Depressed Older Adult Inpatients

机译:抑郁老年成年住院患者的个性,抑郁,社会功能和自杀行为

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Abstract Older adults are at higher risk for completed suicide. However, research in late-life suicide for high-risk populations remains a neglected topic, with some researchers suggesting that our knowledge of risk factors and risk conferral remains incomplete and insufficient in their predictive ability. Personality processes, in the context of interpersonal problems, have been associated with suicidal behavior, depression, and social functioning, but have rarely been evaluated in samples of older adults during periods of highest risk. This study examined factors underlying the relationship between personality processes, depression, social role functioning, and suicidal behavior in older adult inpatients. It also examined the examined the additive effect of personality processes, social adjustment, and depression on suicidal behavior. Depressed middle aged and older adult inpatients (N=52; Age M= 66.88, SD= 8.76) completed self-report measures of personality pathology (IIP-PD-25), depression (GDS-30), social functioning (SAS-SR), and recent suicidal behavior (SIB). Our research found that while interpersonal pathology was positively associated with depression (GDS-30, ? = .37, p = .006) and social functioning (SAS-SR, ? = .384, p = .003), it was not associated with suicidal behavior. The combined model of social functioning and depression displayed a trend toward significance, but neither variable was robust enough to emerge as an independent predictor of suicidal behavior. However, bivariate analyses found moderate effect sizes between depression or social functioning and suicidal behavior. Risk for suicidal behavior likely involves dynamic, complex, and interrelated relationships with clinical implications regarding assessment within this population.
机译:抽象的老年人的自杀风险较高。然而,在高风险群体的后期自杀的研究仍然是一个被忽视的主题,一些研究人员认为我们的风险因素和风险赋予的知识仍然不完整,在预测能力中不足。在人际关系的情况下,人格流程已经与自杀行为,抑郁和社会功能有关,但在最高风险期间,很少在老年人的样本中评估。本研究检测了人格流程,抑郁,社会角色发作和老年成年住院患者的自杀行为之间的关系的因素。它还审查了对自杀行为的人格流程,社会调整和抑郁症的添加剂效应。抑郁的中年和老年人住院患者(n = 52;年龄m = 66.88,sd = 8.76)完成了人格病理学的自我报告措施(IIP-PD-25),抑郁症(GDS-30),社会功能(SAS-SR )和最近的自杀行为(SIB)。我们的研究发现,虽然人际病理学与抑郁症呈正相关(GDS-30,?= .37,P = .006)和社交功能(SAS-SR,?= .384,P = .003),它没有相关有自杀行为。社会功能和抑郁症的综合模型显示出意义的趋势,但既不是变量足以作为自由行为的独立预测因素。然而,生物分析发现抑郁或社会功能和自杀行为之间的中等效果大小。自杀行为的风险可能涉及动态,复杂和相互关联的关系,与该人群评估的临床意义。

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