SUICIDAL-BEHAVIOR AND ABUSE IN PSYCHIATRIC OUTPATIENTS
SUICIDAL-BEHAVIOR AND ABUSE IN PSYCHIATRIC OUTPATIENTS
复制标题
DOI：
10.1016/0010-440x(95)90087-c
复制
发表时间：
1995-05-01
影响因子：
7.3
通讯作者：
CHORNEY, P
中科院分区：
文献类型：
--
作者：
KAPLAN, ML;ASNIS, GM;CHORNEY, P
本研究旨在探讨精神科门诊患者自杀行为与虐待史之间的关系。使用自我报告工具和面对面访谈，对251名精神科门诊患者的虐待史、自杀行为、人口统计学和临床特征进行了评估。Logistic回归分析表明，成年期的身体虐待(殴打)和儿童期和成年期虐待相结合的病史是过去自杀未遂和当前自杀意念的显著预测因素。与非受害者对照组相比，虐待的受害者更有可能在更年轻的时候自杀，并多次试图自杀。在有虐待史的患者中，自杀未遂者与非自杀未遂者可以根据更高水平的分离、抑郁和躯体化来区分。成年期的虐待经历似乎在精神科门诊患者的自杀行为中扮演着重要的角色。在有虐待史的患者中，高水平的特定症状(即抑郁、躯体化和分离)可以帮助识别有自杀行为风险的门诊患者。版权所有(C)1995，由W.B.Saunders公司
The present study examines the relationship between suicidal behaviors and histories of abuse in psychiatric outpatients. Two hundred fifty-one psychiatric outpatients were evaluated for history of abuse, suicidal behavior, demographics, and clinical characteristics using self-report instruments and a face-to-face interview. Logistic regression analysis indicated that physical abuse (battering) in adulthood and histories of a combination of childhood and adulthood abuse were significant predictors of past suicide attempts and current suicidal ideation. Victims of abuse were more likely than nonvictim controls to have been suicidal at a younger age and to have made multiple suicide attempts. Among patients with a history of abuse, suicide attempters could be distinguished from nonattempters on the basis of higher levels of dissociation, depression, and somatization. Abusive experiences in adulthood appear to play an important role in suicidal behavior among psychiatric outpatients. High levels of specific symptoms (i.e., depression, somatization, and dissociation) among patients with a history of abuse can help to identify outpatients at risk for suicidal behavior. Copyright (C) 1995 by W.B. Saunders Company