|
KMID : 0981220150150010155
|
|
Congnitive Behavior Therapy in Korea
2015 Volume.15 No. 1 p.155 ~ p.171
|
|
|
Coping Flexibility as a Protective Factor for Suicide Attempt among Adults with Physical, Sexual Trauma History
|
|
Park Mo-Ran
Kim Su-Whan
You Sung-Eun
|
|
|
Abstract
|
|
|
|
Coping flexibility refers to the ability to use forward focus and trauma focus coping in response to traumatic events. The aim of the study was to examine whether coping flexibility moderated the relationship between physical or sexual trauma and suicide attempt above and beyond sociodemographic, psychiatric risk factors. A total of 133 community adults of ages 18-64 were recruited. All participants completed self-report measures of the Perceived Ability to Cope with Trauma (PACT) scale and selected items out of the Traumatic Life Events Questionnaire (TLEQ). Also, structured interviews for the Columbia Suicide Severity Rating Scale (C-SSRS) and the Structured Clinical Interview for DSM-IV (SCID-I), posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) modules were conducted to all participants. Hierarchical multiple logistic regression indicated that coping flexibility was significantly associated with reduced risk of suicide attempt after controlling for demographic risk factors and lifetime history of PTSD or MDD diagnoses. Furthermore, coping flexibility buffered against the risk of suicide attempt in the presence of physical or sexual trauma history. Specifically, low level of coping flexibility was linked to increased risk for suicide attempts in the presence of physical or sexual trauma history whereas there was no such relationship between physical or sexual trauma and suicide attempt among individuals with high level of coping flexibility. Separate analyses examining the protective role of forward focus and trauma focus coping revealed that only forward focus coping had a protective role for suicide attempt. Findings of the study suggest that flexible coping abilities may be beneficial in reducing suicidal attempt among individuals who have been exposed to physical or sexual trauma above and beyond the presence of demographic, psychiatric risk factors.
|
|
|
KEYWORD
|
|
|
suicide attempt, coping flexibility, trauma, protective factor
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|