Screening for atypical suicide risk with person fit statistics among people presenting to alcohol and other drug treatment
Screening for atypical suicide risk with person fit statistics among people presenting to alcohol and other drug treatment
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DOI：
10.1016/j.drugalcdep.2009.07.023
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发表时间：
2010-01-15
影响因子：
4.2
通讯作者：
Dennis, Michael L.
中科院分区：
文献类型：
--
作者：
Conrad, Kendon J.;Bezruczko, Nikolaus;Dennis, Michael L.
内化障碍的症状(抑郁、焦虑、躯体、创伤)是自杀的主要危险因素。目的：在接受酒精或其他药物(AOD)治疗的人群中，本研究检验了个人Fit统计是否支持自杀风险高的非典型亚型，该非典型亚型没有典型的抑郁症和其他内在性障碍。方法：使用Fit统计定义的典型、典型和非典型人群的症状特征，在7408名接受AOD治疗的人中使用全球个人需求评估(Gain；结果：在有自杀症状的患者中，结果与预期一致，非典型组的自杀率较高，内化障碍症状较低。此外，非典型组在物质问题、外化障碍症状、犯罪和暴力方面的表现相似或较低。结论：个人契合度统计有助于识别具有非典型自杀倾向的人，并有助于启发现有关于非典型自杀意念的理论。(C)2009爱思唯尔爱尔兰有限公司。保留所有权利。
Symptoms of internalizing disorders (depression, anxiety, somatic, trauma) are the major risk factors for suicide. Atypical suicide risk is characterized by people with few or no symptoms of internalizing disorders.Objective: In persons screened at intake to alcohol or other drug (AOD) treatment, this research examined whether person fit statistics would support an atypical subtype at high risk for suicide that did not present with typical depression and other internalizing disorders.Methods: Symptom profiles of the prototypical, typical, and atypical persons, as defined using fit statistics, were tested on 7408 persons entering AOD treatment using the Global Appraisal of individual Needs (GAIN; Dennis et al., 2003a,b).Results: Of those with suicide symptoms, the findings were as expected with the atypical group being higher on suicide and lower on symptoms of internalizing disorders. In addition, the atypical group was similar or lower on substance problems, symptoms of externalizing disorders, and crime and violence.Conclusions: Person fit statistics were useful in identifying persons with atypical suicide profiles and in enlightening aspects of existing theory concerning atypical suicidal ideation. (c) 2009 Elsevier Ireland Ltd. All rights reserved.