Background: Studies suggest there may be perceived secondary advantages to engaging in suicidal behavior that impact the help-seeking behavior of at-risk individuals. Aims: The aim of this study was to assess the views of patients with depression regarding the advantages and disadvantages of engaging in suicidal behavior using a decisional balance worksheet (DBW) to inform prevention and intervention efforts. Method: Participants were adults with depression between the ages of 18 and 75 presenting to the emergency department with suicidal ideation (N = 42) who participated in a larger pilot study of a brief intervention aimed focused on treatment engagement. Using a content analysis approach, common themes were extracted. Results: Escaping from problems and negative thoughts, ending pain and suffering, and eliciting support and help were the most commonly cited advantages of engaging in suicidal behavior. Negatively impacting family, violating one's values, and missing out on the future were the most commonly reported disadvantages of suicidal behavior. Limitations: Results may not be generalizable to patients without depression who are experiencing suicidality. Conclusion: Results suggest intervention efforts focused on addressing decision-making and problem-solving skills and reinforcing the important role patients play in the lives of their significant others may help patients to resist the urge to act on suicidal thoughts.

中文翻译：

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关于抑郁症患者对自杀行为的感知优势和劣势的报告。

背景：研究表明，参与自杀行为可能有感知到的次要优势，这些优势会影响高危个体的求助行为。目的：本研究的目的是使用决策平衡工作表 (DBW) 为预防和干预工作提供信息，评估抑郁症患者对参与自杀行为的利弊的看法。方法：参与者是年龄在 18 至 75 岁之间的患有抑郁症的成年人，他们有自杀意念（N = 42）到急诊室就诊，他们参与了一项旨在专注于治疗参与的简短干预的大型试点研究。使用内容分析方法，提取共同主题。结果：摆脱问题和消极思想，结束痛苦和苦难，获得支持和帮助是参与自杀行为最常提到的优势。对家庭产生负面影响、违背自己的价值观和错过未来是自杀行为最常报告的缺点。局限性：结果可能无法推广到有自杀倾向的没有抑郁症的患者。结论：结果表明，干预措施侧重于解决决策和解决问题的技能，并加强患者在其重要他人的生活中发挥的重要作用，可能有助于患者抵制对自杀念头采取行动的冲动。局限性：结果可能无法推广到有自杀倾向的没有抑郁症的患者。结论：结果表明，干预措施侧重于解决决策和解决问题的技能，并加强患者在其重要他人的生活中发挥的重要作用，可能有助于患者抵制对自杀念头采取行动的冲动。局限性：结果可能无法推广到有自杀倾向的没有抑郁症的患者。结论：结果表明，干预措施侧重于解决决策和解决问题的技能，并加强患者在其重要他人的生活中发挥的重要作用，可能有助于患者抵制对自杀念头采取行动的冲动。