The contribution of environmental events and social support to serious suicide attempts in primary depressive disorder.
The contribution of environmental events and social support to serious suicide attempts in primary depressive disorder.
复制标题
环境事件和社会支持对原发性抑郁症严重自杀企图的影响。
DOI：
10.1037//0021-843x.90.4.275
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发表时间：
1981
影响因子：
4.6
通讯作者：
Depue,RA
中科院分区：
文献类型：
--
作者：
Slater,J;Depue,RA
采访患者（18-65 岁），了解他们或其配偶在自杀未遂前 12 个月内发生的事件。仅选择原发性抑郁尝试者（14 Ss），并且出于比较目的，选择原发性抑郁对照组（14 Ss）。对学生进行汉密尔顿抑郁评定量表。此外，对每位患者自杀未遂的严重性进行了量化和评估，并且只选择了中度或严重的自杀未遂者。结果表明，严重自杀企图的发生与自杀企图前一年独立事件（不受患者行为、决定或障碍影响的事件）发生率密切相关，并且在发作和企图自杀之间此类事件的密度特别高，可能是自杀企图的直接引发因素。数据还表明，退出事件（患者失去重要的社会支持）可能在发起尝试中发挥重要作用。讨论了自杀最高风险期的影响。（40 条参考文献）（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）
Interviewed patients (18–65 yrs old) about the events that occurred to them or their spouse in the 12 mo previous to the suicide attempt. Only primary depressive attempters (14 Ss) were selected, and for purposes of comparison, a primary depressive control group (14 Ss) was selected. Ss were administered the Hamilton Rating Scale for Depression. Moreover, seriousness of suicide attempts was quantified and assessed in each patient, and only moderately or severely serious attempters were chosen. Results show that the occurrence of serious suicide attempts is strongly associated with an increased rate of independent events (events not influenced by the patient's behavior, decisions, or disorder) in the year preceding the attempt, and that a particularly high density of such events between episodic onset and the attempt may serve as the direct initiator of an attempt. Data also suggest that exit events, where an important social support is lost to the patient, may play a significant role in initiating an attempt. Implications for the highest risk period of suicide are discussed.(40 ref)(PsycInfo Database Record (c) 2022 APA, all rights reserved)