The Multifaceted Role of Emotion Regulation in Suicidality: Systematic Reviews and Meta-Analytic Evidence

被引：21

作者：

Rogier, Guyonne ^{[1
]}

Chiorri, Carlo ^{[1
]}

Zobel, Sara Beomonte

Muzi, Stefania ^{[1
]}

Pace, Cecilia Serena ^{[1
]}

Cheung, Mike W. -L. ^{[3
]}

Velotti, Patrizia ^{[2
,4
]}

机构：

[1] Univ Genoa, Dept Educ Sci, Genoa, Italy

[2] Sapienza Univ Rome, Dept Dynam & Clin Psychol & Hlth Studies, Rome, Italy

[3] Natl Univ Singapore, Dept Psychol, Singapore, Singapore

[4] Sapienza Univ Rome, Dept Dynam & Clin Psychol & Hlth Studies, Via Apuli 1, I-00185 Rome, Italy

来源：

PSYCHOLOGICAL BULLETIN | 2024年 / 150卷 / 01期

关键词：

suicidality; suicide; suicide ideation; emotion regulation strategies; emotion dysregulation; PROBLEM-SOLVING APPRAISAL; NONSUICIDAL SELF-INJURY; BORDERLINE PERSONALITY-DISORDER; RANDOMIZED CONTROLLED-TRIAL; RISK-FACTORS; PERCEIVED BURDENSOMENESS; EXPERIENTIAL AVOIDANCE; DEPRESSIVE SYMPTOMS; COLLEGE-STUDENTS; MEDIATING ROLE;

D O I：

10.1037/bul0000415

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

Despite the number of empirical contributions on the topic, scientists have offered contrasting perspectives on the role of adaptive versus maladaptive emotion regulation (ER) strategies in suicidality. Moreover, suicidal attempts and suicidal ideation are likely to be differentially related to single ER strategies. To provide more systematic knowledge that can be used to draw sound conclusions and formulate clinical indications, we carried out a systematic review and meta-analysis that we reported in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards (Moher et al., 2009). From an initial pool of 16,530 articles retrieved from scientific databases (APA PsycInfo, APA PsycArticles, Medline, Scopus, Web of Science, and PubMed) and a search for gray literature, 226 articles were selected to perform 15 meta-analyses. In addition, metaregressions were carried out to test a series of moderators, including the type of suicidality investigated. Among adaptive strategies, results evidenced the role of reappraisal, mindfulness, and several aspects of problem solving. In contrast to our hypothesis, reflective attitude was positively associated with suicidality, calling into question the traditional distinction between adaptive and maladaptive strategies. Regarding maladaptive ER strategies, suppression, avoidance, rumination, brooding, negative problem orientation, and both impulsive and avoidant problem solving proved to be significantly associated with suicidality. Finally, several moderation effects involving age, gender composition, and type of suicidality were observed, supporting the importance of adopting a complex perspective when approaching the topic. Despite the interesting preliminary results, additional research is needed to provide a greater understanding of the interplay between the different ER strategies and suicidality and to develop effective protocols of intervention.

引用

页码：45 / 81

页数：37

共 364 条

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