ارائه مدل پيش بيني تمايل به خودكشي بر اساس متغيرهاي دشواري تنظيم هيجاني، انعطاف پذيري شناختي و انعطاف پذيري خانواده با توجه به نقش ميانجي تحمل پريشاني

Presenting a model for predicting suicidal ideation based on variables of emotional regulation difficulty, cognitive flexibility and family flexibility according to the mediating role of distress tolerance

زمينه و هدف خودكشي دومين علت اصلي مرگ ومير در بين نوجوانان در سراسر جهان با علل متفاوت است؛ ازاين رو هدف از انجام پژوهش حاضر تعيين ميزان برازش مدل پيش بيني تمايل به خودكشي بر اساس متغيرهاي دشواري تنظيم هيجاني، انعطاف پذيري شناختي و انعطاف پذيري خانواده با توجه به نقش متغير ميانجي تحمل پريشاني بود. روش كار پژوهش حاضر توصيفي از نوع همبستگي بود كه در جامعه آماري كليه نوجوانان و جوانان خانواده هاي در آستانه طلاق شهر اصفهان در شش ماه دوم سال 1398 اجرا شد كه براساس فرمول كوكران 373 نفر انتخاب و به پرسش نامه هاي پژوهش از قبيل مقياس بك براي افكار خودكشي (Beck Scale for Suicidal Ideation-BSSI)، مقياس دشواري در تنظيم هيجان گرانفسكي و همكاران (2001) پرسش نامه انعطاف پذيري شناختي دنيس و وندروال (2009)، پرسش نامه انعطاف پذيري خانواده شاكري (1382) و مقياس تحمل پريشاني سيمونز و گاهر (2005) پاسخ دادند. داده هاي جمع آوري شده به روش معادلات ساختاري با استفاده از نرم افزار AMOS-24 مورد تجزيه و تحليل قرار گرفت. يافته ها يافته هاي پژوهش نشان داد مدل پيش بيني تمايل به خودكشي بر اساس متغيرهاي دشواري تنظيم هيجاني، انعطاف پذيري روان شناختي و انعطاف پذيري خانواده با توجه به نقش متغير ميانجي تحمل پريشاني از برازش مطلوبي برخوردار است و متغير تحمل پريشاني مي تواند در رابطه تمايل به خودكشي با دشواري تنظيم هيجاني، انعطاف پذيري روان شناختي و انعطاف پذيري خانواده نقش ميانجي ايفا نمايد (0/05 ≤p). نتيجه گيري افزايش مهارت تحمل پريشاني مي تواند سبب كاهش تمايل به خودكشي در افرا در معرض خطر گردد.

Suicide is the second leading cause of death among adolescents worldwide (1). Reducing suicide rates requires a wide range of public health interventions (2, 3). However, researchers and policymakers recommend strengthening positive social and family ties because family and social dependencies can reduce suicidal behavior in young people and adults (2). It is believed that the high prevalence of suicide in adolescents can be based on variables such as substance abuse (4), mood-emotional disorders (5), antisocial behavior (6), low self-esteem (7); Predicted family conditions (8), and poor economic conditions (9). However, few studies have examined the factors influencing it in families on the verge of divorce. The aim of the study was to determine the prediction of suicidal ideation based on the difficulty of emotional regulation, cognitive flexibility, family flexibility and distress tolerance in adolescents and young families on the eve of divorce in Isfahan. Methods The present study was a descriptive correlation that was performed in the statistical population of all adolescents and young families on the eve of divorce in Isfahan in the second half of 2019. According to the Cochranchr('39')s formula, 373 people were selected and answered Beck Scale for Suicide Ideation Gratz & Roemer Difficulties in Emotion Regulation Scale, Dennis& Vander Cognitive Flexibility Inventory, Shakeri Family Flexibility Questionnaire (2003), Simons & Gaher distress tolerance scale, (2005). Data collected by Pearson correlation coefficient and stepwise regression were analyzed using SPSS-24 software. Results Findings showed that the predictive model of suicidal ideation based on the variables of emotional regulation difficulty, psychological flexibility and family flexibility has a favorable fit with respect to the mediating role of distress tolerance. The anxiety tolerance variable can play a mediating role between the variables of emotion regulation difficulty, family flexibility and cognitive flexibility. It also means that the indirect path, which starts from the predictor variables and starts from the difficult path of emotion regulation, cognitive flexibility and family flexibility, ends in suicidal tendencies, while the stress tolerance variable acts as a mediating variable between the predictor variables. an‎d be the criterion, has more validity than direct routes (p <0.05). Conclusion The results of this study show that suicide attempts in adolescents and young people living on the verge of divorce are influenced by individual, psychological and family variables, including difficulty in regulating emotion, cognitive flexibility, family flexibility and tolerance. Distress pointed out. Also, the present data showed that in this regard, the distress tolerance variable can be used as a mediating variable among the variables of suicidal ideation and difficulty in regulating emotion, cognitive flexibility and family flexibility and the effects of these variables on suicidal ideation. Adjust adolescents and young people living in divorced families; Therefore, according to the obtained result, due to limitations such as the use of the statistical population of families on the verge of divorce, caution should be observed in generalizing the research findings to individuals and other communities; Also, according to the findings of the present study, it is suggested that during the consensual divorce sessions offered to families, sessions be provided for children to teach them the skills of increasing anxiety tolerance to prevent self-harming behaviors. As a final result of the research, it can be said that increasing distress tolerance skills can reduce the tendency to commit suicide in high-risk maples.