1.The Third Ward, the Fifth Hospital of Tangshan, Hebei Province, Tangshan 063000, China;
2.Departmet of Child Psychiatry, the Sixth Hospital of Hebei Province, Hebei Province, Baoding 071000, China;
3.School of Graduate, North China University of Science and Technology, Hebei Province, Tangshan 063000, China;
4.Department of Science and Education, the People's Hospital of Tangshan City, Hebei Province, Tangshan 063000, China;
5.Institute of Mental Health, North China University of Science and Technology, Hebei Province, Tangshan 063000, China
Abstract：Objective To investigate the characteristics and relationship between alexithymia, resilience and suicidal ideation in patients with depression, aiming at providing the basis for suicide prevention and intervention. Methods From October to December in 2014, the Self-rating Idea of Suicide Scale, Toronto Alexithymia Scale and Connor-Davdson Resilience Scale were investigated in 115 young (18-40 years old) and the elderly (>40~65 years old) patients with depression from two specialized psychiatric hospitals of the Fifth Hospital of Tangshan and Kailuan Mental Health Center in Hebei Province, the differences of different gender and age of patients with depression in alexithymia, resilience and self-rating idea of suicide; the relationship between alexithymia, resilience and self-rating idea of suicide; the prediction of self-rating idea of suicide by alexithymia and resilience were studied. Results ①There was no difference between different gender in alexithymia, resilience and suicidal ideation (P > 0.05). There was no difference between different ages in resilience and suicidal ideation(P > 0.05), while the score of alexithymia in the elderly group was higher than that in the young group (P < 0.05). ②There was a significant negetive correlation between the total score of alexithymia and resilience (P < 0.01), positive correlation between alex ithymia, suicidal ideation scores and the factors (P < 0.01), negative correlation between the total score of resilience and the total score and factor score of suicidal ideation (P < 0.01). ③The mediator effect test shows that the direct effect of alexithymia on suicidal ideation was significant (β=0.533, P < 0.01), the prediction of resilience on suicide ideation was also significant (β=-0.186, P < 0.01), and the rate of mediation effect was 13.34%. Conclusion Resilience can help the patients with depression express emotion and feelings effectively, it is essential to prevent suicidal ideation and behavior.
2018, Vol. 15 
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