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Do reasons for living protect against suicidal thoughts and behaviors? A systematic review of the literature.

Abstract：

BACKGROUND:Few studies have investigated protective factors against suicide. OBJECTIVES:To identify whether reasons for living (RFL), measured with the Reasons for Living Inventory (RFLI), protect against suicidal ideation (SI), attempts (SA) and suicide death. METHOD:This systematic review followed the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analysis) statement guidelines. PubMed database was searched for studies published until October 2015. Studies were eligible if they used RFLI or one of its versions. All eligible studies were included, regardless of study design, quality indicators, and target populations. No publication year limit was imposed. We included 39 studies. RESULTS:RFL may protect against SI and SA and yield a predictive value. The role of two specific reasons for living (Moral Objections to Suicide and Survival and Coping Beliefs) was particularly emphasized. No study investigating suicide death was found. CONCLUSION:RFL may moderate suicide risk factors and correlate with resilience factors. Moreover, RFL may depend on and interact with numerous factors such as DSM-IV Axis I disorders, personality disorders and features, coping abilities and social support. Clinicians could develop therapeutic strategies aimed at enhancing RFL, like Dialectical Behavior Therapy and Cognitive Behavioral Therapies, to prevent suicidal thoughts and behaviors and improve the care management of suicidal patients.

journal_name

J Psychiatr Res

journal_title

Journal of psychiatric research

authors

Bakhiyi CL,Calati R,Guillaume S,Courtet P

doi

10.1016/j.jpsychires.2016.02.019

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

92-108

eissn

0022-3956

issn

1879-1379

pii

S0022-3956(16)30033-4

journal_volume

77

pub_type

杂志文章,评审

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