ABSTRACT

Background

Recent studies have indicated that grieving after suicide loss can be particularly complex and traumatic. However, studies have recognized the opportunity for personal growth among suicide-loss survivors. This study signifies an effort to develop a comprehensive understanding of the underlying interpersonal facilitators of posttraumatic growth (PTG) among suicide-loss survivors in a longitudinal design.

Method

Participants included 189 suicide-loss survivors (155 females), aged 21–73, who completed questionnaires of thwarted belongingness (TB), perceived burdensomeness (PB), and self-disclosure at T1. Moreover, participants were assessed on PTG levels at T1, 18 months (T2), and 42 months (T3).

Results

The integrated mediation model indicated that both TB and PB contributed to the PTG trajectory. PB and self-disclosure contributed to PTG at T3 beyond the PTG trajectory across time. We also found self-disclosure to mediate the association of TB and PTG at T2 and T3.

Conclusions

These findings suggest that interpersonal factors play critical roles in contributing to PTG over time among suicide-loss survivors. Basic psychoeducational interventions designed to foster interpersonal behaviors may facilitate achieving PTG among survivors in the aftermath of suicide loss.

中文翻译：

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共同成长：自杀损失幸存者创伤后成长轨迹的人际预测因素

摘要

背景

最近的研究表明，自杀后的悲伤可能特别复杂和创伤。然而，研究已经认识到自杀损失幸存者的个人成长机会。这项研究表明，在纵向设计中，努力全面了解自杀损失幸存者的创伤后成长 (PTG) 的潜在人际关系促进因素。

方法

参与者包括 189 名自杀损失幸存者（155 名女性），年龄在 21-73 岁之间，他们在 T1 完成了受挫的归属感（TB）、感知负担（PB）和自我表露的问卷。此外，参与者在 T1、18 个月 (T2) 和 42 个月 (T3) 时评估了 PTG 水平。

结果

综合中介模型表明，TB 和 PB 都对 PTG 轨迹做出了贡献。PB 和自我披露对 T3 的 PTG 的贡献超出了 PTG 的时间轨迹。我们还发现自我披露在 T2 和 T3 中调节 TB 和 PTG 的关联。

结论

这些研究结果表明，随着时间的推移，人际因素在自杀损失幸存者中对 PTG 的影响发挥着关键作用。旨在促进人际行为的基本心理教育干预措施可能有助于在自杀损失后的幸存者中实现 PTG。