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Sharing suicidal thoughts in social networks: a multi-level perspective of disclosure among people with serious mental illness in India
International Journal of Mental Health ( IF 1.4 ) Pub Date : 2019-07-03 , DOI: 10.1080/00207411.2019.1664259
Anthony Fulginiti 1 , Rohini Pahwa 2 , Laura M. Frey 3
Affiliation  

Abstract Promoting disclosure about one’s suicidal thoughts is promising for risk management and recovery; however, almost nothing is known about it in India. In a sample of 25 adults with serious mental illness (Level 2) who nominated 333 social network members (Level 1), we adopted a multilevel perspective to assess patterns and correlates of disclosure. Most people had disclosed (72%; n = 18) or were intent on doing so (92%; n = 23). However, only 17% (n = 58) of network members were identified as prior confidants and 20% (n = 64) as intended confidants. Multilevel modeling results showed that relational factors and not individual factors were linked to disclosure intent. Network members who were prior confidants, emotionally close, and sources of social support were appealing as future confidants. This highlights the potential utility of network-based safety planning wherein these discerning attributes are used to efficiently recruit would-be confidants for training.

中文翻译:

在社交网络中分享自杀念头:印度严重精神疾病患者之间多层次的信息披露

摘要促进自杀思想的公开对于风险管理和恢复具有希望。但是,在印度几乎一无所知。在提名333名社交网络成员(1级)的25名患有严重精神疾病的成人(2级)的样本中,我们采用了多层次的观点来评估披露的方式和相关性。大多数人已经公开(72%; n = 18)或有意这样做(92%; n = 23)。但是,只有17%(n = 58)的网络成员被确定为先前的知己,而20%(n = 64)被确定为预期的知己。多层次建模结果表明,关系因素而非个体因素与披露意图有关。以前的知己,情感上亲密的社会成员和社会支持的来源的网络成员吸引了未来的知己。
更新日期:2019-07-03
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